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Laparoscopic Inguinal Hernia Repair
Discussion in 'All Categories' started by Samsong Sinderson - Jun 4th, 2012 10:05 am.
Samsong Sinderson
Samsong Sinderson
I want to know what are the advantages of Laparoscopic Inguinal Hernia Repair. I have hernia for last 5 year and I want to explore different treatment options available. I will be thankful for your free advice regarding laparoscopy.

With regards
re: Laparoscopic Inguinal Hernia Repair by Dr J.S. Chowhan - Jun 4th, 2012 10:28 am
Dr J.S. Chowhan
Dr J.S. Chowhan
Dear Sinderson

Laparoscopic hernia repair is similar to other laparoscopic procedures and it has many advantages. General anesthesia is given during laparoscopic inguinal hernia repair, and a small incision is made in or simply below the umbilicus.

The abdomen is inflated with air so that the surgeon can easily see the abdominal organs. A thin, lighted scope called a laparoscope is inserted with the incision. The laparoscopic instruments to repair the inguinal hernia are inserted through other small incisions in the lower abdomen. Mesh is then placed within the defect to reinforce the abdominal wall.

There are lots of things to consider when deciding if you should have inguinal hernia repair by laparoscopic surgery, for example whether your hernia is incarcerated or strangulated and whether you have other conditions that need to be addressed before laparoscopic inguinal hernia repair surgical treatment is appropriate.

Most people who have laparoscopic hernia repair surgery are able to go home within 24 hours after the procedure. Recovery time is all about One to two weeks after laparoscopic inguinal hernia repair.

You almost certainly can return to light activity after 1 to 2 weeks after surgery. Strenuous exercise like cycling jogging and active sports should hold back until after 4 weeks of recovery.

Studies have discovered that individuals have less pain after laparoscopic hernia inguinal hernia repair than after open hernia surgery.

Laparoscopic surgical repair of inguinal hernia is recommended for inguinal hernias that are causing pain or potential future risk of any other symptoms and for hernias which are liable to develop as incarcerated or strangulated.

Laparoscopic surgery repair might not be appropriate for individuals who:

Come with an incarcerated hernia.
Patient who cannot tolerate general anesthesia.
Patient who have bleeding disorders such as hemophilia or idiopathic thrombocytopenic purpura.

Take medicines to prevent blood clotting blood thinners or anticoagulants, for example warfarin.
Have had many abdominal surgeries. Scar tissue could make the surgery harder to complete with the laparoscope.

Patient have severe lung diseases for example emphysema. The co2 accustomed to inflate the abdomen may interfere with their breathing.
Patient are pregnant.
Patient who are extremely obese.

The chance of a hernia coming back after laparoscopic surgery ranges from 1 to 10 percente.

Laparoscopic surgery has got the following advantages over open hernia repair:

Many people may prefer laparoscopic inguinal hernia repair since it reduces pain and they are able to go back to work faster compared to what they would after open repair surgery.

Repair of a recurrent hernia often is simpler using laparoscopic techniques than using open surgery.
It is possible to look for and repair a second hernia around the opposite side at the time of the operation.
Because smaller incisions are utilized, laparoscopy may be more desirable for cosmetic reasons.

Risks of laparoscopic repair of inguinal hernia

Some people may require special preparation before surgery to decrease the chance of complications. They are individuals who:

Possess a history of thrombus in large arteries known as deep vein thrombosis.

Patient who smoke.

Patient who take large doses of aspirin. Aspirin slows blood clotting and could boost the chances of bleeding after surgery.

Patient whose blood is thinner after taking warfarin.

Patient who have severe urinary problems, for example those caused by an enlarged prostate gland.

Perils of laparoscopic hernia repair include:

Perils of general anesthesia.
Pain in the testicles or perhaps in the cord that carries sperm from the testicle towards the penis.
Damage to the cord that carries sperm in the testicles to the penis.
Seromas or hematomas in the scrotum, the inguinal canal, or the abdominal muscles.
Urinary retention or bladder injury.
Infection from the mesh or stitches.
Injury to abdominal organs, blood vessels, and nerves.
Numbness or pain in the thigh.
Injury to the testicle, causing testicular atrophy.
Recurrence of the hernia which is usually related to the mesh applied during surgery is placed at wrong place or not fix properly with tackers, sutures or glue.

With regards

J.S. Chowhan
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