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Surgical Services

Laparoscopic Herniorrhaphy

Symptoms: Increased abdominal pressures caused by lifting heavy objects, coughing, substantial weight gain, or straining with bowel movements and the like may call a patient's attention to a hernia. Symptoms may include:
  • Abnormal bulge
  • Pain or tenderness
  • Abdominal distention
  • Failure to pass flatus
  • Constipation
  • Diarrhea
  • Fevers or chills
  • Nausea and vomiting
Diagnosis: History and physical are the most useful tools in the diagnosis of a hernia. If clinical uncertainty persists after examination, an ultrasound or CT may provide your doctor with information showing bowel protruding through an abdominal wall defect. Surgery: Laparoscopic hernia repair may be considered in nearly all patients diagnosed with an abdominal wall hernia. Laparoscopic repair involves quarter-inch incisions through which a camera and instruments are placed. Open herniarepair requires a 3-5 inch incision. The abdominal wall defect is repaired with mesh and secured under direct vision of the laparoscope. Patients with hernias in both groins may be repaired through the same incision. Many types of hernias can be safely repaired laparoscopically:
  • Ventral and incisional hernias on the abdomen
  • Inguinal or femoral hernias in the groin
  • Hiatal or diaphragmatic hernias in the chest
Recovery: Patients recover sooner after laparoscopic hernia repair. Return to activities can occur within 2-3 days, compared to 2-4 weeks with an open approach. Pain experienced by the open technique is greater and longer lasting. Wound infections occur less frequently with the laparoscopic technique.
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