Inguinal Hernia (Laparoscopic) Repair
The traditional operation for a hernia repair is the open operation. Recently, laparoscopic surgery has become more common and laparoscopic hernia repair is becoming routine. Laparoscopic hernia repair when appropriate, has a number of advantages over the open operation:
- A quicker recovery.
- Less pain.
- A lower risk of infection.
- Smaller wounds.
- Less formation of adhesions.
The main disadvantages are that the operation takes longer than a straightforward open operation and injury to other organs, such as bowel, bladder or blood vessels is more likely. Laparoscopic surgery is not possible in all cases. You should discuss the type of operation to be done with your surgeon.
- Before an inguinal hernia laparoscopic repair begins, general anesthesia is usually given, though some patients may have local or regional anesthesia, depending on the location of the hernia and complexity of the repair.
- The abdomen and groin are prepared with an antibacterial solution.
- The laparoscopic repair uses a telescopic method to repair hernias (‘keyhole surgery’). This is particularly useful for double hernias (one on each side) or for recurrent hernias (ones being repaired for the second or third time).
- Three small incisions are made in the abdomen.
- The contents of the hernia are reduced back into the abdomen.
- The defect is then closed by applying a synthetic mesh across it to patch the hole. This provides a tension-free repair and provides the added support to the weak wall of the abdomen.
- Following the repair, the layers of tissue are brought back together with sutures.
- The skin is closed with dissolvable sutures and covered with paper strips called steristrips and a waterproof dressing that you can shower with it in place.