Members of
SAGES

The Society
of American
Gastrointestinal
Endoscopic
Surgeons
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Laparoscopic Surgery for Hernia Repair
A
hernia repair fixes abnormal bulges in
the abdominal wall. This surgery reinforces
the weak area with mesh to prevent symptoms
and recurrence. In rare cases, where the
intestine becomes twisted or obstructed,
a part of the intestine might need to
be removed.
The doctor will make small incisions
through which a high-definition camera
and medical instruments are introduced.
The intestine or other tissue in the hernia
sac is placed back into the abdominal
cavity and the weakened area is reinforced
with either a prosthetic mesh or by suturing
the abdominal tissue.
The
laparoscopic approach is an ideal way
to repair either inquinal or incisional
hernia. This technology eliminates large
scars, and enables patients to go home
shortly after surgery, often the same
day. Additional advantages of the Laparoscopic
hernia repair include earlier return to
work, reduction of post-operative pain
and enhanced recovery. Still, there are
some cases where very large and/or complex
hernias may require either open surgery
and/or and a hospital stay.
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Inguinal Hernia
An inguinal hernia occurs
in the groin, the area between the abdomen
and thigh. The doctor diagnoses this kind
of hernia by doing a physical exam. An
inguinal hernia is diagnosed when part
of the intestine bulges through a triangle-shaped
opening near the groin, between layers
of abdominal muscle.
Incisional Hernia
An incisional hernia is
caused when a weakened area of the abdominal
wall bulges through scars from previous
surgical incisions. This can occur months
to years after the initial incision was
made. Incisional hernias must be treated
surgically because they may widen and
become increasingly difficult to repair.
Open repairs of inquinal
hernia are complex and are associated
with a 25% recurrence rate. Minimally
Invasive Surgery may dramatically reduce
the incidence of recurrence, yielding
better long-term success.
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