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The first differentiating factor in hernia repair is whether the surgery is done open, or laparoscopically. Open hernia repair is when an incision is made in the skin directly over the hernia. Laparoscopic hernia repair is when minimally invasive cameras and equipment are used and the hernia is repaired with only small incisions adjacent to the ...
A laparoscopic hernia repair is when the hiatal hernia is corrected using a covering for the mesh that is used to repair the weakened area. The defect is then measured and the mesh is stapled into place. [6] A benefit of performing Laparoscopic hernia repair is shorter recovery times compared to other methods.
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.
Fixing an inguinal hernia using laparoscopy causes less pain, speeds up recovery, and shows similar low rates of the hernia coming back compared to the traditional open repair method. However, open surgery can be done sometimes without general anesthesia. Using local anesthesia for open groin hernia repair, particularly in patients with ...
risks of general anaesthetic (used for laparoscopic hernia repair and most open hernia repairs) Risks that are specific to inguinal hernia repairs include such things as: [9] [17] [21] recurrence of the hernia; impairment of sexual activity, such as genital or ejaculatory pain [86]
There are a number of advantages to the patient with laparoscopic surgery versus an open procedure. These include: Reduced hemorrhaging, which reduces the chance of needing a blood transfusion. [12] [13] Smaller incision, which reduces pain and shortens recovery time, as well as resulting in less post-operative scarring. [13] [14] [15]
Laparoscopic hernia repair is a minimally invasive technique which allows for good visualization of the hernia and potential simultaneous treatment of other abnormalities within the abdomen. [16] Most published case reports have adopted a transabdominal preperitoneal (TAPP) approach.
Laparoscopic incisional hernia repair is a new method of surgery for this condition. [ 9 ] [ 10 ] [ 11 ] The operation is performed using surgical microscopes and specialized instruments. The surgical mesh is placed into the abdomen underneath the abdominal muscles through small incisions to the side of the hernia.