HERNIA SURGERY

Types of Surgery

ABDOMINAL WALL HERNIAS

LAPAROSCOPIC SURGERY

Laparoscopic hernia repair (keyhole surgery) is performed through small incisions of 0,5cm. It offers several benefits compared to traditional open surgery for hernia repair.

Benefits::

  • Faster recovery
  • Reduced pain,due to the smaller incisions, patients typically experience less postoperative pain compared to open surgery.
  • Recovery time is generally quicker, allowing patients to resume normal activities sooner
  • Reduced risk of recurrence
  • Lower risk of infection
  • Improved diagnostic ability: The laparoscope provides a better view of the internal structures, which can help in diagnosing any additional issues during the surgery.
  • Less scarring

 

LAPAROSCOPIC HERNIA REPAIR

What is a hernia?

A hernia occurs when an internal part of the body, such as an organ or tissue, pushes through a weak spot in the muscle or surrounding tissue wall. This can create a noticeable bulge and may lead to discomfort or pain, especially when lifting, bending, or coughing.

Types of hernia

Depending on the location of the hernias, they are divided into the following categories:

  • Inguinal hernia occurs in the groin area
  • Epigastric hernia occurs between the navel and the lower part of the ribcage.
  • Umbilical hernia
  • Femoral hernia
  • Sports hernia
  • Spigelian hernia
  • Incisional hernia

 

Laparoscopic inguinal hernia repair:

The patient is given general anesthesia to ensure they are asleep and pain-free during the surgery. The surgeon makes a few small incisions (usually three) in the lower abdomen and a thin tube with a camera and light at the end is inserted through one of the incisions. This allows the surgeon to view the hernia and surrounding tissues on a monitor. Using specialized surgical instruments inserted through the other incisions, the surgeon pushes the protruding tissue back into place. A synthetic mesh is then placed over the weak spot to strengthen the abdominal wall and prevent recurrence.

Advantages of laparoscopic inguinal hernia repair:
  • Patients typically experience less postoperative pain compared to open surgery.
  • Short hospital stay
  • Patients often recover more quickly and return to normal activities sooner.
  • Smaller incisions reduce the risk of infection.
  • Minimal scarring due to smaller incisions.
  • Low reccurence risk,compared to open surgery
Laparoscopic femoral hernia repair:

Femoral hernias, which occur when tissue, usually part of the intestine, protrudes through a weak spot in the groin area below the inguinal ligament. In a similar fashion to the inguinal hernia repair, the surgeon identifies the femoral hernia sac and reduces it back into the abdominal cavity. A synthetic mesh is then placed over the weak spot to reinforce the area and prevent recurrence.

Umbilical hernia repair

Ubilical hernias occur through a weak spot in the abdominal muscles around the belly button (umbilicus). The procedure can be performed laparoscopically or open. The surgeon strengthens the weak spot in the abdominal wall by stitching the surrounding muscles together or by using a mesh patch to cover the defect.

Epigastric hernia repair

Epigastric hernias occur in a weak spot in the abdominal muscles between the navel (belly button) and the lower part of the ribcage.

Through keyhole surgery a synthetic mesh is then placed over the weak spot to reinforce the area and prevent recurrence.

The advantages of laparoscopic hernia repair are mentioned above.

Incisional hernia repair:

Incisional hernia repair is a surgical procedure used to treat hernias that develop at or near the site of a previous surgical incision.

Laparoscopic repair, involves making usually three small incisions in the abdomen through which a laparoscope and surgical instruments are inserted. The surgeon uses the laparoscope to guide the repair, often placing a mesh patch over the hernia defect.

The advantages of laparoscopic hernia repair are mentioned above.

Spigelian hernia repair:

Spigelian hernias occur when tissue protrudes through a weak spot in the abdominal wall muscles along the linea semilunaris, a curved line located on the side of the abdomen. The weakened area in the abdominal wall is strengthened by stitching the surrounding muscles together or by using a mesh patch to cover the defect.