Where are the incisions for laparoscopic inguinal hernia repair?
Laparoscopic hernia repair is performed with general anesthesia and requires use of a breathing tube. Three half-inch or smaller incisions are made in the lower part of the abdomen.
How is laparoscopic inguinal hernia repair done?
A thin, lighted scope called a laparoscope is inserted through the incision. The tools to repair the hernia are inserted through other small incisions in the lower belly. Mesh may be placed over the defect to reinforce the belly wall. Or the edges of healthy tissue may be sewn together.
Where is mesh placed for inguinal hernia?
A mesh is placed in the abdominal wall, at the weak spot where the hernia came through, to strengthen it. When the repair is complete, your skin will be sealed with stitches. These usually dissolve on their own within a few days of the operation.
Can you have laparoscopic surgery on an inguinal hernia?
There are two main ways to perform laparoscopic inguinal hernia repair – the Transabdominal Preperitoneal (TAPP) approach and the Totally Extraperitoneal (TEP) approach. The two techniques similar except in the TAPP approach the peritoneum is incised, and this requires closure after mesh placement.
Why is it called the Triangle of Doom?
The vas deferens and the gonadal vessels form the boundaries of a so-called ‘triangle of doom’  . This tri- angle of doom contains the external iliac artery and vein. No dissection or other activity whatsoever should be per- formed in this area, as an injury to either of these vessels could be fatal.
Where is the triangle of doom?
The Triangle of Doom is an anatomical triangle defined by the vas deferens medially, spermatic vessels laterally and peritoneal fold inferiorly. This triangle contains external iliac artery and vein, the deep circumflex iliac vein, the genital branch of genitofemoral nerve and hidden by fascia, the femoral nerve.
How is hernia mesh attached?
They use sutures, tacks or surgical glue to hold the mesh in place. Over time, the patient’s tissue should grow into the small pores in the mesh and strengthen the muscle wall. This creates scar tissue that strengthens the hernia site.
Which surgery is best for inguinal hernia open or laparoscopic?
The open surgical repair of primary inguinal hernias is better than the laparoscopic technique for mesh repair, a new study has shown (New England Journal of Medicine 2004;350: 1819-27 [PubMed] [Google Scholar]).
What keeps hernia mesh in place?
What can I expect after laparoscopic inguinal hernia surgery?
Recovery time is about 1 to 2 weeks. You most likely can return to light activity after 1 to 2 weeks. Strenuous exercise should wait until after 4 weeks of recovery. Studies have found that people have less pain after laparoscopic hernia repair than after open hernia surgery.
Where is the deep inguinal ring?
The deep or internal ring is located just above the midpoint of the inguinal ligament and lateral to the epigastric vessels. The deep ring is formed by the transversalis fascia which provides the posterior covering of the contents of the inguinal ring.
How is laparoscopic surgery done for a hernia?
Will a CT scan show an inguinal hernia?
With the advent of higher-resolution multidetector computed tomography (CT), the minute anatomic detail of the inguinal region can be better delineated. The authors examine the appearance of these hernias at axial CT, as the axial plane remains the diagnostic mainstay of evaluation of acute abdomen.
Can an inguinal hernia be healed without surgery?
Wearing a hernia belt is probably the most important way to treat inguinal hernia without surgery. Some of you may know that I have developed a hernia belt that I use every day.
What to do about an inguinal hernia?
Eat smaller meals. If you’re experiencing heartburn from a hiatal hernia,put less pressure on your stomach.