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Laparoscopic Diaphgramatic Hernia Repair Tips

Laparoscopic Hernia Repair - What Should You Know

Dr. Manish K. Gupta 90% (69 ratings)
F.I.A.G.E.S , MNAMS (Membership of The National Academy) (General Surgery), DNB (General Surgery), MBBS
General Surgeon, Delhi
Laparoscopic Hernia Repair - What Should You Know

Hernia refers to the condition when an organ or fatty tissue inside the body begins to protrude from its location. Hernias are mostly detected in the groin, belly, or the stomach region. They occur because of muscle weakness in the said region where it is detected but they can be treated with surgery. In most cases, a surgery is prescribed and laparoscopic hernia repair is a very popular surgical procedure that has proven to be successful in most of the cases. This is why a growing number of patients decide to go for it.

Laparoscopic hernia repair: procedure: In this surgical procedure, a laparoscope (an instrument with a high-resolution camera and high-intensity light) is passed inside the abdomen through small incisions that varies between 0.5 and 1.5 inches in length. When the laparoscope moves inside the abdomen, it sheds light on the hernia and sends the images to the monitor connected to it. The surgeon views the hernia on the monitor and then the abdominal cavity is made to swell with carbon dioxide so that the surgeon can find enough space to operate the hernia. Once this is done, the surgeons operate the hernia with tiny surgical instruments. Once the hernia is removed, space or the hole is covered with a mesh from inside the abdomen.

Advantages of laparoscopic hernia repair: The laparoscopic procedure is popular because it is comfortable for the patient in many ways. They have to endure lesser post-operative pain as compared to open surgery, which means the recovery is quicker. They require lesser drugs for healing and the patient can get back to work in fewer days. It is an advanced form of surgery and thus, gives better results.

Disadvantages of laparoscopic hernia repair: While the non-invasive laparoscopic surgery has several advantages, it also comes with some drawbacks. It is lengthier in comparison to open surgery and also costs more. It cannot be performed by all the surgeons and only those who are skilled in this type of surgery can do justice to the different cases of a hernia. 

Recovery after laparoscopic hernia repair: The patient takes one to two weeks after the surgery to return to light activity and daily routine. Nevertheless, heavy exercise and strenuous activity should be avoided until four weeks after the surgery. The full recovery time differs from patient to patient depending on their age, gender, and health condition but one month is the average time for full recovery.

555 Manish Technique for inguinal hernia repair:

Totally extra-peritoneal (TEP) repair of inguinal hernia is now a standard surgical technique. A 12 mm incision in infra-umbilical region for Hasson trocar is must for TEP repair of inguinal hernia. This is the only technique known to laparoscopic surgeons. We have innovated a "555 Technique" for completing Mini TEP repair of inguinal hernia by using all three 5 mm ports.

555 Technique" is a feasible option without compromising the principles of TEP repair for inguinal hernia. Innovation of simple "Manish Retractor" is the key in completing Mini TEP repair. This technique is simple, less invasive, less morbid, and cost effective as it avoids dependence over costly Hasson trocar with better cosmetic results. In case you have a concern or query you can always consult an expert & get answers to your questions! 

2164 people found this helpful

Ventral Hernia - Laparoscopic Repair

Dr. Gaurav Bansal 91% (2207 ratings)
MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Ventral Hernia - Laparoscopic Repair

What is a ventral hernia?

A ventral hernia is a bulge of tissues through an opening of weakness within your abdominal wall muscles. It can occur at any location on your abdominal wall.

Many are called incisional hernias because they form at the healed site of past surgical incisions. Here abdominal wall layers have become weak or thin, allowing for abdominal cavity contents to push through.

In a strangulated ventral hernia, intestinal tissue gets tightly caught within an opening in your abdominal wall. This tissue can’t be pushed back into your abdominal cavity, and its blood flow is cut off. This type of ventral hernia is an emergency requiring surgery.

Hernias can occur in other places of your body and are named after the location where they occur — for example, a femoral hernia occurs in your upper thigh.

Risk factors

What are the risk factors of a ventral hernia?

Certain people are born with a congenital defect — one existing from birth — that causes their abdominal wall to be abnormally thin. They are at a greater risk for developing a ventral hernia. Other risk factors for a ventral hernia include:

  • pregnancy
  • obesity
  • history of previous hernias
  • history of abdominal surgeries
  • injuries to your bowel area
  • family history of hernias
  • frequently lifting or pushing heavy objects

What are the causes of a ventral hernia?

