LAPAROSCOPIC INGUINAL HERNIA SURGERY
Laparoscopic inguinal hernia surgery is a minimally invasive surgical procedure used to repair inguinal hernias. Instead of a single large incision used in traditional open surgery, laparoscopic hernia repair involves making 3-4 small incisions, typically 1 cm or less in size, in the abdominal wall through which we place ‘ports’ to facilitate the instruments. A laparoscope with a high resolution camera is inserted through one of the incisions to provide a magnified view of the abdominal structures on a monitor. To create a working space inside the abdomen, carbon dioxide gas is usually insufflated, lifting the abdominal wall away from the organs.
Specialized instruments are inserted through the additional incisions to dissect the tissues and perform the repair. The hernia is repaired by placing a synthetic mesh over the weakened area in the abdominal wall. The mesh is secured in place using sutures, staples, or other fixation methods.
The small incisions result in minimal scarring, contributing to improved cosmetic outcomes. Patients often experience less postoperative pain, reduced hospital stays, and quicker return to regular activities compared to open surgery. Since it does not involve cutting of the tissues in the groin laparoscopic repair has lesser incidence of nerve injuries andpost operative inguinodynia. Laparoscopic techniques are well-suited for repairing both sides (bilateral) inguinal hernias during the same procedure. The laparoscope provides a high resolution clear and magnified view of the anatomy, facilitating precise and repairs.
Laparoscopic is preferred choice for bilateral inguinal hernias, when there is a recurrence in a previously operated open inguinal hernia, and in obese patients.
The commonly used techniques of laparoscopic inguinal hernia repair are trans abdominal pre-peritoneal (TAPP), totally extra-peritoneal (TEP), enhanced view totally extraperitoneal (e-TEP).