Laparoscopic Repair of Incisional Hernia
Dr. R K Mishra at World Laparoscopy Hospital showcases in this video the Laparoscopic Repair of Incisional Hernia. The first laparoscopic incisional hernia repair using synthetic mesh was reported by LeBlanc in 1993. This procedure entails inserting a mesh into the abdomen without reconstructing the abdominal wall, and then securing it using sutures, staples, or tacks.
Laparoscopic repair of incisional hernia is a minimally invasive surgical procedure that involves repairing a hernia that has developed at the site of a previous surgical incision. This technique utilizes a small camera called a laparoscope, which is inserted through small incisions in the abdomen.
During the procedure, the surgeon inserts the laparoscope and other specialized instruments through these small incisions, allowing them to visualize the hernia and surrounding tissues on a monitor. They then carefully reduce the hernia contents back into the abdominal cavity and place a synthetic mesh over the hernia defect to reinforce the weakened abdominal wall. The mesh is secured in place using sutures, staples, or tacks.
Laparoscopic repair of incisional hernia is preferred over open surgical repair in many cases because it is associated with fewer complications, shorter hospital stays, and faster recovery times. Additionally, this technique results in smaller scars and less postoperative pain compared to traditional open surgery.
Overall, laparoscopic repair of incisional hernia is a safe and effective option for repairing hernias that develop at the site of a previous surgical incision.
Incisional hernias are a common complication of abdominal surgery, where the abdominal wall becomes weakened at the site of the incision, leading to the protrusion of abdominal contents through the weakened area. Factors such as obesity, age, wound infection, and poor wound healing can increase the risk of developing an incisional hernia.
Laparoscopic repair of incisional hernia is generally performed under general anesthesia and requires the patient to be in a supine position. The surgeon will create several small incisions in the abdomen and insert the laparoscope and other specialized instruments, allowing them to visualize the hernia and surrounding tissues. The hernia contents are reduced and the mesh is placed over the hernia defect to reinforce the weakened abdominal wall.
After the procedure, the patient will be closely monitored for any signs of complications such as bleeding, infection, or recurrence of the hernia. Recovery times can vary depending on the size and location of the hernia and the patient's overall health, but many patients are able to return to normal activities within a few weeks.
In summary, laparoscopic repair of incisional hernia is a safe and effective option for repairing hernias that develop at the site of a previous surgical incision. This minimally invasive technique results in fewer complications, faster recovery times, and smaller scars compared to traditional open surgery. However, as with any surgical procedure, there are potential risks and complications that should be discussed with a qualified surgeon.
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