|Discussion in 'All Categories' started by rajeev - Aug 15th, 2011 11:43 am.|
|which type of method is best for this problem ?|
re: BILATERAL INGUINAL HERNIA by Dr Sadhana - Aug 15th, 2011 2:19 pm
|Dear Mr. Rajeev
For Bilateral Inguinal Hernia undoubtedly Laparoscopic Surgery is method of choice. Inguinal hernias are broadly classified as indirect or direct, designations that refer to the relation of the herniation to the inferior epigastric arteries on the abdominal wall and the Hesselbach's triangle.
Laparoscopic hernia repair has become increasingly popular in the past few years, but the technique has also sparked significant controversy. Early in the development of the technique, hernias were repaired by placing a large piece of mesh over the entire inguinal region on top of the peritoneum. This approach was abandoned because of the potential for small-bowel obstruction and fistulae development caused by the exposure of bowel to mesh.
re: BILATERAL INGUINAL HERNIA by Dr Sadhana - Aug 15th, 2011 2:21 pm
|Bilateral hernias may also be addressed simultaneously, using either an open or a laparoscopic procedure. The approach is best determined by local expertise.
The advantages of laparoscopic herniorrhaphy for an initial repair appear to be related to speedy convalescence and an earlier return to work. However, caution is advised, since a recent study27 of open herniorrhaphy showed that return to work was most often determined by the patient's type of insurance coverage rather than the type of procedure used to repair the hernia. Whether this will also be true for laparoscopic herniorrhaphy remains to be seen.
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