Hernia surgery| hernia surgery inguinal hernia repair can be done as either open surgery or laparoscopic (keyhole) surgery. The hospital will send you instructions about when you need to stop eating and drinking before the procedure. The surgery usually takes 30 to 45 minutes to complete and most likely you will be able to come back. home on the same day.
Open hernia surgery
- Open hernia surgery is often performed under local anesthesia injected into the spine.
- This means that you will be awake during the procedure, but the area being operated on will be numbed so that you will not experience any pain.
- Sometimes a general anesthetic is used. This means that you will be asleep during the procedure and will not feel any pain.
- When the anesthetic becomes effective, the doctor makes one incision over the hernia. This incision is about 6 to 8 centimeters long.
- Then the surgeon places the fatty tissue mass or bowel loop back into your abdomen.
- A mesh is placed in the abdominal wall, at the weak point where the hernia came to strengthen.
- When the operation is complete, the opening will be closed with stitches, which usually dissolve on their own within a few days of the operation.
surgery Laparoscopic (keyhole) hernia
- General anesthesia is used for hernia surgery, so you'll be asleep during the procedure.
- During laparoscopic hernia surgery, the surgeon usually makes three small incisions in your abdomen instead of one larger incision.
- Then a thin tube, containing a light source and a camera, is inserted through one of these incisions so that the surgeon can see inside your abdomen.
- Surgical tools are inserted through the other incisions so that the surgeon can put the hernia back in place.
There are two types of laparoscopic hernia surgery.
- preperitoneal transabdominal (TAPP)
During transabdominal preperitoneal surgery, instruments are inserted through the wall of your abdominal muscles and the lining that covers your organs (the peritoneum).
The peritoneal opening is then peeled back over the hernia and a piece of mesh is attached or taped to the weakened area of the abdominal wall to strengthen it.
- extraperitoneal (TEP)
Completely extraperitoneal surgery is the latest technology in keyhole laparoscopic hernia surgery and involves repairing the hernia without entering the peritoneal cavity.
Once the procedure is complete, the incisions in the skin are closed with stitches or surgical glue.
Which technique is the best in hernia surgery?
The National Institute for Health and Care Excellence says that both laparoscopic and open hernia surgery are safe and work well.
With laparoscopic surgery, there is usually little pain after the operation because the cuts are small, there is also less muscle damage and small cuts can be closed with glue.
Laparoscopic surgery tends to have a faster recovery time in people who:
- تم علاجهم من قبل وعاد الفتق (فتق متكرر).
- They have bilateral hernias on both sides at the same time.
- But the risk of serious complications, such as accidentally damaging the intestine by the surgeon, is higher with laparoscopic surgery than with open surgery.
- The risk of hernia returning after the two operations is similar.
- تحديد التقنية التي يجب استخدامها.
Depends technology selection Hernia surgery (inguinal hernia repair) largely on:
صحتك العامة: قد يكون كبار السن أو الأشخاص ذو الصحة السيئة ضعفاء أو ضعفاء للغاية بحيث لا يمكنهم الحصول على مخدر عام بأمان، لذلك قد يُنصح بإجراء جراحة مفتوحة باستخدام مخدر موضعي.
خبرة الجراحة: الجراحة المفتوحة أكثر شيوعًا من جراحة المنظار، وليس كل الجراحين لديهم خبرة كافية في تقنيات جراحة المنظار.
The British Hernia Association recommends the use of the open technique to repair most primary unilateral hernias (those that first appear on only one side).
Laparoscopic (keyhole) hernia surgery techniques are usually recommended for recurrent or bilateral hernias.
إذا قام طبيبك بإحالتك إلى إستشاري للعلاج المتخصص، مثل الجراحة، فيحق لك بدء العلاج في غصون 18 أسبوعًا.