Laparoscopic Incisional/Ventral Hernia Repair
Incisional/ventral hernias are defects that emerge at the site of prior surgical incisions. They often cultivate in the abdominal wall near a previous surgical incision.
A bulge or tear occasionally arises where the abdominal muscles have weakened. A hernia develops when part of an organ protrudes through a weak point or tear in the thin muscular wall that holds the abdominal organs in place. Hernias can grow in the groin, around the navel, or any place where you may have had a surgical incision. Some hernias can develop slowly over a span of several months or years, while others can come on abruptly.
What are the symptoms of a hernia?
- A bulge in the abdominal area may cause discomfort or pain while performing the following activities: coughing, lifting of heavy objects, and/or straining during bowel movements
- Pain, a sharp or dull ache that worsens towards the end of the day
- Inability to have a bowl movement
- Continuous or severe discomfort and nausea are signs that the hernia may be entrapped or strangulated
Description on procedure
A surgeon will use a combination of special instruments, as well as a laparoscope and TV camera to perform the procedure. This equipment is used to help the surgeon view the hernia from the inside. A small incision is made in the abdominal wall. The location of the incision is chosen to lessen the risk of running into organs or scar tissue from previous operations. Other small incisions are made for placement of other instrumentation to remove any scar tissue, and to insert a surgical mesh into the stomach. The mesh is fixed under the hernia defect to the strong tissues of the abdominal wall. The surgeon will use the mesh to reinforce the weakened area of the abdominal wall. This will help prevent the hernia from occurring again.
What are the advantages of the laparoscopic approach?
- Quicker recovery
- Shorter hospital stays – Patients usually go home within 24 hours after laparoscopic repair
- Reduced risk of infection and recurrence
- Less pain
- Quicker return to normal activity
Hernia Surgery - Laparoscopic