Only recorded case in the world: Six hernias repaired laparoscopically in a person, in single sitting
Abdomen refers to our belly and abdominal contents are the organs present inside, namely the intestines, liver, stomach, reproductive organs, etc. Hernias are abnormal protrusion of intestines or fat through a defect or hole in the abdominal wall. The most common type of Hernia is the Groin Hernias(75% of all abdominal hernias). Hernia repair is done by Herniorrhaphy or Hernioplasty.
When Hernias cause increased pain and other symptoms, surgery must be performed, before blood supply to the herniated organ is lost or perforation results. The herniated sac can either be removed completely(herniotomy) or can be pushed back into the abdominal cavity and the defect repaired with help of a mesh(hernioplasty). Hernioplasty is the procedure of choice for abdominal hernias.
How is Hernioplasty performed
It involves returning the protruding intestine into the abdominal cavity followed by repair of the abdominal wall defect by reinforcing the weakened area around the repair with mesh.
Steps in Hernioplasty
Three small incisions are made on the abdomen. The Laparoscope and trocars are inserted.
The herniated tissue is identified and pushed back into its proper position.
The defect in the abdominal wall is then repaired and thereafter sealed with a synthetic, plastic material (mesh).
The incisions are then closed. Dressing is applied. The mesh placed inside later dissolves into the body tissues and seals the defect.
In both we put a mesh and cover the area of the defect of the hernia, but in laparoscopy we do it through three small keyhole incisions in your belly. In an open hernia, we will cut your open from the skin downwards.
No that is untrue. There is a definite learning curve, which means it takes a few years of training for a surgeon to master laparoscopic hernia repair. But if properly trained, and at the right institute, the recurrence is close to zero for a laparoscopic hernia, nearly the same as a well done open hernia repair.
The only the reason to choose laparoscopic hernioplasty is the decrease in pain and discomfort, and the quick postoperative recovery. The long-term gains are similar in both the types of surgery. The short term however is much more comfortable in keyhole surgery and that is why you should choose it provided the institution does laparoscopic hernias regularly. At LIMA we have trained more then 250 surgeons to perform laparoscopic hernias and are well-established training and research center for hernia repair.
No. You need not do that because the position of the meshes in laparoscopic hernia is such that you can actually start lifting weights within a few days. For open hernias we could advice people to not lift weights for sometime, but its not quite the same for laparoscopic.
No. The mesh used for regular inguinal hernia is not at all expansive. Those that we would use for incisional hernia or a ventral hernia are more expensive because they are exposed to the bowels and consequently the material with which they are made is much more expansive in order to prevent the formation of adhesions (the small bowel getting stuck to the mesh)
Dr. J. S. Rajkumar
M.S., F.I.C.S., Dip. N.B. (SURG.), F.R.C.S. (ENG.), F.R.C.S. (EDIN.), F.R.C.S. (GLASGOW), F.R.C.S. (IRELAND), F.I.M.S., F.A.I.S., F.R.M.S. (LONDON), F.A.E. (GASTRO), F.A.C.G. (USA), F.I.C.A. (USA), F.I.A.G.E.S., Dip M.I.S. (FR.)
Dr. S. Akbar
Consultant General and Laparoscopic Surgeon
M.B.B.S., M.S (GENERAL SURGERY), D.MAS, F.MAS.
Dr. Anirudh Rajkumar
Bariatric and Laparoscopic Surgeon
M.B.B.S., Dip.N.B. (GENERAL SURGERY).