Laparoscopic Hernia

Overview-

A laparoscope, thin, telescope-like equipment introduced through a small incision at the umbilicus, is used in laparoscopic (minimally invasive) hernia repair (belly button). This treatment is normally done under general anesthesia, so you'll get a complete physical examination, including a history, physical exam (and maybe lab testing), and an electrocardiogram, before the procedure (EKG).

During the procedure, you will not experience any discomfort. The laparoscope is linked to a dime-sized video camera that displays an "inside view" of your body on television screens in the operating room.

The abdomen is inflated with a safe gas (carbon dioxide) to make room for your doctor to examine your interior organs. To disclose the weakness in the abdominal wall, the peritoneum (the inner lining of the abdomen) is sliced. The mesh is inserted on the inside of the abdominal wall to conceal the flaws and strengthen the tissue.

The small abdominal incisions are closed with a stitch or surgical tape after the surgery is completed. The incisions are barely noticeable after a few months.

Why it’s done-

Inguinal hernias that cause pain or other symptoms should be repaired surgically. It's also indicated for incarcerated or strangulated hernias. Inguinal hernias in children are always treated with surgery.

It's possible that laparoscopic surgical repair isn't suited for you if you:

• You have a hernia that is incarcerated.

• I am unable to undergo general anesthesia.

• You have a bleeding disorder such as hemophilia or immune thrombocytopenic purpura (ITP).

• You're taking blood-thinning medication to avoid blood clots.

• I've had a lot of stomach surgery. The surgery through the laparoscope may be more difficult due to scar tissue.

• Have emphysema or other severe lung disorders. The carbon dioxide used to inflate the tummy could make it difficult for them to breathe.

• You're expecting a child.

• They are morbidly obese.

• Children are rarely treated with laparoscopic hernia repair. During open hernia procedures in youngsters, however, a laparoscope may be utilized to examine the opposite groin for a hernia. By placing the scope on the side that is being operated on and looking at the other side, this can be accomplished. If a hernia is discovered, the surgeon can repair both sides of the hernia at the same time.

Surgery Procedure -

The Transabdominal Preperitoneal (TAPP) method and the Totally Extraperitoneal (TEP) approach are the two basic approaches for laparoscopic inguinal hernia repair. The only difference between the two approaches is that in the TAPP approach, the peritoneum is incised, which requires closure following mesh insertion. The positioning of laparoscopic ports varies between the two procedures. The e-ports are normally implanted in a line from the pubic bone to the umbilicus in a TEP method. The three ports are positioned at the umbilicus and the mid-clavicular line at the level of the umbilicus on the left and right sides of the abdomen in the TAPP procedure. The surgeon can use either the TEP or TAPP approach to treat bilateral inguinal hernias with these port placements. On the left and right sides of the abdomen, the three ports are located at the umbilicus and the area of the mid-clavicular line at the level of the umbilicus. The surgeon can use either the TEP or TAPP approach to treat bilateral inguinal hernias with these port placements. The preperitoneal space is accessed at the level of the umbilicus in the TEP approach, and it is not violated during the operations. The surgeon must open and shut a peritoneal flap that starts at the medial umbilical ligament and is incised laterally towards the anterior superior iliac spine in the TAPP procedure. After the procedure, the tiny abdominal incisions are closed with a suture or surgical tape. After a few months, the incisions are scarcely visible.

Risk and Complications -

There are two types of problems associated with laparoscopic inguinal hernia surgery: operational and postoperative complications. Surgical problems can include laparoscopic access (which might be reduced using the TEP approach) and damage to the inguinal region's surrounding tissues, such as vascular structures and the bladder. Low intraoperative complication rates can be achieved with a thorough understanding of the relevant preperitoneal inguinal anatomy and precise dissection. Hernia recurrence (which has been reduced with the use of mesh) and persistent groin discomfort are the most prevalent postoperative consequences. A large mesh covering the whole myopectineal orifice, as well as atraumatic or properly positioned traumatic fixation away from the triangle of agony and doom, might reduce the likelihood of recurrence and chronic pain.

The laparoscopic hernia has the following risks:

• The dangers of general anesthesia.

• Testicular pain or pain in the cord that transports sperm from the testicle to the penis (spermatic cord).

• The cord that transports sperm from the testicles to the penis is damaged. It's possible that this will impact your capacity to father children.

• Seromas (fluid) or hematomas (blood) in the scrotum, inguinal canal, or abdominal (belly) muscles.

• Urinary retention (inability to pee) or bladder damage.

• The infection is brought on by the mesh or the sutures.

• The production of scar tissue (adhesions).

• Damage to the organs, blood vessels, and nerves in the abdomen.

• Pain or numbness in the thigh.

DO’s and Don’ts-

• Take a break anytime you're feeling fatigued.

• Showering: Depending on the type of surgery you had and your doctor's approval, you may shower 24-48 hours following surgery. If you have gauze on your incisions, remove it before bathing and then pat them dry. Consult your doctor about whether or not you should keep your incision dry, and if so, for how long.

• Give the region time to recover. It is recommended that you should not move quickly or lift anything heavy after surgery until you are entirely recovered. For at least four to six weeks, avoid lifting weights, participating in sports, or other rigorous activities. Your participation in the activities will be primarily determined by the sort of hernia repair treatment you underwent. Always seek your doctor's advice before resuming exercise or sports, as each patient's condition is unique, as is the type of treatment performed.

• Give the region time to recover. It is recommended that you should not move quickly or lift anything heavy after surgery until you are entirely recovered. For at least four to six weeks, avoid lifting weights, participating in sports, or other rigorous activities. Your participation in the activities will be primarily determined by the sort of hernia repair treatment you underwent. Always seek your doctor's advice before resuming exercise or sports, as each patient's condition is unique, as is the type of treatment performed.

• Walking: Walking is a good choice since it improves blood circulation, which promotes recovery without putting undue strain on the abdomen.

• Working: After 1 to 3 weeks, you should be able to resume mild activities.

Insurance Covered – Following insurances are covered for Lap Hernia -

The average length of stay - entails 2-3 days in hospital & 1-2 weeks to fully recover

Doctors who perform Appendix-Lap procedure :