Inguinal hernia repair
An inguinal hernia is a protrusion of the lining of the abdomen together with the abdominal contents through the inguinal canal into the groin. It occurs more frequently in men than women.
The surgical repair of an inguinal hernia is needed when there is a risk of hernia incarceration.
How Is the Surgery Performed?
An inguinal hernia repair is done under spinal or general anesthesia. Time in surgery depends on a surgical technique and the size of the hernia. It can take 1-2 hours to complete.
To repair an inguinal hernia, the surgeon can employ either an open or a laparoscopic approach.
In an open approach, the hernia can be repaired using the tissues of the patient (autologous tissues) or a special synthetic mesh. The use of a synthetic mesh reduces the likelihood of hernia reoccurrence.
In a laparoscopic approach, the repair is always done by using a special synthetic mesh. A laparoscopic approach allows patients to resume daily routine activities sooner, shortens recovery time, and reduces the risk of postoperative wound complications as compared with open (laparotomic) procedures. Small incisions are placed in the abdominal wall, and a tiny laparoscopic video camera and surgical instruments are inserted through these incisions into the abdominal cavity. The abdominal cavity is inflated with CO2 gas, which creates a working space for a surgeon. The surgeon performs all surgical manipulations while watching them on a video screen.
What Should Be Known After Surgery?
- The surgical wound should be redressed every second day;
- The sutures are removed after 7-12 days;
- The surgical incisions should be kept dry for 5 days after the operation;
- The patient should avoid constipation;
- Strenuous physical activity should be avoided for 2 weeks up to 1 month; it depends on the surgical approach.