According to UCSF, incisional hernias may occur in up to 30 percent of those who’ve had an abdominal surgery. Most occur at the site of a surgical scar. The scar tissue weakens or thins, allowing a bulge to form in the abdomen. This bulge is tissue or organs pushing against the abdominal wall.

Symptoms

What are the symptoms of this condition?

Ventral hernias can produce an array of symptoms. Symptoms may take weeks or months to appear.

You may feel absolutely no symptoms. Or you could experience discomfort or severe pain in the area of your hernia, which might grow worse when you try to stand or lift heavy objects. You may see or feel a bulging or growth in the area that feels tender to the touch.

If you experience any of the following symptoms, make sure to consult a doctor right away:

  • mild discomfort in your abdominal area
  • pain in your abdomen
  • outward bulging of skin or tissues in your abdominal area
  • nausea
  • vomiting

Diagnosis

How is a ventral hernia diagnosed?

For a complete diagnosis, a doctor will ask you about your symptoms and perform a physical exam. They may need to order imaging tests to look inside your body for signs of a ventral hernia. These may include:

What treatment options are available?

Ventral hernias require surgical correction. If left untreated, they continue to grow slowly until they are able to cause serious complications.

Untreated hernias can grow into enlarged ventral hernias that become progressively more difficult to fix. Swelling can lead to trapping of hernia contents, a process called incarceration. This in turn can lead to reduced or no blood supply to the tissues involved, which is referred to as strangulation.

Options for surgical treatment include:

  • Mesh placement surgery: A surgeon pushes tissue back into place and then sews in a mesh, which serves as a reinforcing patch, to keep it in place. This is considered safe and reliable, and mesh placement has been shown to reduce risk of hernia recurrence.
  • Laparoscopic repair: A surgeon makes multiple small openings and fixes your hernia using guidance with a small camera inside your body to direct the surgery. A mesh may or may not be used.
  • Open surgery (nonlaparoscopic): A surgeon makes an incision adjacent to your hernia, pushes the tissues back into place, and then sews the area shut. A mesh may or may not be used.

Benefits of laparoscopic removal include the following:

  • much smaller cut site, which lowers chance of infection
  • reduced postoperative pain
  • reduced hospital stay — generally able to leave day of or day after procedure
  • absence of a large scar
  • faster overall recovery time

These are a few concerns about open surgery:

  • longer stay in the hospital after surgery
  • greater amount of pain
  • medium to large scar

Complications

Are there complications?

Massive ventral hernias are those that have a length or width of at least 15 centimeters (cm) or an overall area of 150 cm2, according to the Journal of American Surgery. They pose a serious surgical risk. The giant hernia fills the abdominal cavity, making it difficult to separate from surrounding organs. As the hernia grows in size, the risk of a reoccurrence also becomes higher.

Other complications of untreated hernias include:

  • Incarceration: Your intestine becomes trapped in a weak abdomen wall where it can’t be pushed back inside of your abdominal cavity. This may cause blockage to your intestine or cut off its blood supply.
  • Strangulation: This occurs when blood flow to your intestine is blocked. Part of your intestine may die or begin to decay. Immediate surgery is necessary to restore blood flow and save the intestine.

What is the outlook for a ventral hernia?

In the early stages of a hernia, you may be able to “fix” your own hernia. Some people may feel the bulge in their abdomen and push the organs back inside. This is called reducing the hernia. Reducing often works temporarily until you undergo surgery.

The outlook is generally very good after a surgery with no complications. You may need to rest for a few weeks before resuming daily activities, avoiding any heavy lifting or straining to the abdominal area.

1 person found this helpful

Laparoscopic Hiatal Hernia & Paraesophageal Repair

Dr. G M Irfan 87% (10 ratings)
MCh - Pediatric Surgery, MRCS, MS - General Surgery, Fellowship in Minimal Access Surgery(FMAS) & Reproductive Medicine, MBBS
General Surgeon, Hyderabad
Laparoscopic Hiatal Hernia & Paraesophageal Repair

When a tissue or an organ gets displaced abnormally through the wall of the cavity in which it usually resides, then this condition is termed as a hernia. A hernia including stomach or intestine has become a common occurrence.

