Laparoscopic Hernia Repair (TEP)



Laparoscopic hernia repair is rapidly gaining popularity in the West as well as in India despite early criticism of the futility of the procedure. Open hernia repair is being done for centuries with 'excellent' results then why complicate difficulties with this new technique. Most surgeons would agree that Laparoscopic removal of gallbladder has become the easiest way of treating gall stones and gallbladder disease but for hernia repair, they have their reservations.

A hernia commonly happens in the groin when the fat and intestines in the tummy force their way to avoid it of a defect in the muscle. Bulging from tummy contents through this causes pain and there is a danger from the intestine to obtain strangulated. The problem increases as time passes and unfortunately the only real strategy to this condition is surgery. This traditionally involved a cut within the hernia, decrease in the contents to the stomach and some type of stitching from the defect to avoid the hernia from coming back.

The main problem having a hernia operation is the average 6 weeks of sleep after surgery and the chance of the hernia coming back ( failed operation that is known in medical terms like a recurrent hernia). Many proud surgeons would say that their sufferers do not get recurrent hernias but studies abroad have shown how the patient with recurrent hernia seldom goes to the same surgeon.

Also the big number of operations being done for recurrent hernia confirms this study. Detailed statistical analysis revealed that the recurrence minute rates are about 20%. This prompted the Royal College of Surgeons of England to issue guidelines for surgeons. The very best international results were by a technique referred to as Liechtenstein repair that showed a recurrence of under 1%.

What was good about this technique is that even average surgeons who're not specialised in hernia surgery, produced the same good results. The techniques basically involve minimum stitching and a tensionless keeping fabric (mesh) at the defect site with little disturbance towards the body physiology. However all open surgical techniques involve cutting from the muscles overlying the hernia in order to be able to get to the defect. Which essentially weakens already weak muscle tissues. This like any other method of hernia repair means pain and rest after the operation.

These are only few sample free laparoscopic Videos. We have largest collection of Laparoscopic study material  on the web free for our Member Surgeons. Member can View and Download hundreds of high resolution Laparoscopic Videos, Pictures, Articles and PowerPoint  from password protected secure Private Member Area. The access to private member area is only to the surgeons, Gynaecologists, urologists and pediatric surgeons who has taken training at World Laparoscopy Hospital, Gurugram, NCR Delhi.


Click here to see Video Slide of Laparoscopic Surgery

Video Lectures of Prof.Dr.R.K.Mishra

Step-by step-laparoscopic operative procedure

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