Laparoscopic Inguinal Hernia Repair Ppt
Comparison of conventional anterior surgery and laparoscopic surgery for inguinal hernia repair.
Laparoscopic inguinal hernia repair ppt. Inguinal hernia repair is a very common operation. The increased acceptance of inguinal hernia repair by a laparoscopic approach has led to many confused reports on technique results and complications related to this procedure. 1 6 with the addition of inguinal hernioplasty a new list of specific complications involving this procedure has appeared. Dr p viswakumar m s assistant professor dept of general surgery psgimsr.
The meshes used for repair of groin hernias are most often. 7 10 many of these complications are directly related to lack of thorough. Injury of this nerve may be normal with inexperienced surgeons performing laparoscopic hernia repair. Absolute contraindications to robotic inguinal hernia repair include contamination of the abdominal cavity inability of the patient to tolerate pneumoperitoneum or general anesthesia and uncontrolled coagulopathy.
The term hernia is derived from the greek word hernios which means budding hernia protrusion of visceral contents through the abdominal wall. About 75 of all hernias happen in the inguinal region. This was a robotic assisted laparoscopic repair of bilateral inguinal hernias in a previously healthy 28 year old male. Most involve a soft flexible plastic like substance called mesh while a few others only use sutures.
Open vs tep approaches ppt presentation summary. Approximately 800 000 are performed in the usa each year 7 there are several techniques for treating inguinal hernias. Laparoscopic inguinal hernia repair is performed more and more nowadays because of its mini invasive nature and demonstrated good results. Femoral hernia repairs.
Of them are in. Laparoscopic procedures are especially suitable for recurrent and bilateral inguinal hernia 1 2 the major procedures include intraperitoneal onlay mesh ipom repair transabdominal preperitoneal tapp repair and total extraperitoneal tep repair. Lichtenstein inguinal hernia repair. 21 open mesh versus laparoscopic mesh repair of inguinal hernia leigh neumayer m d anita.
It arises from l2 3 emerges in the lateral fringe of the psoas muscle courses along the iliac fossa lateral towards the iliac vessels. Laparoscopic repair recover more rapidly and have fewer recurrences than those who undergo open surgical repair. Two key components defect hernial sac 3. Inguinal hernia ppt 1.
Since laparoscopic inguinal hernia repair was first reported by ger and colleagues in 1990 the operation has been refined into an attractive alternative to open hernia repair for many patients and surgeons although few would argue that laparoscopic inguinal hernia repair can be performed with excellent results controversy abounds because the results of open mesh repairs are.