Hernias are caused by a combination of muscle weakness and strain. The actual cause of Hernia is not known however, some people are either born with an unusually large hiatus or it might occur when too much pressure is exerted on the muscles around your stomach. Obesity, aging, and smoking are the other contributing factors.

A Hiatal Hernia is a condition in which a part of the stomach protrudes through the diaphragm (muscular wall separating the chest cavity and the abdomen) into the chest. There are two types of Hiatal Hernia – Paraesophageal Hernia and Sliding Hernia. Sliding Hernia occurs when your stomach and esophagus slide in and out of your chest through the hiatus. Paraesophageal Hernia is the one where a part of the stomach passes or bulges into the chest beside the esophagus. Particularly if a Paraesophageal Hernia is large, it might slow down the food passage and cause the food to stick in the esophagus once it is swallowed. Fortunately, these types of cases are uncommon.

The treatment of every hernia depends on its size and symptoms. A surgery is recommended for the below-listed cases:

  • Incarcerated Hernia - Where the intestinal tissue gets trapped in the abdominal wall, resulting in pain and discomfort.
  • Strangulated Hernia -  If the Incarcerated Hernia is left untreated it may become Strangulated Hernia wherein the blood supply to the trapped tissue is cut off which can cause permanent damage or death.

Medical Emergency is considered when you experience nausea or vomiting, sudden pain which turns worse, or when Hernia turns red, purple or dark.

Laparoscopy:
The common surgical procedure used for repair of a hiatal hernia is a Laparoscopic method. A laparoscope is a telescope-like instrument connected to a video camera, that is inserted into the abdominal cavity and the surgical video is visualized on high-resolution video monitors in the operating room. Long thin surgical instruments are inserted in the other incision and the surgeon performs the surgery by watching the monitor. This method causes less pain and speedy recovery compared to the conventional techniques. This is proved as a minimally invasive procedure where both pain and healing time is greatly reduced. Since incisions are very small during the surgery you experience less discomfort resulting in the use of lesser painkiller, which is one of the primary advantages of this procedure.

Another significant benefit of a laparoscopic procedure is that there is less risk of post-op infection owing to lesser exposure of the internal organs to any external contaminants. Since healing is so much faster the length of hospital stay required is also significantly shorter with laparoscopic surgery. This implies that you can return to your normal routine quicker as you will get discharged from the hospital on the same-day or the next-day of the surgery.

1993 people found this helpful

Laparoscopic Surgery For Inguinal Hernia

Dr. Nitin Jha 87% (15 ratings)
FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
Laparoscopic Surgery For Inguinal Hernia

Inguinal Hernia is the most common hernia in the abdominal region. With the introduction of the laparoscopic surgery in the 1900s, inguinal hernias also came to be operated through this technique, also known as keyhole surgery.

The area to be operated is accessed through a few small incisions, and a thin tube is inserted, through which instruments are inserted into this space and the desired operation is performed. The tube also has light at the one end, and the operator works through the other end.

Advantages:

  1. Minimally-invasive
  2. Reduced postoperative hospital stay
  3. Reduced chances of postop pain and infection
  4. Quicker return to routine work

Disadvantages:

  1. Expensive than an open surgery
  2. Need for general anesthesia in most cases
  3. Longer operative duration
  4. Requires a more skilled person

Indications:

  1. Recurrent hernias
  2. Symptomatic patients
  3. Incarcerated hernias, more than reducible hernias
  4. Younger patient age group

Contraindications:

  1. Acute medical conditions like respiratory infections
  2. Poorly controlled diabetes
  3. Previous abdominal surgery patients

What to expect: In sequence, bear in mind the following when going in for a laparoscopic inguinal hernia repair.

  • Talk to your doctor about the condition and the operation in detail
  • Be clear about how long you will have to stay in the hospital, the actual procedure, what will change for you, etc.
  • Get admitted to the hospital the previous day if general anesthesia is planned
  • The operation is likely to last for a few hours
  • Hernia is a weak abdominal wall, through which muscle pushes itself through and sometimes protrudes
  • What is done during the surgery is to remove the hernia sac and push hernia back into the abdomen
  • The weakened abdominal muscles are then pushed back and sewn into place using a mesh
  • This also helps prevent recurrence of hernia
  • If topical anesthesia is going to be used, then the patient can be driven home by someone else the same day after recovering from anesthesia (4 to 6 hours)
  • Postoperative antibiotics for infection and analgesics for pain control should be strictly adhered to
  • The bandages over the incisions should be dry; can shower after a day, no bathing for 3 to 4 days
  • Recovery time would be about 1 to 2 weeks, after which light activity can be resumed
  • Mild exercise can be resumed, based on doctor’s advice
  • Given the area affected, it would be up to 4 weeks of complete recovery to get back to routine
  • Laparoscopic hernia repair is associated with less pain postop than open surgical cases
  • Post-operation checks should be per the surgeon’s advice. If you wish to discuss about any specific problem, you can consult a General Surgeon.
2712 people found this helpful

