Department of Surgery
Minimally Invasive Hernia Repair
What is a Hernia?
A hernia is a protrusion of abdominal contents, the intestines usually, through a hole or defect in the abdominal wall.
How Do Hernias Arise?
A hernia occurs when there is a weakening in the muscle or connective tissue layers of the abdominal wall. This weakening allows the innermost lining of the abdomen containing the bowel to protrude through. Common sites for hernias are the groin, belly button, and in areas of previous surgical incisions. Hernias can be congenital or acquired as in the case of a hernia at an old surgical scar.
Should My Hernia Be Fixed?
In general, most hernias should be repaired to prevent problems that arise when bowel becomes stuck or trapped within the hernia. Symptoms like pain and discomfort with activity are also indications to have a hernia fixed. Hernias do not get better or go away by themselves. In fact, hernias usually enlarge over time.
How Is It Done?
A laparoscopic or minimally invasive surgical (MIS) hernia repair is performed using small incisions ¼ to ½ inch in length. Long, thin instruments and a small telescopic camera are used through these small incisions to do the surgery. Most hernias are repaired with the placement of mesh, a surgical plastic that covers the defect or weakness in the abdominal wall.
What Are The Advantages To Laparoscopic/MIS Hernia Repair?
Advantages to an MIS or laparoscopic hernia repair include less pain and discomfort, shorter recovery times, and shorter hospital stays. For some types of hernia, a laparoscopic repair allows for almost immediate return to full physical activity.
What Are The Risks Of Laparoscopic Hernia Repair?
The risks are, in general, the same as for an “open” hernia repair. These risks include the chance of bleeding, infection, recurrence, and injury to structures including the bladder, intestines, blood vessels, and nerves. Complications are uncommon and in general the risks of hernia repair are low. Most laparoscopic hernia repairs require the patient to be able to tolerate general anesthesia.
Is Everyone a Candidate For a Laparoscopic Hernia Repair?
Whether laparoscopic hernia repair is appropriate for you depends upon where the hernia is located and other factors like previous surgeries and medical conditions. The appropriateness of laparoscopic hernia repair is determined by your surgeon after a thorough interview and physical examination.
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