Laparoscopic Inguinal Hernia Surgery : Patient Information

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Article Medically Reviewed by: Dr Sandeep Moolchandani MS DrNB MHA

  1. What Is Inguinal Hernia?
  2. What Are The Symptoms Of Inguinal Hernia?
  3. How Do Doctors Treat Inguinal Hernia?
  4. What Is A Laparoscopic Hernia Surgery?
  5. How Does A Mesh Fix Hernia?
  6. What Is The Difference Between TEP and Tapp?
  7. What Are The Complications Of Laparoscopic Hernia Repair?
  8. How To Prepare Yourself For The Laparoscopic Hernia Repair?
  9. What Should I Expect After Laparoscopic Hernia Repair?

What Is Inguinal Hernia?

Inguinal hernia occurs when the abdominal contents protrude through an abnormal exit or a weakened area in the abdominal wall. Hernia can protrude through the lower side of the abdominal wall, on both sides of the groin. In this case, the layer of your peritoneum, that is the lining of your abdomen bulges out of the wall and forms a sac.


What Are The Symptoms Of Inguinal Hernia?

  • A bulge is found in the groin area.

  • Discomfort in the groin,

  • Pain around the groin,

  • Swelling of the scrotum in males.

How Do Doctors Treat Inguinal Hernia?

Inguinal hernia can be only fixed up by surgeries. If your hernia is minor and you are not symptomatic, you may not require a hernia surgery.  Your doctor may clearly proceed to watch for symptoms.

Gradually, hernia tends to get bigger when the abdominal wall gets weaker. Often, doctors recommend surgery to prevent a rare but serious stage which is known as strangulation. 

Strangulation appears when a piece of fatty tissue or a loop of an intestine is trapped inside the hernia and the blood supply is reduced or cut off. 

The signs and symptoms of strangulation are 

  • Nausea or vomiting

  • Hernia bulge occurs to be red, or  dark purple and swollen

  • Inability to move.

  • Intense pain.

  • Fatigue

  • Bloody stools

  • And also fever.

What Is A Laparoscopic Hernia Surgery?

For laparoscopic surgery, you’ll acquire general anesthesia. Small incisions are made carefully by surgeons and your abdominal area is pumped up with a safe gas. This offers the operating surgeon a better appearance of your body organs. They’ll prepare a few short small incisions near the hernia. They’ll put a thin tube along with a very small video camera on laparoscope. The surgeon uses pictures from the laparoscope as an overview to fix the hernia using mesh. 

How Does A Mesh Fix Hernia?

Surgeons use mesh made from Polypropylene or any other kind of material to hold the protrusion of organs or tissues. They act as flexible scaffolds in hernia repair. They use sutures, or surgical glue to keep the mesh in place. 

Gradually, the tissue grows in the small pores of the mesh along with strengthening the muscle wall. 

The procedure allows shorter recovery time and less blood loss when compared to open hernia repair.

What Is The Difference Between TEP and Tapp?

What Is The Difference Between TEP and Tapp?


TEP

Tep ( Trans extraperitoneal surgery) is a laparoscopic or keyhole surgery that repairs the inguinal hernia from the outside of the peritoneum without inserting instruments through it and repairing it from the inside. The peritoneum is the sac that consists of all the abdominal organs.  Instead, the mesh seals your hernia from the outside of the peritoneum.

TAPP

In this case, surgeons enter the peritoneal cavity to repair the inguinal hernia. The mesh is placed inside the peritoneum to repair the hernia.

Both open and laparoscopic surgeries of hernia work well and are safe. But laparoscopic hernia surgeries include benefits like reduced postoperative pain, shorter recovery time, and decreased blood loss.

What Are The Complications Of Laparoscopic Hernia Repair?

Infection of the wound

Antibiotics can deal with minor infections around the suture site on the skin.

Deeper, chronic infections around hernia mesh are more challenging to deal with.

Clients frequently require surgical treatment to remove the mesh.

Blood clots

Those can develop since you are actually under anesthesia and do not move for an extended period.

Hernia mesh adhesions

Chronic, usually severe, discomfort might be a person’s only signs and symptom of a mesh adhesion. The issue might even bring about serious digestive tract blockages.

Pain

In most cases, the area will be sore as you heal. Yet some people get chronic, lasting pain after surgical treatment for a groin hernia, for instance. Specialists think the treatment might damage specific nerves. Laparoscopic surgical treatment might trigger less discomfort than an open procedure.

Hernia Mesh Rejection

Materials in hernia surgical mesh may occasionally cause the body’s immune response.

This can trigger the body to reject the mesh.

Re-occurrence

The hernia might come back after the surgical procedure. Research reveals that making use of mesh can lower your possibility of this occurring by fifty percent.

Surgeons started utilizing hernia mesh to get over this problem. The concept is that mesh can, even more, reinforce weakened tissue.

However, making use of mesh is very little warranty versus recurrence.

How To Prepare Yourself For The Laparoscopic Hernia Repair?

  • It is recommended to cleanse yourself with mild antibiotic soap the night before surgery or during the morning. 

  • You shouldn’t eat or drink even fluids 4-6 hours before surgery. Your doctor may advise you to take your regular medications if needed with a sip of water. 

  • If you’re under medications like aspirin, blood thinners, NSAIDs, vitamin E, they should be compulsory stopped one week before the surgery. Taking this medication may lead to increased blood loss during the surgery.

  • Brush your teeth along with rinse your mouth out with mouthwash.

  • Do not shave the surgical site; your operative team will certainly clip the hair closest to the incision site.

What Should I Expect After Laparoscopic Hernia Repair?

After the surgery is successfully done, you will be relocated to a monitoring room nearby and your vitals will be monitored by the team until you are awake. You will be awakened in usually one to two hours. 

You will be sent home in a day when you start drinking fluids, able to walk, and urinate. 

After laparoscopic surgery, your recovery time will be less, and will be back to work soon after. 

You could remain overnight if you got an open surgery of the hernia repair, a laparoscopic repair with a much longer anesthetic time, post-anesthesia problems as a sick stomach and vomiting or you are incapable to pass urine.

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