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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.
Hernia repair is 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 . [ 1 ]
For instance, the chances of an infection incurring are 2%-4% for an open inguinal repair, but as high as 10% for incisional hernia repair. [17] Laparoscopy carries the lowest infection rate, which generally ranges below 1% and as low as 0.1%. [17]
Inguinal hernia repair with mesh diagram Laparoscopic hernia repair with mesh. Surgery is recommended for some types of hernias to prevent complications such as obstruction of the bowel or strangulation of the tissue, although umbilical hernias and hiatus hernias may be watched, or are treated with medication. [34]
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.
SPL is accomplished through a single 20 mm incision in the navel (umbilicus or belly button), [1] or through only an 11 mm incision in the navel, [2] minimizing the scarring and incisional pain associated with the multiple points of entry used during traditional laparoscopic surgery.
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