ttelo1.gif (1393 bytes) LAPAROSCOPY  IN  UROLOGY

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LAPAROSCOPIC INGUINAL HERNIA REPAIR

Hernia is a defect in the abdominal muscle wall through which abdominal continents can herniate.

For some time, laparoscopic hernia repair was not considered to be as good as open hernia surgery. However, presently, laparoscopic hernia repair  is considered by many as the gold standard for uncomplicated inguinal hernia. Its results are not only at par or better than open surgery, but has the benefits of less post operative pain, early discharge from hospital and early return to regular activity. Both sides (bilateral) hernia repair can also be done without added morbidity or often without additional key holes.

Only 2 to 4 key holes are required for laparoscopic hernia repair. Of this only one 10mm key hole is  muscle cutting. A prolene (special plastic) is positioned under the abdominal muscles to cover the hernial defect.

 pic 1- Lap. view of hernia defect

pic 2- Mesh in place

PRE OP PREPERATION.

General medical check up is done as an outpatient procedure and the patient admitted the day before surgery. Laxative tablets are administered the day before surgery.

Fasting is usually for 6 hours before surgery

OPERATION

  • 3 Key holes (10mm and two 5mm) are used to position a prolene mesh over the hernial defect.

  • A urinary tube (catheter) and a drain are maintained on the day of operation.

  • The patient usually returns to his/her room after 3 to 4 hours in the post operative intensive care unit.

POST OPERATIVE PERIOD

  • The next day the catheter and the drain are removed and the patient allowed to go home.

  • He/she is advised not to do strenous activity involving lifting weights, squating on the floor or driving for 2 to 4 weeks.