What You Need To Know About Laparoscopic Hernia Surgery?

Dr. Anupama Pujar K 85% (11 ratings)
MS - General Surgery, FMAS, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Bangalore
What You Need To Know About Laparoscopic Hernia Surgery?

A hernia occurs because of an internal weakening of the abdominal layer, resulting in tearing. The inner most layer of the abdomen forms a sac and pushes the weakening area. This results in the abdomen tissue being slipped into the sac, causing pain and other health problems. It can occur to both men and women. Apart from natural weakness of the abdomen, a hernia can get triggered from heavy weight lifting, constant coughing, gaining weight and from irregular bowel movement. 80percent of hernia cases originate near the groin.

What are the symptoms?
Some of the common symptoms of a hernia include:

  • Constipation
  • Nausea
  • Feeling of fullness even without eating a thing
  • Sharp pain while lifting weight
  • Burning sensation
  • Dull ache near the groin area
  • Bulge near the groin area

How is a laparoscopic hernia performed?
This mode of surgery uses a telescope-like instrument known as the laparoscope. With the help of a small incision, the laparoscope is inserted at the belly button. Since the procedure is performed withanaesthesia, it isessential for a doctor to do a routine medical check-up that evaluates the general health of the patient, past medical history, EKG, blood work etc.

Usually, the patient doesn’t feel a thing while the surgery is performed. A video camera is connected to the instrument to get a detailed inside view of a hernia and the area that needs to be repaired. Before this, the abdomen is inflated with the help of carbon dioxide. A mesh is placed inside the abdomen to fix the defects of the abdominal wall and strengthen the weakened tissue of the abdomen. Once the procedure is done, the incisions that are made in the abdomen is closed with the help of surgical tapes. The mark of incision disappears within a month.

Benefits of Laparoscopic Hernia Surgery
The benefits of laparoscopic surgery are quite evident.

  1. A lot of tiny incisions are made rather than making a large incision in the abdominal area. This ensures speedy recovery and a short stay at the hospital.
  2. The pain is significantly less compared to the conventional surgery.
  3. Lastly, a speedy recovery can ensure that a person can return to work within a few days after the surgery is performed.

What to expect after the surgery
Doctors often suggest a week of complete rest after the surgery. The healing time can vary from person to person. A surgeon typically prescribes antibiotics and pain medications to cope up with the wound and pain. It must be ensured that these medicines are taken on time. A revisit to the surgeon might be required after a couple of weeks to assess the recovery. In case you have a concern or query you can always consult an expert & get answers to your questions!

1851 people found this helpful

An Overview Of Laparoscopic Hernia Surgery!

Dr. Adarsh Patil 87% (13 ratings)
MBBS, MS - General Surgery
General Surgeon, Bangalore
An Overview Of Laparoscopic Hernia Surgery!

A hernia occurs because of an internal weakening of the abdominal layer, resulting in tearing. The inner most layer of the abdomen forms a sac and pushes the weakening area. This results in the abdomen tissue being slipped into the sac, causing pain and other health problems. It can occur to both men and women. Apart from natural weakness of the abdomen, a hernia can get triggered from heavy weight lifting, constant coughing, gaining weight and from irregular bowel movement. 80percent of hernia cases originate near the groin.

What are the symptoms?
Some of the common symptoms of a hernia include:

  • Constipation
  • Nausea
  • Feeling of fullness even without eating a thing
  • Sharp pain while lifting weight
  • Burning sensation
  • Dull ache near the groin area
  • Bulge near the groin area

How is a laparoscopic hernia performed?
This mode of surgery uses a telescope-like instrument known as the laparoscope. With the help of a small incision, the laparoscope is inserted at the belly button. Since the procedure is performed withanaesthesia, it isessential for a doctor to do a routine medical check-up that evaluates the general health of the patient, past medical history, EKG, blood work etc.

