What is anatomical repair of hernia?
Inguinal hernia repairs are of the following three general types: Herniotomy (removal of the hernial sac only) Herniorrhaphy (herniotomy plus repair of the posterior wall of the inguinal canal) Hernioplasty (herniotomy plus reinforcement of the posterior wall of the inguinal canal with a synthetic mesh)
What is a primary repair of inguinal hernia?
Open primary inguinal hernia repair (one side) Open surgery is also a common procedure for a primary inguinal hernia on one side. Your surgeon will make a single 6-8cm cut over your hernia to remove the hernial sac, repair the tissue and reinforce the muscles to help prevent recurrent hernias.
What is the difference between laparoscopic hernia surgery and open hernia surgery?
As noted, the laparoscopic approach usually results in less pain, earlier return to normal activities and earlier return to work than the open approach. On the other hand, it does require general anesthesia and it costs more than the open approach.
What are the indications and advantages of laparoscopic hernia repair?
The indications for laparoscopic inguinal hernia repair, TAPP or TEP, are the same for open inguinal hernia repair. They may be ideal for bilateral inguinal hernias and recurrences from anterior approaches, but is also appropriate with unilateral primary hernias when the surgeon is comfortable with the technique.
What is the difference between herniorrhaphy and Hernioplasty?
When herniotomy is combined with a reinforced repair of the posterior inguinal canal wall with autogenous (patient’s own tissue) or heterogeneous material such as prolene mesh, it is termed hernioplasty as opposed to herniorrhaphy, in which no autogenous or heterogeneous material is used for reinforcement.
How is inguinal hernia repair done?
For open hernia repair surgery, a single long incision is made in the groin. If the hernia is bulging out of the abdominal wall (a direct hernia), the bulge is pushed back into place. If the hernia is going down the inguinal canal (indirect), the hernia sac is either pushed back or tied off and removed.
How long is laparoscopic hernia repair?
A laparoscopic inguinal hernia (rupture in the abdominal wall) repair is a routine surgery and may take up to two hours. A general surgeon usually performs the surgery in an operation theater. The patient is placed under general anesthesia during the procedure.
Which is better open surgery or laparoscopy for inguinal hernia?
The open surgical repair of primary inguinal hernias is better than the laparoscopic technique for mesh repair, a new study has shown (New England Journal of Medicine 2004;350: 1819-27 [PubMed] [Google Scholar]).
What is laparoscopic surgery?
Laparoscopy is a type of surgical procedure that allows a surgeon to access the inside of the abdomen (tummy) and pelvis without having to make large incisions in the skin. This procedure is also known as keyhole surgery or minimally invasive surgery.
What are the side effects of inguinal hernia surgery?
Complications that occur in the perioperative period include wound seroma/hematoma, urinary retention, bladder injury, and superficial incisional surgical site infection (SSI), while complications that occur later following hernia repair include persistent groin pain and post-herniorrhaphy neuralgia, testicular …