Laparoscopic Hernia Repair
Laparoscopic hernia repair originated in the early 90s, when laparoscopy was gaining momentum in the medical field. Despite other standard forms of hernia surgeries and repairs like open, mesh, tension-free repair, laparoscopic hernia repair is found to be successful and effective in most cases.
Despite its cost, laparoscopic hernia repair has several advantages:
- Quick post operative recovery
- Lesser pain medications
- Lesser pain
Laparoscopic surgeons at MIRA healthcare clinic have performed laparoscopic repairs for hernia for several patients with 100% success rate. With years of experience they have Various techniques are employed in laparoscopic hernia repair such as:
- Totally extraperitoneal (TEP) repair
- Transabdominal preperitoneal (TAPP) repair
- Intraperitoneal onlay mesh (IPOM) repair
In this, the laparoscopic surgeon goes into the peritoneal cavity and places a mesh through a peritoneal incision over possible hernia sites. The peritoneum is then closed above the mesh leaving it between the preperitoneal tissues and the abdominal wall where it becomes incorporated by fibrous tissue.
In this, laparoscopic surgeon does not enter the peritoneal cavity and mesh is used to seal the hernia from outside the peritoneum (the thin membrane covering the organs in the abdomen). This approach is considered to be more difficult than TAPP but has fewer complications. TEP hernia repair is a sophisticated laparoscopic method. It takes higher skills of laparoscopic dissection and manipulation since the working space available is restricted.
The IPOM (Intraperitoneal Onlay Mesh) technique is a special repair procedure where a mesh is introduced into the abdominal cavity and placed from the inside over the hernia opening. With a small incision in the abdominal wall, the hernia is exposed and then based on the size of the hernia defect either a synthetic mesh is placed directly over the defect (upto 8 cm) or the defect is additionally constricted with a suture so that the synthetic mesh is better supported.
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