Usually, the patient doesn’t feel a thing while the surgery is performed. A video camera is connected to the instrument to get a detailed inside view of a hernia and the area that needs to be repaired. Before this, the abdomen is inflated with the help of carbon monoxide. A mesh is placed inside the abdomen to fix the defects of the abdominal wall and strengthen the weakened tissue of the abdomen. Once the procedure is done, the incisions that are made in the abdomen is closed with the help of surgical tapes. The mark of incision disappears within a month.

Benefits of Laparoscopic Hernia Surgery
The benefits of laparoscopic surgery are quite evident.

  1. A lot of tiny incisions are made rather than making a large incision in the abdominal area. This ensures speedy recovery and a short stay at the hospital.
  2. The pain is significantly less compared to the conventional surgery.
  3. The cost of a laparoscopic surgery is lesser
  4. Lastly, a speedy recovery can ensure that a person can return to work within a few days after the surgery is performed.

What to expect after the surgery
Doctors often suggest a week of complete rest after the surgery. The healing time can vary from person to person. A surgeon typically prescribes antibiotics and pain medications to cope up with the wound and pain. It must be ensured that these medicines are taken on time. A revisit to the surgeon might be required after a couple of weeks to assess the recovery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2754 people found this helpful

An Overview Of Laparoscopic Hernia Surgery!

Dr. Nimisha S Kantharia 85% (10 ratings)
MBBS, MS - General Surgery, DNB, FNB - Minimal Access Surgery, MRCS, FIAGES, FMAS.Laparoscopy, FALS Bariatric Surgery
Bariatrician, Mumbai
An Overview Of Laparoscopic Hernia Surgery!

A hernia is a defect in the abdominal wall due to a weakness of its muscle layers.The inner most layer of the abdominal wall, called peritoneum, forms a sac and pushes through the weakened area. This results in the internal organs such as omentum (fat) or intestines, slipping into the sac, causing a swelling, pain and other problems. Hernias can occur in both men and women. Apart from natural areas of weakness of the abdomen, such as the umbilicus (navel/belly-button), a hernia may get triggered by lifting of heavy weights, constant coughing, weight gain, due to straining during irregular bowel movement and weakness at site of previous surgical scars.

Many hernias originate near the groin (inguinal and femoral hernias). Other common locations for a hernia are near the navel/belly-button (umbilical hernias), in the upper abdomen (epigastric hernia) and at the scars due to previous surgery (incisional hernia).

What are the symptoms?

Some of the common symptoms of a hernia include:

  • Swelling which increases in size on standing and during activity, but decreases after lying down
  • Bulge near the groin area
  • Dull ache near the groin area
  • Sharp pain while lifting weight
  • Painful swelling
  • Severe pain associated with nausea, vomiting, constipation, fever, redness around the swelling may signal an emergency

How is a laparoscopic hernia performed?

This procedure is performed under general anaesthesia and so the patient doesn’t feel a thing while the surgery is being performed. It is essential for a doctor to do a routine medical check-up that evaluates the general health of the patient, past medical history, EKG, blood work etc.

This mode of surgery uses a telescope-like instrument known as the laparoscope. With the help of a small incision, the laparoscope is inserted into the abdomen. A video camera is connected to the instrument to get a detailed inside view of a hernia and the area that needs to be repaired. Two or three additional tiny cuts of around 5 mm are made so that thin instruments can be inserted to perform the surgery. A mesh is placed inside the abdomen to fix the defects of the abdominal wall and strengthen the weakened tissue of the abdomen. Once the procedure is done, the incisions that are made in the abdomen is closed with the help of surgical tapes, or absorbable sutures.

Benefits of Laparoscopic Hernia Surgery

The benefits of laparoscopic surgery are quite evident.

1. Few tiny incisions are made rather than making a large incision in the abdominal area.

2. The pain is significantly less compared to the conventional surgery.

3. Speedy recovery – the patient can walk around within a few hours after surgery

4. Shorter hospital stay

5. Early return to work, within few days after surgery

6. Better cosmetic results What to expect after the surgery

The patient can move around and even walk a few hours after surgery. Very often liquids are started on the same day, and patient can consume a normal diet the next day itself. Doctors often suggest a few days of rest at home after the surgery. The healing time can vary from person to person. A surgeon typically prescribes antibiotics and pain medications to cope up with the wound and pain. It must be ensured that these medicines are taken on time. A revisit to the surgeon might be required after a about ten days to assess the recovery.

