Laparoscopic Epigastric Hernia Repair


An epigastric hernia is a surgical technique involving overlapping muscle layers, and currently, laparoscopic surgery is introduced to repair the hernia defect.

A hernia can cause many complications as it grows with the most serious complication being bowel obstruction and strangulation.However, if you are facing symptoms including pain and discomfort, and unable to live a normal lifestyle, you should contact your healthcare center.

If you are looking for a doctor consultation? Consult our doctor at Medfin to know your treatment options.

What is Epigastric Hernia?


An epigastric hernia is formed in between the sternum of the rib cage and the navel region (bellybutton) of the abdomen. It accounts for 2-3 percent of hernias formed. It is seen in infants, children, and adults and it is fairly common. 

This condition often tends to go unreported, as it is asymptomatic or demonstrates only minor symptoms.

Small hernias that are left untreated tend to grow larger over time. A well-grown hernia can cause abdominal swelling and pain and also cause a lot of discomforts.

However, if you are facing any of the above symptoms including pain and discomfort, and unable to live a normal lifestyle, you should contact your healthcare center without losing any further time. 

Hernias can be life-threatening and should not be avoided.

How Laparoscopic Epigastric Hernia Repair is performed?


Laparoscopic Epigastric Hernia surgery is usually performed under general anesthesia. 

Post-procedure the patient can be discharged the same day or kept under observation overnight depending on the individual case. 

If the patient is a child, special care should be taken to adequately prepare children for the surgery.

​This surgery is performed by a general surgeon or a colon-rectal specialist. If the patient is a child, a surgeon who specializes in pediatrics performs the procedure.

  • After the patient is given anesthesia, the surgeon commences the surgery by making incisions on either side of the hernia. A laparoscope is inserted into one incision. The other incisions are used for inserting additional surgical instruments.
  • The hernia sac is isolated and pushed back to its proper position and then the defective muscle around it is repaired. ​If the repair in the muscle is small, it is usually sutured closed. The sutures are permanent and will prevent the hernia from returning. 
  •  In the case of large repairs, the surgeon may not suture as it might not seem adequate. Instead, in this case, a mesh graft might be used to cover the hole. The mesh is a permanent solution and prevents the hernia from returning.
  • The suture method when used for larger muscular defects increases the chances of recurrences. The use of mesh might again depend on case to case basis; as some patients may have a history of not being able to adapt to surgical implants. This condition might prevent the use of mesh and might require sutures only to repair.
  • Once the entire process is carried out, the instruments and camera are withdrawn and the incisions are sewn. The incisions can also be closed suture-less by a special kind of glue.

What is the Advantages of Laparoscopic Hernia Repair?


  • There are lesser or no complications or infections in Laparoscopic procedure as the incision is small.​
  • The laparoscopic method with mesh has shown lesser chances of recurrences as low as 3.4%.
  • Laparoscopic method practices surgery through smaller incisions and therefore there is less pain as well as faster recovery.

Who can opt for Laparoscopic Epigastric Hernia Surgery?


A Laparoscopic surgery or Keyhole hernia surgery is recommended in cases where - 

  • ​A previously failed open repair. This could be the result of mesh being used unsuccessfully or inappropriately.
  • Incisional hernia cases where laparoscopy seems much appropriate.
  • In cases with a bilateral hernia (on both sides) and they are to be repaired at once.
  • Case to case basis, depending on individual requirement and size of the hernia.

Why is important to have Hernias treated on time?


The hernia can cause many complications as it grows with the most serious complication being bowel obstruction and strangulation.

A strangulated hernia can lead to tissue death in your intestine. If you are not treating the condition on time, it could be life-threatening. 

In rare cases, it is also possible the hernias might rupture, but this is extremely rare. If the hernia ruptures it calls for emergency surgery.

What are the Disadvantages of Laparoscopic Hernia Repair?


  • ​You need an expert surgeon who has handled the majority of laparoscopic cases in a hernia. The expert laparoscopic surgeons being few, the consequences of a poorly carried out keyhole repair can be serious. Therefore, one needs to be assured of the expertise of a surgeon before opting for the procedure.
  • The technical output of a 2D video image quality of the site poses a major risk of damage to the adjoining organ-like blood vessel, bowel or bladder.
  • Keyhole repairs are done under general anaesthesia and it might carry certain risks for elderly patients or patients with other medical conditions.

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