Op. Dr. Mücteba Gündüz

LAPAROSCOPIC INGUINAL HERNIA REPAIR



LAPAROSCOPIC  INGUINAL HERNIA REPAIR

An inguinal hernia occurs in the abdomen near the groin area. They develop when fatty or intestinal tissues push through a weakness in the abdominal wall near the right or left inguinal canal. Each inguinal canal resides at the base of the abdomen. Both men and woman have inguinal canals. In men, the testes usually descend through their canal by around a few weeks before birth. In women, each canal is the location of passage for the round ligament of the uterus. If you have a hernia in or near this passageway, it results in a protruding bulge. It may be painful during movement. Many people don’t seek treatment for this type of hernia because it may be small or not cause any symptoms. Prompt medical treatment can help prevent further protrusion and discomfort.

Surgery is the primary treatment for inguinal hernias. It’s a very common operation and a highly successful procedure when done by a well-trained surgeon. Options include either an open inguinal herniorrhaphy or laparoscopic inguinal herniorrhaphy. In open inguinal herniorrhaphy, one larger incision is made over the abdomen near the groin. In laparoscopic inguinal herniorrhaphy, multiple smaller abdominal incisions are made. A long, thin tube with a lighted camera on the end helps the surgeon see inside your body to perform the surgery. The goal of either surgical approach is returning the internal abdominal tissue(s) back into the abdominal cavity and repairing the abdominal wall defect. Mesh is commonly placed to reinforce the abdominal wall.

Many inguinal hernias can be repaired using a ‘closed’ or laparoscopic procedure — especially when they’re smaller. Laparoscopic repair entails inserting special instruments through tiny incisions in the abdomen through which the surgeon is able to visualize and perform the procedure. Laparoscopic repair uses mesh for reinforcement, so it has a lower recurrence rate. Plus, a smaller incision means less discomfort after surgery, little to no scarring, and a quicker return to normal activity. Many people return to work within a few days.

LAPAROSCOPIC UMBILICAL HERNIA REPAIR

Harnia Repair

Umbilical hernia repair surgery is a procedure that fixes umbilical hernias. An umbilical herniainvolves a bulge or pouch that forms in the abdomen. This type of bulge occurs when a section of the intestine or other abdominal cavity tissue pushes through a weak spot in the abdominal wall near the belly button. It can develop in young children and adults.

Laparoscopic hernia repair is a less invasive procedure. The surgeon makes several smaller incisions around the hernia bulge site. Then they insert a long, thin tube with a lighted camera on the end into one of the incisions. This instrument is called a laparoscope. It allows the surgeon to see inside your abdominal cavity on a video screen.

Regardless of the type of surgery, the goal of the procedure is the same. The surgeon gently places the bulging intestine or other intra-abdominal tissue and abdominal lining back through the hole in the abdominal wall. Then they sew the hole closed. Sometimes they insert a synthetic mesh material into the abdomen to strengthen the area.