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The greatest advantage of laparoscopic surgery for hernias is within patients of recurrent hernias where the anatomy has already been disturbed and in patients of hernias on both sides, as they can be repaired using it . three holes avoiding any further pain or trauma. Both real problems of the laparoscopic hernia repair would be the cost of the operation, due to the expensive imported instruments which are needed ; and also the necessity for general anaesthesia. The increased cost ought to be in contrast to the gain associated with a quicker and more productive go back to work by the most of the patients. Laparoscopic hernia is definitely an efficient technique that compares favourably to current open surgical techniques.
Patients are relatively pain and ache free following this procedure and may go back to work and normal activities much faster than following conventional hernia repairs. Recent reports in the USA show that these patients took typically 9 days off work compared to 48 days after a wide open operation. Laparoscopic surgery is recommended among the treatment options for that repair of inguinal hernia.
Make it possible for patients to choose between open and laparoscopic surgery (either through the transabdominal preperitoneal [TAPP] or through the totally extraperitoneal [TEP] procedure), they should be fully informed of all of the risks (for example, immediate serious complications, postoperative pain/numbness, and long-term recurrence rates) and benefits associated with each one of the three procedures.
In particular, the following points should be considered in discussions between your patient and the surgeon: The individual's suitability for general anaesthesia The nature from the presenting hernia (that is, primary repair, recurrent hernia, or bilateral hernia) The suitability of the particular hernia for a laparoscopic or an open approach The experience of the surgeon in the three techniques Laparoscopic surgery for inguinal hernia repair by TAPP or TEP should only be practiced by appropriately trained surgeons who regularly carry out the procedure.