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SINGLE INCISION HERNIA

Discussion in 'All Categories' started by GAURAV - May 30th, 2012 6:05 am.
GAURAV	Hello, I have small billateral hernia. How good is single incision hernia laproscopic technique.
re: SINGLE INCISION HERNIA by Dr JS Chowhan - May 30th, 2012 12:38 pm #1
Dr JS Chowhan	Dear Gaurav The use of SILS for TEP repair of bilateral inguinal hernias provides excellent cosmetic results, and articulating instruments seem to be useful for this procedure. Closure of single 2 cm port site is easier than securing all tree port sites of 5 and 10 mm trocars. Like the prolific mesh prosthetic development, surgical instrumentation for single-port surgery and its associated instruments such as angulated graspers is rapidly expanding. However, common to all these single port devices is the relative loss of triangulation, which must be overcome for safe and efficient surgery by experienced surgeon. SILS TEP repair is a safe and efficient way of inguinal hernia repair in all patients who are fit for any general anesthetic. The primary advantages include the abolition of bowel and vascular injury associated with the use of sharp trocars, incision as designed which will lessen the risk of trocar hernias as well as potentially lowering the chance of port-site infection and pain and improving cosmetic results. It should be noted these excellent outcome was obtained in a specialized hernia center by experienced surgeon. TEP repairs in the last 10 years. New surgeons contemplating SILS TEP repair are well advised to defer this attempt until they have mastered traditional TEP repair. With regards J.S. Chowhan
re: SINGLE INCISION HERNIA by moonnabiff - Jun 1st, 2012 1:26 pm #2
moonnabiff	delete my topic, admins, plz
re: SINGLE INCISION HERNIA by IrrallHor - Jun 6th, 2012 10:57 am #3
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re: SINGLE INCISION HERNIA by Junselillep - Jun 10th, 2012 12:28 pm #4
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re: SINGLE INCISION HERNIA by Matheus - Aug 8th, 2012 2:30 pm #5
Matheus	1. it depends on how long ago u had the colmhcystectooy performed, on wether it was open or laparoscopic, on ur age, on ur immediate postoperative condition,on the etiological factors of the formation of the gallstones etc 2. u have to expect that for at least a month after the operation u will be having indigestion symptoms concerning the fat in ur diet.Thats the reason why u have to obtain a specific diet ( after colmhcystectooy by either ur surgeon or a clinical dietician).This diet that lasts for about a month after leaving ur hospital, consists of no or low fat food, increased carbohydrate and protein component plus average fibrous consistency food.(u can eat pasta,rice,boiled vegetables, boiled white meat etc and avoid oil,animal fat, spices,sauces, fatty sweets,full fat dairy products) 3. monitor ur cholesterole plus any coexisting health problem especially haematological ones. 4. allow 3 months for ur digestive system to adopt 5. localy, the postoperative wound care is important.Watch for any swelling, compact local oedema, pain, fluid dripping, bleeding, focal tender protrusion (infection, rupture, inadequate hemostasis of the wound may occur, subsequently a hernia may also be excluded around Kocher inscision in case it was an open procedure or in ur navel in case it was a laparoscopic one but those are far fetched) 6. suggest ur family to have an upper abdominal ultrasound and check for similar conditions as well

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