Recent updates on Increasing use of Hernioscopy
Hernioscope
During a hernioscopy, the surgeon makes a small incision near the hernia and inserts a thin, flexible tube called a laparoscope. The laparoscope contains a light and a camera, which allows the surgeon to view the hernia on a monitor. The surgeon then inserts other small instruments through additional incisions to repair the hernia.
Hernioscopy is a preferred method of hernia repair for many patients, as it is minimally invasive and typically results in less pain, scarring, and recovery time than traditional open surgery. However, not all hernias are suitable for laparoscopic repair, and your doctor will help determine the best treatment option for your specific case.
As with any surgical procedure, there are risks and potential complications associated with hernioscopy, and patients should discuss the risks and benefits of the procedure with their healthcare provider before undergoing surgery.
Using the standard low approach, an incision is made over the hernia sac, as described by Lockwood. The hernia sac is defined and dissected from the surrounding structures using a mixture of sharp dissection and diathermy. Occasionally, there will be incomplete reduction and widening of the femoral ring to fully reduce the hernial contents. If the contents may be retrieved and examined through the defect due to adhesions between the contents and the sac, it is not necessary to proceed with hernioscopy. At the tip of the sac, the peritoneum is checked to ensure the contents are free by gently pinching between fingers or through trans-illumination of the sac.
