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Hernia Repair Surgery

Hernia Repair Surgery

Jun 07, 2024

Hernia Repair Surgery

A hernia is typically treated with surgery. There are three main types of hernia surgery: open hernia repair, laparoscopic hernia repair, and robotic hernia repair.

What is open hernia repair surgery?

In open hernia repair for a inguinal hernia cut is made, the surgeon identifies the hernia sac containing the protruding intestine, pushes it back into the abdomen, and reinforces the abdominal wall with stitches or synthetic mesh. Most patients can go home a few hours after the surgery and feel fine within a few days. However, strenuous activity and exercise should be avoided for four to six weeks post-surgery.

What is laparoscopic (minimally invasive) hernia repair surgery?

Laparoscopic hernia repair uses a laparoscope, a thin, telescope-like instrument inserted through a small incision near the belly button. This procedure is performed under general anesthesia, so you will undergo a health evaluation, including a history, physical exam, lab work, and possibly an electrocardiogram (EKG) before surgery. You will not feel pain during the procedure. The laparoscope, connected to a tiny video camera, provides an inside view of your body on screens in the operating room. The abdomen is inflated with carbon dioxide to create space, and the inner lining of the abdomen is cut to expose the abdominal wall weakness. Mesh is placed inside to cover and strengthen the tissue. Afterward, the small incisions are closed with stitches or surgical tape, and within a few months, the scars are barely visible. Benefits include three small scars instead of one large one, less pain after surgery, a quicker return to work, and a shorter recovery time.

What is robotic hernia repair surgery?

Robotic hernia repair is similar to laparoscopic surgery, using a laparoscope and small incisions. The surgeon operates from a console in the operating room, controlling the instruments remotely. Robotic surgery can be used for smaller hernias or weak areas and to reconstruct the abdominal wall. One significant difference is that robotic surgery provides excellent three-dimensional images of the inside of the abdomen, compared to the two-dimensional images of laparoscopic surgery. It also allows the surgeon to use stitches more easily to sew tissue and meshes. Other benefits include tiny scars and potentially less post-surgery pain compared to open surgery.

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