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Laparoscopic incisional hernia repair is a procedure used to treat an incisional hernia. An incisional hernia is a condition in which the abdominal tissues protrude through a weak spot in the abdominal wall, typically at or close to the location of the incision from previous surgery. The primary treatment for an incisional hernia is surgical repair. The surgical approach can be either open or minimally invasive, such as laparoscopic or robotic-assisted surgery. Read on to learn more about the treatment and management of incisional hernia.
An incisional hernia is the protrusion of tissue from the abdomen through a scar from the incision of previous abdominal surgery. This can be the result of inadequate healing of the surgical incision or increased stress on the abdominal wall. Incisional hernias account for 15-20% of all types of hernias.
The main cause of an incisional hernia is a weakened abdominal wall. This weakness can result from factors such as improper wound healing, infection at the incision site, excessive strain or pressure on the incision area, obesity, pregnancy, chronic coughing, or conditions that increase intra-abdominal pressure.
The most common symptom of an incisional hernia is the presence of a visible bulge or swelling at or near the surgical scar. The bulge may become more prominent when you cough, strain, or stand for a long time.
The treatment option for an incisional hernia is surgical repair. The choice of approach depends on various factors, including the size and location of the hernia, the patient's overall health, and the surgeon's expertise.
Repairing an incisional hernia involves pushing back the protruding tissue in its place and placing a mesh in the abdominal wall for extra support. It can be either of the following types-
Open incisional hernia: Laparoscopic incisional hernia repair is a traditional method of repair that involves making an incision on the abdomen, usually near the incisional scar of the previous surgery. The hernia is pushed back with the help of surgical instruments, and the abdominal wall is closed with the help of sutures. A surgical mesh may also be placed for additional support and stability. The mesh also helps prevent a recurrence.
Laparoscopic incisional hernia repair: Laparoscopic incisional hernia repair is a modern approach to treating incisional hernia. A lap incisional hernia is a minimally invasive procedure that involves smaller incisions and thus provides faster recovery. The surgeon makes several small incisions in the area around the hernia. Then the doctor Then inserts the surgical instruments and the laparoscope to repair the hernia.
Robot-assisted repair: Robot-assisted repair is a minimally invasive procedure to repair incisional hernias. The method is also similar to laparoscopy. The difference is that this method makes use of a robotic arm to repair the hernia. The arm is controlled by the surgeon from a console. Once the hernia is brought back to its original position in the abdomen, the muscle wall is also restored and reinforced with a mesh.
Preparing for laparoscopic incisional hernia repair involves several steps to ensure a successful surgery and smooth recovery. Here are some general guidelines to help you prepare:
Your surgeon will discuss your medical history with you in detail. You should inform your surgeon about any past surgeries, allergies to any medicines, or any pre-existing medical condition(s).
A laparoscopic incisional hernia repair would involve the following steps:
After a laparoscopic incisional hernia repair, the following is expected:
Make sure that you follow your doctor’s instructions diligently in order to ensure a smooth recovery and to lower the chance of any complications.
The following are the benefits of laparoscopic Incisional hernia repair:
Here are some of the expected risks from the procedure:
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