2503 people found this helpful

Hernia

Dr. Ashok Gupta 90% (5463 ratings)
MS - General Surgery, MBBS
General Surgeon, Delhi
Hernia

HERNIA

Description:

A hernia is a weakness or defect in the lining of the abdominal (belly) or pelvic (groin) wall. It can be present at birth or develop over the years.

Signs and Symptoms:
You may see or feel a lump under the skin or in males a bulge in the scrotum (this is usually intestine). This may present with straining while lifting heavy objects, during a bowel movement or urination. Coughing and sneezing may also produce a bulge. The lump may disappear when laying down or even with gentle pressure. A hernia can be present without an obvious lump. It can be painful or cause a burning sensation. Sometimes it may be present for years without any symptoms.

Treatment:
What should you do if you suspect that you have a hernia? There is no acceptable nonsurgical medical treatment for a hernia. The use of a truss (hernia belt) can help keep the hernia from bulging but eventually will fail. The truss also causes the formation of scar tissue around the hernia making the repair more difficult. Have your doctor perform an examination, because if the repair is delayed it can result in incarceration (intestine is stuck and cannot get back inside) or strangulation (intestine is stuck and develops gangrene). The latter is an emergency.

The hernia will not go away, it will only get bigger. The bigger the defect the bigger the operation required to fix it.

Under certain circumstances the hernia may be watched and followed closely by a physician. These situations are unique to those individuals who are high operative risks, ie, severe heart or lung disease, or bleeding problems. Of course, even in the high risk person, if the symptoms become severe or if strangulation occurs, then an operation must be performed.

Surgical Options:
What type of operation is best for you? There are two main options for hernia repair:

1) Open Repair: The traditional, open repair has been the gold standard for over 100 years. There are 5-10 different approaches and can be performed routinely with local and intravenous sedation. Open repair is generally painful with a relatively long recovery period.


2) Laparoscopic Repair: Laparoscopic repair has been developed over the last 10 years. It is usually performed under general anesthesia but spinal anesthesia is an option. Local anesthesia can be used under special circumstances. Benefits of Laparoscopic (laparoscopic) repair compared to the open repair are: shorter operative time, less pain, and shorter recovery period.

Laparoscopic Hernia Surgery:
For Laparoscopic hernia surgery a telescope attached to a camera is placed through a small opening under the belly button. Two other small cuts are made (each no larger than the diameter of an eraser on the end of a pencil) in the lower abdomen. The defect is covered with a mesh (synthetic material made from the same material that stitches are made from) and secured in position with other stitches/staples/titanium tacks or tissue glue.

Risks to Laparoscopic Hernia Surgery:
As with the open operation, bleeding and infection can occur. The risk of nerve injury appears to be less than in open repair, as does the potential for recurrences of a hernia.

After the Operation:
Usually you can be discharged home a few hours after the completion of the Laparoscopic hernia operation. Take it easy the first few days. Walking stairs is allowed, and walking outside (weather permitting) is encouraged. Taking a bath or shower 48 hours after the operation is permitted. Avoid driving for at least 3 days and any time while taking pain medication.

Remember to make a follow-up appointment with your surgeon 1-2 weeks following the operation. Seek medical attention sooner if you develop fever, bleeding, severe belly pain, excessive swelling or nausea and vomiting.

7 people found this helpful

Laparoscopic Hernia Surgery - An Overview!

Dr. Ajay Gupta 92% (224 ratings)
FIAGES, FMAS, MS - General Surgery
General Surgeon, Pune
Laparoscopic Hernia Surgery - An Overview!

A hernia occurs because of an internal weakening of the abdominal layer, resulting in tearing. The inner most layer of the abdomen forms a sac and pushes the weakening area. This results in the abdomen tissue being slipped into the sac, causing pain and other health problems. It can occur to both men and women. Apart from natural weakness of the abdomen, a hernia can get triggered from heavy weight lifting, constant coughing, gaining weight and from irregular bowel movement. 80percent of hernia cases originate near the groin.

