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Laparoscopic surgery: In this surgery, your abdomen is inflated with a harmless gas. This gives the surgeon a better look of your organs. He’ll make a few small incisions (cuts) near the hernia. He’ll insert a thin tube with a tiny camera on the end (laparoscope).
What is Keyhole Surgery? Laparoscopic inguinal hernia repair uses an instrument called a laparoscope. Between two and four small incisions are made through the abdominal wall through which are passed the laparoscope (a thin telescope with a light on the end) and surgical instruments into the abdomen. The incisions are small, so the whole technique is often called keyhole surgery.
A hernia is usually treated with surgery. The three main types of hernia surgery are open repair, laparoscopic (minimally invasive) repair, and robotic repair. This article provides details of each procedure .
Your TEP laparoscopic inguinal hernia surgery will be performed through a single ½-inch incision beneath the belly button, and two additional ¼-inch incisions below this along the lower midline. Your TAPP surgery will also use a single ½-inch belly button incision, but the other two ¼-inch incisions will be on the sides of your abdomen.
In laparoscopic hernia repair surgery, the surgeon operates through a series of small incisions around a hernia. They use a thin tube with a camera at the end, called a laparoscope, to guide the hernia repair.
Laparoscopic hernia repair is performed with general anesthesia and requires use of a breathing tube. Three half-inch or smaller incisions are made in the lower part of the abdomen. In laparoscopic 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.
Hernia repair refers to a surgical operation for the correction of a hernia—a bulging of internal organs or tissues through the wall that contains it. It can be of two different types: herniorrhaphy or hernioplasty. This operation may be performed to correct hernias of the abdomen, groin, diaphragm, brain, or at the site of a previous operation. Hernia repair is often performed as an ambulatory procedure.
Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success. Chronic groin pain is potentially disabling with neuralgia, parasthesia, hypoesthesia, and hyperesthesia. Patients may be unable to work, have limited physical & social activities, sleep disturbances, and psychologic distress. The management of inguinodynia is a difficult problem for many surgeons and 5–7% of patients experiencing post-hernia repair groin pain litigate.
Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region. Surgery remains the ultimate treatment for all types of hernias as they will not get better on their own, however not all require immediate repair. Elective surgery is offered to most patients taking into account their level of pain, discomfort, degree of disruption in normal activity, as well as their overall level of health. Emergency surgery is typically reserved for patients with life-threatening complications of inguinal hernias such as incarceration and strangulation. Incarceration occurs when intra-abdominal fat or small intestine becomes stuck within the canal and cannot slide back into the abdominal cavity either on its own or with manual maneuvers. Left untreated, incarceration may progress to bowel strangulation as a result of restricted blood supply to the trapped segment of small intestine causing that portion to die. Successful outcomes of repair are usually measured via rates of hernia recurrence, pain and subsequent quality of life.