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Surgical Procedures

Traditional Approach: This surgery is done from the outside through an incision in the area of the hernia.
The incision goes through the skin, fat, and allows the surgeon to get to the level of the hernia.

Laparoscopic Hernia Repair: A laparoscope connected to a camera is inserted through a small hollow tube, allowing the surgeon to view the hernia and surrounding tissue on a video screen. The hernia is repaired from behind the abdominal wall.

 

 

Surgical Options:
1. Tissue to tissue repair
2. Flat mesh patch in front of muscle
3. Flat mesh patch behind muscles
4. Mesh patch as a plug
5. Mesh patch as a double disc
6. Flat mesh patch converting to a plug
7. Butterfly Meshª for ventral/incisional hernias

 

Laparoscopic hernia repair is a complex and difficult procedure that involves use of long and small instruments,
such as a tiny camera, to view the inside of the body, and cutting and gripping instruments.

1. A balloon instrument is inserted to inflate a pocket of space between abdominal wall and abdominal cavity,this gives surgeons an operating area an operating port with valves protects the abdomen from deflating.

2. Inflation tool is removed, camera is inserted. Two other tools manipulate intestine back into abdominal cavity, at the same time. The surgeon looks for the hernia on the other side, which if found, is then repaired.

3. A mesh patch made of plastic or titanium is positioned over the defect in the abdominal wall to reinforce the area.

4. Staples or glue is applied to fix the mesh in place.

5. Surgeon removes all tools and deflates the surgical area. Mesh stays in place, held by pressure from surrounding tissues, tissue grows around the mesh, anchoring it.

 

 

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