What are the symptoms?
Some of the common symptoms of a hernia include:

  • Constipation
  • Nausea
  • Feeling of fullness even without eating a thing
  • Sharp pain while lifting weight
  • Burning sensation
  • Dull ache near the groin area
  • Bulge near the groin area

How is a laparoscopic hernia performed?
This mode of surgery uses a telescope-like instrument known as the laparoscope. With the help of a small incision, the laparoscope is inserted at the belly button. Since the procedure is performed withanaesthesia, it isessential for a doctor to do a routine medical check-up that evaluates the general health of the patient, past medical history, EKG, blood work etc.

Usually, the patient doesn’t feel a thing while the surgery is performed. A video camera is connected to the instrument to get a detailed inside view of a hernia and the area that needs to be repaired. Before this, the abdomen is inflated with the help of carbon monoxide. A mesh is placed inside the abdomen to fix the defects of the abdominal wall and strengthen the weakened tissue of the abdomen. Once the procedure is done, the incisions that are made in the abdomen is closed with the help of surgical tapes. The mark of incision disappears within a month.

Benefits of Laparoscopic Hernia Surgery
The benefits of laparoscopic surgery are quite evident.

  1. A lot of tiny incisions are made rather than making a large incision in the abdominal area. This ensures speedy recovery and a short stay at the hospital.
  2. The pain is significantly less compared to the conventional surgery.
  3. The cost of a laparoscopic surgery is lesser
  4. Lastly, a speedy recovery can ensure that a person can return to work within a few days after the surgery is performed.

What to expect after the surgery
Doctors often suggest a week of complete rest after the surgery. The healing time can vary from person to person. A surgeon typically prescribes antibiotics and pain medications to cope up with the wound and pain. It must be ensured that these medicines are taken on time. A revisit to the surgeon might be required after a couple of weeks to assess the recovery. In case you have a concern or query you can always consult an expert & get answers to your questions!

2833 people found this helpful

What Can You Expect After Laparoscopic Hernia Surgery?

Dr. Rahul Sinha 89% (10 ratings)
MBBS, DNB ( General Surgery )
General Surgeon, Delhi
What Can You Expect After Laparoscopic Hernia Surgery?

A hernia occurs because of an internal weakening of the abdominal layer, resulting in tearing. The inner most layer of the abdomen forms a sac and pushes the weakening area. This results in the abdomen tissue being slipped into the sac, causing pain and other health problems. It can occur to both men and women. Apart from natural weakness of the abdomen, a hernia can get triggered from heavy weight lifting, constant coughing, gaining weight and from irregular bowel movement. 80percent of hernia cases originate near the groin.

What are the symptoms?
Some of the common symptoms of a hernia include:

  • Constipation
  • Nausea
  • Feeling of fullness even without eating a thing
  • Sharp pain while lifting weight
  • Burning sensation
  • Dull ache near the groin area
  • Bulge near the groin area

How is a laparoscopic hernia performed?
This mode of surgery uses a telescope-like instrument known as the laparoscope. With the help of a small incision, the laparoscope is inserted at the belly button. Since the procedure is performed withanaesthesia, it isessential for a doctor to do a routine medical check-up that evaluates the general health of the patient, past medical history, EKG, blood work etc.

Usually, the patient doesn’t feel a thing while the surgery is performed. A video camera is connected to the instrument to get a detailed inside view of a hernia and the area that needs to be repaired. Before this, the abdomen is inflated with the help of carbon monoxide. A mesh is placed inside the abdomen to fix the defects of the abdominal wall and strengthen the weakened tissue of the abdomen. Once the procedure is done, the incisions that are made in the abdomen is closed with the help of surgical tapes. The mark of incision disappears within a month.

Benefits of Laparoscopic Hernia Surgery
The benefits of laparoscopic surgery are quite evident.

  1. A lot of tiny incisions are made rather than making a large incision in the abdominal area. This ensures speedy recovery and a short stay at the hospital.
  2. The pain is significantly less compared to the conventional surgery.
  3. The cost of a laparoscopic surgery is lesser
  4. Lastly, a speedy recovery can ensure that a person can return to work within a few days after the surgery is performed.

What to expect after the surgery
Doctors often suggest a week of complete rest after the surgery. The healing time can vary from person to person. A surgeon typically prescribes antibiotics and pain medications to cope up with the wound and pain. It must be ensured that these medicines are taken on time. A revisit to the surgeon might be required after a couple of weeks to assess the recovery. In case you have a concern or query you can always consult an expert & get answers to your questions!

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