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Laparoscopic hernia surgery is one of the common and relatively safe operations, done using modern techniques, when is it resorted to? And what are its potential risks?
Hernias are repaired either by open or laparoscopic surgery, both of which are considered safe and effective in hernia repair. However, laparoscopic hernia surgery is less painful after the operation because the wounds are smaller, less damage to the muscles, and the patient recovers faster.
Let us know the most important information about the laparoscopic hernia operation
When is a laparoscopic hernia operation recommended?
Laparoscopic surgery is chosen based on several factors, including
If the hernia was previously repaired by open surgery and was unsuccessful.
Hernia cases for which laparoscopy is more appropriate.
Cases where both sides are herniated (bilateral hernia) and both must be repaired at the same time.
What are the disadvantages of laparoscopic hernia operations?
The most prominent of these negatives
You need a surgeon who is well trained in the use of laparoscopic technique and laparoscopic operations.
A 2D video image of the site is used instead of 3D, so there is a risk of significant organ damage.
Laparoscopic hernia surgery must be performed under general anesthesia, and this poses a potential risk to the elderly and those with certain medical conditions.
Laparoscopic hernia operation
Here are the steps for laparoscopic hernia treatment and what precedes it
1. Preparation for the operation
Before the patient enters the operation
Do blood, urine and imaging tests.
Avoid eating and drinking 8 hours before the operation.
Check with your doctor before taking any medications on a regular basis.
Inform the doctor about any kind of allergy or if you are pregnant.
2. During the operation
The anesthesiologist anesthetizes the patient and monitors vital signs, then the surgeon performs the following:
He made three incisions in the skin below the navel, then inflated the abdomen with carbon dioxide, after which a laparoscope was ed through one of the incisions, and surgical tools from the other incisions.
Guided by images taken from the laparoscope, gently push the protruding tissue or intestines back into place, and then examine other weak points.
Install a mesh in the vulnerable area to prevent recurrence of the hernia.
Strengthening the weak area in the wall of the abdominal muscle with the wound if the hernia is direct.
Close the inguinal ring with surgical sutures in the event of an indirect hernia.
Close the incision with sutures.
3. After the laparoscopic hernia operation
After the operation, it is expected that
Take you to the recovery room and monitor you for 1 to 2 hours until you are fully awake.
If you are awake and able to walk, drink fluids and urinate, then you will be sent home.
Postoperative pain, especially within 24 to 48 hours after the operation.
Using the laparoscopy technique is likely to enable you to return to your normal activities within a week, such as: showering, driving, climbing stairs, and others.
Call and set a follow-up appointment within two weeks after the operation.
Complications of laparoscopic hernia surgery
Laparoscopic hernia surgery is relatively safe and complications are uncommon, the most prominent of which are:
1. The risks of general anesthesia
Common complications: nausea, vomiting, urinary retention, and others. More serious problems include: heart attacks, pneumonia, etc. Movement, after the doctor permits it, helps reduce the risk of clots.
2. Bleeding inside the incision
Severe swelling and blue discoloration of the skin around the incision occurs, and surgery may be necessary to open the incision and stop the bleeding.
3. Inflammation of the wound
The elderly and people who have undergone complex hernia surgery are more susceptible to infection, and wound infection requires the use of antibiotics.
4. Recurrent hernia
Recurrence is one of the most common complications which forces patients to undergo a second surgery.
5. A painful scar
Patients sometimes feel sharp pain in a specific area near the site of the wound after it has healed, and it usually goes away with time.
6. Injury to the internal organs
Although very rare, it is possible for you to suffer from an injury to one of these internal organs: intestines, bladder, kidneys, nerves, genitals, or others.
When should you seek medical help immediately?
After the laparoscopic hernia operation in the following cases
Fever.
The wound is red, swollen, and painful.
The wound is bleeding.
Severe pain or swelling at the site of the operation.


