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Hernia Surgery

At a Glance

Laparoscopic hernia repair

Open hernia repair

Advanced training is required for laparoscopic approach

Technique is old and varies in style from surgeon to surgeon

General anaesthesia is administered

Procedure is carried out under local anaesthesia also

Hernia is repaired from the inside from behind the muscle weakness

The muscle weakness is opened and the hernia is repaired from the outside

Advanced laparoscopic equipment is used

Requires standard surgical instruments

Recurrence rates and infection rates are at < 1%

Higher recurrence rates and infection rates are noted

Length of incision is no more than 1 – 2cm with 2 small punctures

Length of incision is 4 – 5 cm

Incision is made in the belly button area

Incision is made in the groin area

Mesh is positioned behind the muscle

Mesh is positioned behind and above the muscle

Absorbable sutures used to secure the mesh in place

Mesh is sutured into the location

Patients feel little or no pain after the surgery

Patients may experience moderate post-operative pain

Patients return to normal activities in about 1 week

Patients resume normal activities in about 2 – 3 weeks

Surgery takes about 45 minutes to an hour

Surgery takes about 30 minutes to 45 minutes

Difficulty in repairing large and complex hernias

Recommended surgical option for large and complex hernias

There are two techniques used for a hernia repair – laparoscopic approach and open surgical approach. Surgeon preferences and situations influence the decision of an open repair or a laparoscopic repair. The advantages of laparoscopic repair are more than that of the open mesh repair. For one, post-operative pain is lesser and patients return to work faster than after an open surgery. Laparoscopic surgery is a technically difficult surgery. Incidences of prolonged loss of sensitivity and numbness are noted in patients who have had an open surgery. Blood loss during surgery is markedly decreased. Wound drain may not be required after a laparoscopic procedure. Laparoscopic inguinal hernia repair is a popular technique considered safe and efficient.

Dr. Deepak and his team perform advanced laparoscopic repair techniques and use the latest light-weight mesh. The light-weight mesh considerably reduces recurrence rates. Post-operative mesh pain is also reduced.

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