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Procedure Name

Laparoscopic Incisional Hernia Repair
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Surgery Type

Minimally invasive
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Hospital Stay

0-2 days
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Duration of Surgery

30-40 mins
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Type of Anaesthesia

Regional/General Anaesthesia
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Full Recovery

4-6 weeks

Overview

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.

What Is An 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.

What Are The Treatment Options For Incisional Hernia?

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.

How To Prepare For A Laparoscopic Incisional Hernia Repair?

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).

  • Inform your surgeon about all the medications and supplements that you are currently taking.
  • You will be advised to stop medications such as blood thinners a couple of days before and after the surgery to prevent the risk of bleeding during the surgery.
  • If you smoke, it is highly recommended to quit or at least refrain from smoking for a designated period before the surgery. Smoking can impair healing and increase the risk of complications. Similarly, it's advisable to avoid alcohol consumption in the days leading up to the surgery.
  • Your surgeon may provide specific instructions regarding your diet and bowel preparation. This may also include fasting instructions before the procedure.
  • A complete physical examination will be conducted to check the lump for any tenderness, hardness, or mobility.
  • Routine tests like blood work, urine examination, X-ray, and ECG will be performed. An ultrasound (USG) scan of the abdominal area where the hernia has developed will be done. 
  • You can arrange someone for help on the day of the surgery and also for assistance during your recovery. 

What Happens During a Laparoscopic Incisional Hernia Repair?

A laparoscopic incisional hernia repair would involve the following steps:

  • Firstly, you will be taken to the operating room and will be given a surgical gown to wear.
  • Then you will be made to lie on the operating table and an intravenous (IV) line will be inserted for fluids and medications.
  • The surgical site is thoroughly cleaned with an antiseptic solution to remove the surface contaminants.
  • You will be administered general anesthesia, which will put you to sleep and thus make the procedure pain-free.
  • The doctor will inflate your abdominal cavity with carbon dioxide so that the surgeon can visualize the internal anatomy of the abdominal cavity clearly.
  • The doctor will make 4-5 small incisions in the target area, and the surgeon will insert a laparoscope and other surgical instruments through the incisions.
  • Once the surgeon gains access to the hernia, it is pushed back to its original position. 
  • The space within the muscular wall is then closed with the help of sutures, and he/she may also place a synthetic mesh within the abdominal wall to strengthen and stabilize it.
  • The incision will be closed by sutures (stitches) and covered with a waterproof surgical dressing.

What to Expect After a Laparoscopic Incisional Hernia Repair?

After a laparoscopic incisional hernia repair, the following is expected:

  • After the procedure, you will be kept in the recovery room for an hour or two until you regain consciousness.
  • Your vital signs, such as blood pressure (BP), blood sugar, and pulse, will be constantly tracked until you are stable.
  • The surgeon will encourage you to start walking on the same day, as it helps improve blood circulation and promotes healing. Walking can also help prevent the formation of blood clots.
  • Though most individuals can return home on the same day, depending on your condition and if your doctor suspects some complications, you might need to spend one or two days in the hospital.
  • During the initial days following the surgery, you will probably have mild discomfort, bruising, and swelling around the surgical site. These can however be dealt with prescribed medications.
  • You can resume your regular diet as soon as you get home. However, for a few weeks, try to avoid having fried, spicy, citrus foods during the initial phase of recovery. It is also advised to limit caffeinated beverages.
  • The surgical bandage should be kept clean and dry. Avoid wetting the surgical site until it has healed completely.
  • Refrain from over-exerting yourself. While it is true that you will heal faster if you are active, remember that you should not stress yourself as your body is healing.

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.

What Are The Benefits of a Laparoscopic Incisional Hernia Repair?

The following are the benefits of laparoscopic Incisional hernia repair:

  • Less pain and discomfort
  • Shorter hospital stay
  • Minimal blood loss 
  • Shorter recovery period 
  • Reduced risk of complications
  • Minimal scarring and improved cosmesis

What Are The Risks Associated with a Laparoscopic Incisional Hernia Repair?

Here are some of the expected risks from the procedure:

  • Infection at the surgical site
  • Excessive bleeding during or after the surgery
  • Injury to the surrounding tissues 
  • Recurrence of hernia 
  • An abnormal collection of fluid (seroma) or blood (hematoma) at the surgical site

Why Choose Medfin?

Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital, the finest doctor, and the latest procedure at the lowest cost. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin! 

The power of Medfin in patient’s words

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“ Got to know about them from my friend. They got an appointment for only 299. Once the doctor confirmed that I needed the surgery they got me a fixed cost which included ALL the costs. No extra amounts were charged. Thank you Medfin”

Suresh Menon Hyderabad 8 days ago
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“ After my consultation with the doctor, MEDFIN representative got me a fixed package cost that included my mothers initial tests, surgery cost. They also gave me stockings free for Rs. 3000 post the surgery. They kept up their promise they made”

Radhika Iyer Mumbai 8 days ago
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“ Thank you Medfin. They ensured the whole process from selecting a very experienced doctor to offering the latest procedure at a very reasonable price. They also arranged a follow up post my surgery with the doctor to ensure my recovery was on track. Thank you for being there throughout”

Deepa Shree Bangalore 8 days ago
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