Best Hospital in Jubilee Hills

Laparoscopic Inguinal Hernia repair

Laparoscopic Inguinal Hernia repair involves laparoscopic reduction of the hernia sac and placement of a mesh. This can be done by two techniques:




  1. Trans Abdominal Preperitoneal(TAPP) repair- This a transperitoneal approach and requires a preperitoneal flap creation.




  2. Total ExtraPeritoneal(TEP) repair- This involves creation of a preperitoneal space using a balloon or similar device. Peritoneum is not breached.




Indications:




  1. Patient preference




  2. Bilateral hernias




  3. Recurrent hernias




  4. Obstructed or irreducible hernias




Contraindications:




  1. Unfit for General Anaesthesia




  2. Multiple abdominal or preperitoneal space surgeries resulting in adhesions




  3. Incarcerated hernia




Advantages:


More cosmetic


Lesser postoperative pain


Short hospital stay


Lower rerecurrence rate in case of recurrent hernias


Single incision for bilateral hernias


Earlier return to routine activities


Types of mesh used: Polypropylene light weight meshes are most commonly used. Polyester or PTFE meshes can also be used. These are fixed with tackers to the abdominal wall.


Complications:




  1. Bleeding




  2. Seroma formation




  3. Infection: may need mesh removal




  4. Bowel or bladder injury




  5. Recurrence: is between 1-3%




  6. Chronic groin pain: either due to nerve injury by tackers , reaction to mesh




  7. Adhesion of bowel to mesh and fistula formation




  8. Numbness in thigh area



Check your BMI


Testimonial

LivLife is one of the best hospital in India for weight loss treatment / Bariatric surgery.

One of the best hospitals in Jubilee Hills