Laparoscopic Hernia Repair

Laparoscopic hernia repair is a small incision, lens-assisted approach to repair abnormal abdominal wall (muscle) damage. This type of surgery allows the patient to have less pain than traditional open surgery and to resume daily work and activities more quickly. Treatment of diseases: incisional hernia and abdominal wall incision Indication The advantages of laparoscopic hernia repair are: recurrent sputum, bilateral sputum, multiple sputum (with sacral tendon, straight hernia, femoral hernia, etc.), and other incisional hernias (especially giant incisional hernia). Contraindications Obesity, having undergone abdominal surgery and leaving deep scars (scarring) tissue, laparoscopic anatomy of the surgical area or serious bleeding problems during surgery. Preoperative preparation Adequate bowel preparation can reduce postoperative flatulence and avoid postoperative early bowel movements, to avoid early postoperative intra-abdominal pressure, promote patch repair and tissue repair, improve surgical success rate, and reduce recurrence rate. Before the operation, the purpose and significance of the bowel preparation should be explained to the patient to obtain the positive cooperation of the patient. One day before the doctor's advice, the liquid diet, oral metronidazole, gentamicin, mannitol powder, preoperative night, morning morning, normal saline cleansing enema. Surgical procedure Laparoscopic tension-free hernia repair, usually two 5 mm, a 10 mm hole in the abdominal wall, plus patches and other instruments, can complete the entire operation, less bleeding, incision pain, hospitalization Short time (about 3 to 5 days), rapid recovery of bowel function and early recovery, etc., while using a patch larger than tension-free hernia, and placing the patch in the shallow layer of the peritoneum, lower The recurrence rate. complication Nerve damage caused by laparoscopic staplers and other puncture devices leads to postoperative chronic pain, which increases the possibility of lateral femoral cutaneous, femoral, and obturator nerve injuries.

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