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
POST OPERATIVE PERIOD