Please wait loading VIdeo Lecture of Prof. R.K. Mishra about Safe Laparoscopic Sacrocolpopexy...
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The traditional approach is done with an incision within the abdominal wall. It may undergo part or all of a previous incision, skin, a fundamental fatty layer and into the abdomen. The surgeon may choose to sew your natural tissue back together, but frequently, it takes the position of mesh (screen) in or on the abdominal wall for a sound closure. This method is most often performed under a general anesthetic but in certain situations might be done under local anesthesia with sedation or spinal anesthesia. Your surgeon will help you select the anesthesia that's good for you.
The second approach is really a laparoscopic ventral hernia repair. In this approach, a laparoscope (a little telescope having a television camera attached) is inserted through a cannula (a small hollow tube). The laparoscope and TV camera allow the surgeon to see the hernia from the inside. Other small incisions will be necessary for other small cannulas for keeping other instruments to remove any scar tissue and also to insert a surgical mesh to the abdomen. This mesh, or screen, is fixed underneath the hernia defect towards the strong tissues of the abdominal wall. It is held in place with special surgical tacks as well as in many instances, sutures.
Usually, 3 or 4 1/4 inch to 1/2 inch incisions are necessary. The sutures, which are through the entire thickness of the abdominal wall, are placed through smaller incisions round the circumference from the mesh. This operation is usually performed under general anesthesia.
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