Laparoscopic Hernia Surgery

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Laparoscopic Hernia Surgery

Laparoscopic hernia surgery is similar to other laparoscopic surgery variations. It uses a laparoscope (an instrument with a tiny camera on its end) that will be inserted in one of the four incisions on your abdomen including other surgical instruments. The hernia surgeon will then proceed in releasing the strangulated organ or tissue. Then a mesh is placed on the inside to cover up the weak hiatus to prevent any tissue from going out.

Techniques of Laparoscopic Hernia Surgery

Laparoscopic hernia surgery, also known as keyhole surgery, is classified into two techniques;

Transabdominal Preperitoneal (TPP)

The transabdominal preperitoneal (TPP) technique entails the bypassing of the peritoneal cavity by a surgeon who then inserts the mesh on the hernia sites. It is an evolving technique that is associated with the well-known advantages of a minimally invasive approach.

Total Extraperitoneal (TEP)

For the total extraperitoneal (TEP) technique, the surgeon places the mesh outside the thin membrane covering organs in the abdomen, known as the peritoneum. In this case, the surgeon does not penetrate through the peritoneal cavity. The patient can get a break down about laparoscopic hernia surgery from the subsequent text.

It is critical for you to distinguish the two processes. Which is why it is prudent to consult your doctor about your Laparoscopic Surgery.

What Does the Procedure Consist of?

Unlike open surgery, the patient has to be put under general anesthesia before undergoing laparoscopic hernia surgery. This implies that the patient will not be conscious during the procedure. The surgeon will proceed to make two to three half-incisions adjacent to the umbilicus.

From this point, the surgeon will fit a thin-tube on one of the incisions. The narrow tube, known as a laparoscope, is unique in that it has a video camera on one of the ends. Here, the doctor avoids causing damage to blood vessels and vas deferens around the groin area.

Carbon dioxide gas is then filled in the abdomen of the patient. This is done to allow the surgeon to have a clear vision of the inner abdomen lining and hernia sac. Onwards, the surgeon will use special cutting equipment to remove hernia sac.

A sterile mesh is then inserted on the weak or damaged abdominal muscles. Over time, the muscles will grow around the mesh. Finally, the surgeon will stitch the small incisions, thus completing the laparoscopic hernia surgery. Usually, laparoscopic surgery takes about thirty minutes to an hour.

Prepping for Surgery

The patient should be well-prepared before undergoing laparoscopic hiatal hernia surgery. After the surgeon evaluates the general health of the patient, it is critical that the patient schedules the appointment in advance. Medical practitioners recommend booking to be done four months before the laparoscopic hernia surgery.

As the d-day approaches, the patient should stop specific medicines as per the guidelines of the surgeon. Also, the patient will have to refrain from drinking fluids and eating meal hours before laparoscopic surgery.

Recuperation Period

Once the surgeon stitches the patient, he or she will go ahead to discharge the patient after meeting certain conditions. This includes being able to tolerate fluids and pass urine. The patient will feel some pain around the surgery area for a couple of days. Full recovery takes between one to two weeks. Over this period, the patient will have to avoid engaging in strenuous exercises. Besides, the patient should not lift items exceeding ten pounds (equivalent to a medium-sized bowling ball). It is usual for patients to feel some pain around the groin in the first few days of recovery.

When Do Patients Undergo Laparoscopic Hernia Surgery?

When the surgeon detects the presence of any hernia during the tests, he will advise the patient to undergo laparoscopic hernia surgery. If the hernia is not removed, it may result in a strangulated or incarcerated hernia. Strangulated hernia poses significant health risks to your health.

Medical studies also show that laparoscopic hernia surgery is suitable for the removal of double hernias. Here, the surgeon can be able to remove both hernias simultaneously through the small incisions made on the abdomen. The laparoscopic hernia surgery can also be performed on patients undergoing recurrent surgery.

What Qualifies You for a Laparoscopic Hernia Surgery?

You must possess the signs and symptoms of hernia symptoms, then will have to undergo tests before laparoscopic hernia surgery to confirm if you really have a hernia. Under this, the surgeon looks at your medical background, then he will evaluate whether if you have scar tissues on the abdomen lining or not.

Consequently, the surgeon has to ensure that you do not have any lung diseases such as emphysema. The introduction of carbon dioxide gas to such patients that have that disease could result in breathing difficulties. Patients who are elderly and excessively obese cannot undergo laparoscopic hernia surgery.

Also, patients that use blood thinners are not fit for laparoscopic hernia surgery as it may result in excessive bleeding.

Risks of Laparoscopic Hernia Surgery

Laparoscopic hernia surgery has a set of risks that you should bear in mind. One of them is the possibility of the hernia recurring. You may experience numbness in the high. In other cases, you may feel pain in the groin area or experience difficulties when urinating. There is also the risk of infection of the mesh or sutures. When an inexperienced surgeon performs the laparoscopic hernia surgery, there is a risk of damage to bowel muscles. Also, the mesh inserted in the muscles may move to other areas, thus causing pain to your abdomen. In other cases, you may be allergic reactions to general anesthesia which could result in other complications. Nevertheless, the chances of the hernia recurrence after laparoscopic hernia surgery are slim. According to a study done by the University of Wisconsin Madison, School of medicine and public health, 1 to 10 out of 100 operations lead to the recurrence of inguinal hernia.

Edge of Laparoscopic Hernia Surgery Over Open Surgery

When discussing laparoscopic hernia surgery, you have to understand the results of open surgery. Well, laparoscopic hernia surgery has several advantages. One of them is that the operation is minimally invasive. Therefore, the patient will not have large scars on their abdomen after the surgery and it is much safer compared to open surgery.

It is also worth noting the laparoscopic hernia surgery is suitable for cosmetic purposes. The small incisions made around the belly button are barely visible. Furthermore, there is less muscle damage as compared to open surgery.

When it comes to the time frame, laparoscopic hernia surgery takes less time in comparison to open surgery. Also, you will be able to recover within days instead of weeks. The merit of this is procedure is that you can resume normal activities in no time.

Get Examined Today!

Dr. Anthony Pozzessere specializes in performing Laparoscopic Hernia surgery using the robot-assisted procedure which calls for small, precise incisions to be made at the operating site. Committed to patient-centered care. Dr. Anthony prefers to adopt those methods which will cause minimum disruption to a patient’s life, and which will help them recover as quickly as possible after surgery.
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