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Incisional Hernias - Laparoscopic Surgical Repair

Laparoscopic Surgery is used to treat Reducible Incisional hernias. The more complicated hernias may require direct visualization to plan the surgery.

Steps of Surgery

This procedure is performed under General Anesthesia.


After administering anesthesia the abdomen and groin are prepared with an antibacterial solution.

The abdomen is inflated with a harmless gas (carbon dioxide) to allow the doctor to view the internal structures.

Three to four small keyhole incisions are used for an incisional hernia repair: two are 5 mm in length and one or two maybe 12 mm in length.

A laparoscope is a thin, telescope-like instrument, which helps to visualize the operating field, if inserted.

A camera, which is attached to the laparoscope, captures and produces a continuous image that is magnified and projected onto a television screen.

Using the laparoscopic surgical tools, the tissues and vessels are divided until the weakness in the abdominal wall is identified.

The tissue around the defect is dissected to find good, strong, healthy tissue, known as fascia. The fascia is the gristly layer that provides the strength to the abdominal wall.

The defect is then closed, either by suturing together the good strong tissue on either side of the hole or by applying a synthetic mesh across it to patch the hole.

The small abdominal incisions are closed with stitches or with surgical tape. The small abdominal incisions heal faster and within a few months, the incision is barely visible.

Benefits of laparoscopic hernia surgery:

Three to four tiny scars rather than one larger incision

Reduced postoperative pain

Faster return to work

Shorter recovery time and earlier resumption of daily activities (a recovery time of days instead of weeks)

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murugu123 

i am 54 years lady at present i have an incisional Hernia, 4 years back i had undergone operation uterus removing whether immediate surgery is required but i don't have any pain

Sarahsue 

10 days Post op from ingiunal repair recurrence and femoral hernia repair (same side). Cement Twinkie at the surgery site. Anyone? I am a 42 y/o female.

Marc_Twain 

My 73 yr old mother needs umbilical hernia repair. Skeptical about medical procedures, she is put it off til it is bigger. Does not like idea of Biologic implants. What is safest mesh material to use? Or, in general, which mesh material has the least complications / lawsuits ? Polypropylene, polyester,...what ? Thank you for any anticipated answer.

Squeeker 

I am scheduled to have a rather large Incisional Hernia repaired, because it is such a large hernia my surgeon has recommended using MESH. I have heard a lot of negative things regarding MESH and do not know which Mesh would be the safest to use. Do you have some suggestions on which MESH would be best?
I did express my concerns to my surgeon but there was no recommendation. Also I was told that if you could have a Cosmetic Surgeon join in with your Surgeon you may have much better results. Is this true?

akab66 

Hi also had umbilical hernia repair surgery 2 months ago and am experiencing burning sensation and pain around the incision. I am passing gas frequently and feel tired often. Have had issues with bloating and pain in the upper part of my stomach for some time and have been told there may be some adhesions. Its just a pity the Doctors do not tell you much about the recovery process and they make you think the surgery is just a simple procedure.

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