Lap Inguinal Hernia Repair Steps
Laparoscopic inguinal hernia repair originated in the early 1990s as laparoscopy gained a foothold in general surgery.
Lap inguinal hernia repair steps. The mesh and the fixation method used will be dealt with in other chapters. This video is either unavailable or not supported in this browser. A general surgeon usually performs the surgery in an operation theater. Hernia repair inguinal open surgery patient education youtube.
Inguinal hernia from the sages video library. In both the open and laparoscopic repair procedures the aim is to cover the whole inguinofemoral area by a preperitoneal prosthetic mesh and recurrences should not occur. Laparoscopic transabdominal preperitoneal inguinal hernia repair tapp an infraumbilical incision is used to access the peritoneal cavity and a 10 12 mm trocar placed. A laparoscopic inguinal hernia rupture in the abdominal wall repair is a routine surgery and may take up to two hours.
In this video key steps of the procedures are demonstrated. Research shows that using mesh can reduce your risk of this happening by. Patients considering surgery for an inguinal hernia repair can talk to their doctor about all. Inguinal hernias account for 75 of all abdominal wall hernias and with a lifetime risk of 27 in men and 3 in women.
Between two and four small incisions are made through the abdominal wall through which are passed the laparoscope a thin telescope with a light on the end and surgical instruments into the abdomen. 6 2 pdb trocar fig. Its indications have developed and broadened over time to encompass almost the whole spectrum of groin hernias. 6 1 instruments in tep technique additionally and in order to create more preperitoneal space we will use a pdb balloon trocar and subsequently a 12 mm btt structural trocar.
Laparoscopic inguinal hernia repair keyhole surgery laparoscopic inguinal hernia repair uses an instrument called a laparoscope. A detailed description of the procedure is presented focusing on seven key steps. Inguinal hernia repair in recurrence generally the short term recurrence rate of laparoscopic inguinal hernia repair is reported to be less than 5 percent. The transabdominal preperitoneal tapp approach is the most frequently used laparoscopic technique for inguinal hernia repair.
The hernia could come back after the surgery. Laparoscopic totally extraperitoneal tep inguinal hernia repair is an effective minimally invasive method for treating hernias that avoids entry into the abdomen. The patient is placed under general anesthesia during the procedure.