Advantages of the Laparoscopic Procedure

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Laparoscopic(Single Site) Inguinal Hernia Repair

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 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 abdominal wall.

There are many things to consider when deciding if you should have inguinal hernia repair surgery, such as whether your hernia is incarcerated or strangulated and whether you have other conditions that need to be addressed before hernia repair surgery is appropriate.

What To Expect After Surgery

Most people who have laparoscopic hernia repair surgery are able to go home the same day. Recovery time is about 1 to 2 weeks. You most likely can return to light activity after 1 to 2 weeks. Strenuous exercise should wait until after 4 weeks of recovery. Studies have found that people have less pain after laparoscopic hernia repair than after open hernia surgery.

Why It Is Done

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.
Laparoscopic surgery repair may not be appropriate for people who:
•    Have an incarcerated hernia.
•    Cannot tolerate general anesthesia.
•    Have bleeding disorders such as hemophilia or idiopathic thrombocytopenic purpura (ITP).
•    Are taking medicines to prevent blood clotting (blood thinners or anticoagulants, such as warfarin).
•    Have had many abdominal surgeries. Scar tissue may make the surgery harder to do through the laparoscope.
•    Have severe lung diseases such as emphysema. The carbon dioxide used to inflate the abdomen may interfere with their breathing.
•    Are pregnant.
•    Are extremely obese.

Participants

Featuring:

Michael Parra

Michael Parra, MD

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