This video demonstrates Step by Step demonstration of Inguinal Hernia Surgery by Laparoscopy performed by Dr. R K Mishra at World Laparoscopy Hospital. Laparoscopic inguinal hernia repair is performed with general anesthesia.

Two 5mm and one 10mm incision are made in the lower part of the abdomen. In laparoscopic inguinal hernia repair, a camera called a laparoscope is inserted into the abdomen to visualize the hernia defect on a monitor. The image on the monitor is used to guide the surgeon’s movements. The inguinal hernia sac is removed from the defect in the abdominal wall, and a prosthetic mesh is then placed to cover the hernia defect. While doing this, surgeons are careful to avoid injuring the nerves that are near the hernia that can cause chronic pain if injured, blood vessels that can bleed, or the vas deferens. The small incisions are closed with suturing that dissolve on their own over time. You should discuss all hernia repair options with your surgeon to determine which approach is best for you. The hernia is repaired by a different technique like TAPP, TEP or IPOM. The majority of patients undergoing elective or nonemergent groin hernia repair go home the same day as the surgery once their pain is under control, they have urinated, and they are able to tolerate food or liquids without nausea or vomiting.

Laparoscopic inguinal hernia repair is a minimally invasive surgical technique used to treat inguinal hernias, which occur when abdominal tissue or intestine protrudes through a weak area of the abdominal wall in the groin region. Unlike traditional open surgery, laparoscopic repair is performed through small keyhole incisions using a camera (laparoscope) and specialized instruments. A synthetic mesh is usually placed over the defect to strengthen the abdominal wall and reduce the risk of recurrence.

There are two main laparoscopic approaches: Transabdominal Preperitoneal (TAPP) and Totally Extraperitoneal (TEP) repair. In TAPP, the surgeon enters the abdominal cavity, creates a peritoneal flap, and places mesh over the hernia defect before closing the peritoneum. In contrast, TEP avoids entering the abdominal cavity and places mesh in the preperitoneal space, which may reduce the risk of injury to intra-abdominal organs but is technically more demanding. Both techniques have shown similar outcomes in terms of recurrence and recovery in many studies.

Laparoscopic repair offers several advantages over open surgery. These include less postoperative pain, smaller scars, faster recovery, earlier return to daily activities, and the ability to detect and repair hernias on both sides during the same operation. Many patients can go home the same day or the next day and resume normal activities within about one to two weeks, although heavy exercise is usually avoided for several weeks.

However, like any surgery, laparoscopic inguinal hernia repair carries some risks. Possible complications include infection, bleeding, recurrence of hernia, blood clots, urinary problems, or rare injury to nearby organs, blood vessels, or nerves. Despite these risks, laparoscopic repair is considered safe and effective when performed by experienced surgeons.

In summary, laparoscopic inguinal hernia repair is a modern and widely accepted treatment option that provides faster recovery and less discomfort compared to open surgery. The choice between laparoscopic and open repair depends on factors such as hernia type, patient health, and surgeon expertise.