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Hernia Repair Through Laparoscopic Surgery

Why Hernia should be repaired?

There are a number numerous reasons for advising repair.

In decreasing order of importance they are:

a)The possibility of intestines has been captured in the hernial sac causing bowel obstruction. Without urgent surgical intervention this might lead onto strangulation, cutting off the blood flow in the bowel, with resultant death of the loop of bowel. This in turn causes peritonitis. That is life threatening situation.

b)Discomfort or pain in the gut especially on standing for long periods or walking long distances. The discomfort, in cases of inguinal hernia in male patients, might radiate to the testicle. 

c)Difficulty lifting as strain forces abdomen contents into the stomach resulting in discomfort and a sense of weakness.

d)Progressive enhancement of the size of the stomach with increasing probability of the above complications and increasing difficulty with the repair.

e)The existence of a bulge of which the patient knows and which could be visible causing embarrassment.

Why select laparoscopic repair? .

Laparoscopic repair is less painful than traditional repair, both at short-term and the long term. It allows for shorter hospitalization and the patients are able to resume regular activities at an earlier stage, than with traditional repairs. 

The only disadvantages are that the process needs a general anesthetic and that there is far more gear costs namely, the laparoscopic vents, the mesh along with the hernia tacker, that's used to fix the mesh in place. As mentioned however, hospital stays and convalescent times have a tendency to be shorter than with open repairs. 

How is a laparoscopic hernia repair done?

Laparoscopic surgery uses a laparoscope, a thin, telescope like instrument that's inserted through a small incision at the umbilicus. This process is generally performed under general anesthesia, so before the surgery, you need to get an evaluation of your general state of wellbeing - including history and a physical examination and an EKG. You won't feel pain during this operation. The laparoscope is connected to a tiny video camera, smaller compared to a dime, which projects an interior view of your body on TV screens in the operating room. The abdomen is inflated with a harmless gas, which creates a space to allow your physician to see your internal structures. Mesh is placed on the interior to cover the flaws in the abdomen walls and strengthen the tissue. Following the process is completed, the small abdomen incisions are closed with a stitch or 2 or with a surgical tape. In a few months, the incisions are barely visible.

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