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Laparoscopic hernia repair is similar to
other laparoscopic procedures. General anesthesia is given, and a small cut
(incision) is made in or just below the navel. The abdomen is inflated with air
so that the surgeon can see the abdominal (belly) organs.
A thin, lighted
scope called a laparoscope is inserted through the incision. The instruments to
repair the hernia are inserted through other small incisions in the lower
abdomen. Mesh is then placed over the defect to reinforce the belly wall.
There are many things to think about when deciding if you should
inguinal hernia repair surgery, such as whether your
strangulated and whether you have other conditions
that need to be addressed before hernia repair surgery is appropriate.
Most people who have laparoscopic
hernia repair surgery are able to go home the same day. Recovery time is about
1 to 2 weeks.
most likely can return to light activity after 1 to 2 weeks. Strenuous exercise should wait until after 4 weeks of
Studies have found that people have less pain after
laparoscopic hernia repair than after open hernia surgery.
Surgical repair is recommended for
inguinal hernias that are causing pain or other
symptoms and for hernias that are incarcerated or strangulated. Surgery is
always recommended for inguinal hernias in children.
surgery repair may not be appropriate for people who:
Laparoscopic hernia repair usually is not done on children.
But a laparoscope may be used during open hernia repairs in children to explore
the opposite groin for a hernia. This can be done by inserting the laparoscope
into the side that is being operated on and looking at the opposite side. If a
hernia is present, the surgeon can repair both sides during the same
The chance of a hernia coming back
after laparoscopic surgery ranges from 1 to 10 out of 100 surgeries
Laparoscopic surgery has the
following advantages over open hernia repair:
Some people may need special preparation before
surgery to decrease the risk of complications. These are people who:
Risks of laparoscopic hernia repair include:
Laparoscopic hernia repair is different from open surgery in the
Laparoscopic repair of a hernia is more expensive
than open surgery because of the higher cost of the slightly
longer operating-room time and the cost of laparoscopic technology.
Complete the surgery information form (PDF)surgery information form (PDF)(What is a PDF document?) to help you prepare for this surgery.
Harmon JW, Wolfgang CL (2007). Hernias of the groin and abdominal wall. In NH Fiebach et al., eds., Principles of Ambulatory Medicine, 7th ed., pp. 1673–1681. Philadelphia: Lippincott Williams and Wilkins.
November 15, 2012
E. Gregory Thompson, MD - Internal Medicine & Kenneth Bark, MD - Surgery, Colon and Rectal
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