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Laparoscopic inguinal hernia repair
General Surgery / Dec 17th, 2016 7:58 am     A+ | a-
Laparoscopic inguinal hernia repair "IPOM" with Dual-Mesh is an ideal technique for small inguinal hernia. It is easy technique and in our experience has an excellent result. Intraperitoneal Onlay mesh repair is already Worldwide accepted technique foe ventral hernia but its use in direct and indirect inguinal hernia is limited. We have started this surgery first time in 2005. Previously we were performing it with fibrin glue. Bur recently Dr R K Mishra at World Laparoscopy Hospital has started performing IPOM inguinal hernia surgery with the help of tacker and suturing technique.
The IPOM technique focused on the placement of an intra-abdominal piece of a prosthetic biomaterial usually a polypropylene or expanded polytetrafluoroethylene fixed with some type of stapling device which may be tacker or suture; the repair did not involve any dissection of the peritoneum, triangle of DOOM or triangle of PAIN. The advantages of this intraperitoneal onlay mesh repair were the lack of significant dissection of the peritoneal space and the rapid placement of the prosthesis. The recurrence rate, however, was somewhat less than that of the more widely adopted repairs developed later. IPOM technique follow the principle Hydrostatic Pascal law.
The results of this study performed at World Laparoscopy Hospital as well as the meta-analysis of the series presented in the various literature from all over World, indicate that the IPOM (Intra Peritoneal Onlay Mesh) is a feasible, safe and effective procedure in the treatment of recurrent and bilateral hernias. 
This an excellent option when a hernia repair is performed by laparoscopic procedures. Surgeon should have good suturing skill. The IPOM has in fact been shown to be faster and easier than the other more commonly performed laparoscopic hernioplasties (TAPP and TEP). It has less chances of faster recovery minimal hospital stay and much earlier return to work. 
The preliminary data may also suggest to utilize IPOM laparoscopic inguinal hernia surgery technique in particular cases of inguinal hernia such as very active young males or heavy duty workers. However, the limited series and the short follow-up ask for randomized prospective long term studies to definitely ascertain the true incidence of recurrence and therefore the effectiveness of this attractive procedure.
Surgery is not advised for a little hernia that do not lead to any pain or discomfort. In case of adults, he might be recommended if the protrusion is big, and seems to be getting enlarged. The surgery is done outside the abdominal cavity over the abdominal lining. Laparoscopic surgery is also employed as a substitute for repairing inguinal hernia. An open surgery is 1 option for hernia restoration, but many doctors choose a laparoscopic hernia restoration. In some cases, he is the only way to repair the hernia.
While surgery is the greatest treatment option for those with hernia, sometimes, it's not considered ideal. There are two primary approaches in regards to performing a hernia surgery. Laparoscopic hernia surgery is achieved by doing a little incision to permit a small camera and surgical tools to go into the area, but this sort of surgery is suitable just for hernia issues.
The expense of hernia surgery is dependent on your geographical place, type of hospital you visit in addition to the surgical equipment and mesh employed for your surgery. According to information from the health care circles, the typical price of surgery can be around USD 10,000. Hernia surgery cost in India is highly reasonably priced and provides a number of the optimal/optimally healthcare facilities together with experienced surgeons.
A hernia repair can cost anything from $6,000 to $14,000 based on the precise procedure used along with the procedure's degree of difficulty. It is one of the most frequently performed surgeries. Under such conditions, surgical repair of hernia gets essential. Laparoscopic hernia repair is a powerful treatment for hernia complications but perhaps it doesn't be that safe in scenarios when patients suffer from different diseases. The major hernia repair is composed of surgical intervention that might be accomplished in a day or more, based on each instance.
There are a lot of people forms of hernias and they're able to affect men, women and kids alike. A hernia is occasionally referred to as a rupture. It is one of the most common conditions that may occur in any person, be it an adult male, female or even a kid. An incarcerated hernia may be an emergency condition that needs immediate surgery.
It is possible to find many different sorts of hernias which may get an effect on both women and men. If you believe you own a hernia see your health care provider whenever possible. Hernia is an issue that could be observed in both women and men. It is one of the common problems that have affected many people around the world. In most of the cases it requires surgery. An incarcerated hernia happens when a portion of the intestine becomes trapped within the bulge.
Hernia needs to be repaired as it can be extremely painful occasionally. At times, it may become incarcerated. It may occur in both men and women or children and adults. Well, it could be a congenital defect or may be acquired as a result of stress to the abdominal wall. It is a serious issue and needs proper and careful treatment. It is a problem that with the help of a surgical intervention might be considered history. Inguinal hernia isn't the consequence of individual weakness.
The surgeon utilizes a synthetic mesh so as to fix the hernia and to give support to the weakened abdominal wall. In severe instances, surgery might be recommended. This surgery utilizes a laparoscope. To be able to reduce bowel incarceration and bowel strangulation, one should conduct a surgery. A hernia surgery is extremely effective and doesn't take much toll on somebody. Inguinal hernia surgery was changed a good deal in past one decade.
If an individual does suffer from constipation, one has to consult a physician. A perforated bowel, which is also called intestinal perforation, is a state that can impact the small and the huge intestine. On the opposite hand, ulcerative colitis usually impacts the huge intestine and the rectum.
During this time period, the individual should take precautions while taking a bath. On the other hand, he might take around a week to recover from a keyhole surgery. It can be quite less in the event the patient has a fantastic medical insurance plan that may cover the majority of the expenses. Even following this intervention nobody can assure the patients that hernia is not going to recur.
The indicators of the hernia might be difficult to determine. Therefore, if you're experiencing any kind of abdominal pain, it's well worth the effort to acquire yourself diagnosed so you can eradicate any further odds of debilitating pain. It doesn't induce pain or discomfort, and resolves by itself.

Dr. Antima Rai
Apr 26th, 2020 6:22 am
This video is excellent in presentation, excellent surgery technic, and also safe. Thanks for posting of Laparoscopic inguinal hernia repair video.
Dr. Adhitya Langthasa
May 12th, 2020 12:40 pm
Thanks for posting .This is excellent video in presentation of Laparoscopic inguinal hernia repair. This video is the best teaching video i ever watched.
May 21st, 2020 11:40 am
Very good video with a clear and simple explanation! keep up the good work! Thanks for uploading video of Laparoscopic inguinal hernia repair.
Dr. Lilly Marthan
May 22nd, 2020 12:43 pm
Great presentation of Laparoscopic inguinal hernia repair. .I am thankful for this educative lecture video is helping me a Lot's.
Dr. Dinesh Khokhar
Jun 11th, 2020 6:57 am
Wow! Such an informative and educative video of Laparoscopic inguinal hernia repair. and thanks for sharing it. I needed to see this every day.
Dr Vikash kumar
Jun 15th, 2020 5:36 pm
Thank you very much for your excellent video presentation of laparoscopic inguinal hernia repair. I'm watching your videos. I'll appreciate content are very interesting and so informative easily understand. Thanks for your better explanation and wonderful topic.
Dr. Muhammad Jamil
Jun 15th, 2020 5:44 pm
Thanks you so much for your wonderful presentation of laparoscopic inguinal hernia repair and Great explanation! Very interesting content are so clear. Thanks for sharing with us your great knowledge.
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