Hernia is due to a natural weakness in the abdominal wall or excessive strenuous activity such as lifting heavy weights or obesity, difficulty in bowel movements and strain during urination. The patient experiences pain while lifting objects and there is an evident protrusion noticed in the groin area. Nausea and constipation are accompanying symptoms of a hernia. All ages, men, and women are prone to a hernia. Most of the hernias are inguinal or in the groin area. Others are femoral or below the groin, umbilical or through the navel and incisional hernia occurring at the site of a previous surgery.
Hernia repair treatments
As compared to traditional open repair, which uses one to two 4 to 6 inch incisions to access the hernia, a laparoscopic repair requires three ?? to ?? inch incisions. The open repair would require the edges of the healthy tissues to be pulled together and sutured causing tension. Closure of the incision is accomplished with abdominal adhesive or dissolving sutures. This tension method would be the only way to repair extremely large hernias. But it also has a painful recovery history besides leaving a scar behind. Technology has far advanced with the introduction of new methods and techniques making surgery less invasive, less painful, fewer incidences of recurrences and faster recovery periods. The tenet of laparoscopic surgery is to achieve hernial repair with minimal scars and no tension. Unlike open surgery, where the tissues around the hernia are pried, reinforcement of the area attained by positioning a small mesh. The mesh is then sutured or stapled in place. Tension repairs have a high incidence of recurrence but mesh repairs don???t. Different kinds of mesh are available:
- Three dimensional
- Self-gripping ??? this requires little or no sutures
Inguinal hernias are repaired using ???closed??? laparoscopic procedure. Special instruments are inserted through minute incisions made in the abdomen. A camera is inserted for visualization and performance of the procedure.
A pre-op exam may include blood tests, a chest x-ray and an electrocardiogram. After a review of your medical history you may be instructed to stop some over-the-counter medications for about 10 days before the surgery. Medications such as aspirin and Advil (ibuprofen) tend to increase bleeding. Some natural and nutritional supplements may also be stopped prior to the procedure.
Laparoscopic surgery is usually done under general anaesthesia. Three small incisions are made in the abdomen, one near the navel and the rest are lower. A fiber-optic tube or laparoscope fitted with a tiny camera at its end is inserted through one of the incisions. This allows visualization of the area on a TV monitor. With tiny surgical instruments introduced through other ports, the mesh is fastened in place with staples or sutures. It just takes a stitch or two to close the incisions.