|Discussion in 'All Categories' started by maysara - Nov 6th, 2011 8:03 pm.|
|belly hernia 4 years. virus C, two operation on heart, goal bladder taken out.problem that very little urination, and the bowel is week but stays inside, dont go often to toilet. and a lot of meteorism, which find diificult way to go out. the result is that the stomack is as a baloon and coases problem even to breath. is it posiible in that condition to perform the laporoscopic surgery???|
re: belly hernia by Dr M.K. Gupta - Nov 8th, 2011 7:42 pm
Dr M.K. Gupta
Laparoscopic Surgery is possible even for the patient who are not sometime suitable for open surgery but we have to first examine the patient. Ventral hernia surgery by laparoscopy is a relatively easy surgery.
Only following a thorough examination can your surgeon see whether a laparoscopic ventral hernia repair is right for you. The process may not be best for some patients who may have had extensive previous abdominal surgery, hernias found in unusual or difficult to approach locations, or underlying health conditions. Make sure to consult your physician about your specific case. In a small number of patients the laparoscopic method can't be performed. Factors that may increase the possibility of choosing or converting towards the "open" procedure may include obesity, past prior abdominal surgery causing dense scar tissue, inability to visualize organs or bleeding problems throughout the operation.
The choice to perform outdoors procedure is really a judgment decision produced by your surgeon either before or during the actual operation. When the surgeon feels that it is safest to convert the laparoscopic procedure to an open one, this isn't a complication, but instead sound surgical judgment. The choice to convert to a wide open procedure is strictly based on patient safety.
There are few possibilities for a patient with a ventral hernia.
The use of an abdominal wall binder is occasionally prescribed but often ineffective.
Ventral hernias do not go away by themselves and could enlarge with time.
Surgery is the preferred treatment and it is completed in 1 of 2 ways.
1. The traditional approach is performed through an incision in the abdominal wall. It might go through part or all of an earlier incision, skin, an underlying fatty layer and in to the abdomen. The surgeon might want to sew your natural tissue together again, but frequently, it takes the position of mesh (screen) in or on the abdominal wall for a sound closure. This technique is most often performed under a general anesthetic however in certain situations may be done under local anesthesia with sedation or spinal anesthesia. Your surgeon will help you select the anesthesia that's good for you.
2. 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 via a cannula (a small hollow tube).
The laparoscope and TV camera allow the surgeon to view the hernia from the inside. Other small incisions is going to be required for other small cannulas for placement of other instruments to remove any scar tissue and also to insert a surgical mesh in to the abdomen. This mesh, or screen, is bound underneath the hernia defect towards the strong tissues of the abdominal wall. It is locked in place with special surgical tacks and in most all cases, sutures. Usually, three or four 1/4 inch to 1/2 inch incisions are necessary. The sutures, which are through the entire thickness from the abdominal wall, are placed through smaller incisions around the circumference of the mesh. This operation is generally performed under general anesthesia.
Dr M.K. Gupta
re: belly hernia by Jane - Nov 21st, 2011 11:55 pm
|Frankly I think that's asbuoletly good stuff.|
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