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Practiced procedures


The wall of the abdomen has natural areas of potential weakness. Hernias can develop at these or other areas due to heavy strain on the abdominal wall , aging , injury, an old incision or a weakness present from birth. Anyone can develop a hernia at any age. Most hernias in children are congenital . In adults, a natural weakness or strain when lifting heavy objects , a persistent cough , difficulty in bowel movements or urination can cause the abdominal wall to weaken or separate .

Laparoscopic hernia repair is a technique repair tears in the abdominal wall ( muscle ) by use of smaller incisions, telescopes and a patch ( mesh ) . It is possible to allow a quicker return to work and normal activities with reduced pain in some patients .

Only after a thorough examination can your surgeon determine whether laparoscopic hernia repair is right for you . The procedure may not be the most appropriate for some patients who have undergone previous abdominal surgery or have an underlying medical condition .

About operation

  • There are few alternatives available to a patient having hernia.
  • Rarely wearing a bathing suit ( hernia belt ) is prescribed as generally ineffective.
  • Most hernias requires a surgical procedure.

The surgical procedures are performed in one of two ways .

  1. The open approach is done from the outside through an incision three to four inches in the groin or the area of ​​the hernia. The incision will extend through the skin , subcutaneous fat , and allow the surgeon to reach the level of the defect. The surgeon may choose to use a small piece of surgical mesh to correct the defect or hole. This technique is usually performed under local anesthesia and sedation , but can also be performed under spinal or general anesthesia.
  2. Laparoscopic hernia repair. In this approach , is inserted through a cannula , a small hollow tube , a laparoscope (a tiny telescope ) connected to a special camera that allows the surgeon to view the hernia and surrounding tissue in a video screen .

Other cannulas that allow your surgeon to work " inside" are inserted . Usually it takes three or four incisions measuring a quarter inch. The hernia is repaired from behind the abdominal wall. Is placed over the hernia defect a small piece of surgical mesh , which is fixed with small surgical staples. This operation is usually done under general anesthesia or occasionally with regional or spinal anesthesia.

Postoperative follow-up

  • Following the operation you will be transferred to the recovery room where you will be monitored for one to two hours to be fully awake.
  • As soon as he is awake and able to walk, you will be sent home.
  • With any hernia operation may have the expectation of having some soreness mostly during the first twenty-four to forty-eight hours.
  • You are encouraged to get up and walk the day after surgery.
  • With laparoscopic hernia repair is likely to be able to resume normal activities within a short span. Such activities include showering, driving, walking up stairs, lifting, working and having sex.
  • Call and ask a doctor turn control before completing the operation after two weeks.

Operation Recovery

Be sure to call your doctor or surgeon if you develop any of the following symptoms:

  • Fever above 101 º F (39 º C) which does not yield
  • bleeding
  • Abdominal swelling or groin that is increasing
  • Pain that is not relieved by your medications
  • Nausea or vomiting
  • Inability to urinate
  • chills
  • Persistent cough or shortness of breath
  • Purulent drainage (pus) from any incision
  • Redness surrounding any of your incisions that is worsening or getting bigger
  • Inability to eat or drink liquids

Preparations for the operation

  • Usually hernia operations are performed on an outpatient basis , so you will probably go home the same day that he does the surgery .
  • Preoperative preparation includes blood work , medical evaluation, chest x-ray and an EKG depending on your age and medical condition .
  • After your surgeon reviews with you the potential risks and benefits of the operation , will need to provide written so that you consent for surgery .
  • It is recommended that you shower the night before or the morning of surgery .
  • If you have difficulty in bowel movement, you can use an enema or similar preparation after consulting your surgeon.
  • After midnight the night before surgery , do not eat or drink anything except medications that your surgeon has told you are allowed to take with a sip of water the morning of surgery .
  • Drugs such as aspirin , blood thinners, anti-inflammatory ( arthritis medications ) and Vitamin E should be stopped temporarily for several days to a week before surgery .
  • Diet medication or St. John's wort should not be used [ St. John's Wort ] during pre- surgery two weeks.
  • Stop smoking and make arrangements for any help you may need at home.
  • Your surgeon will ask you to sign a consent form. This confirms that you understand the risks, benefits, alternatives to the procedure and have given your permission for it to go ahead.


What are the risks?

  • Any operation can have complications. The main complications of any operation are bleeding and infection, which are uncommon in the case of laparoscopic hernia repair.
  • There is a slight possibility of risk of injury to bladder, intestines, blood vessels, nerves or sperm tube going to the testicle.
  • It is not uncommon to experience difficulty urinating after surgery, and it may be necessary to insert a catheter in her bladder for a period of up to one week.
  • Whenever repair a hernia is the possibility that there will be repeated. Recurrence rate is unknown long term. Your surgeon will help you decide if the risks of laparoscopic hernia repair are less than the risks of not treating the condition.
de Cirugía
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