Call Now On : 01273 43 00 22
Selected Links
View Whole Article
Send To a Friend

Digestive disorders

Laparoscopic (Keyhole) Hernia Repair- Introduction

What about Laparoscopic (keyhole) repair?
Depending on the type of your hernia, a laparoscopic repair might well be the best option for you. With Laparoscopy there is possibly less pain than with the conventional repair. It allows for shorter hospitalisation and you will able to resume normal activities at an earlier stage, than with traditional repairs. The disadvantages are that the procedure requires a general anaesthetic and that there are more equipment expenses namely; the laparoscopic ports, the mesh and the hernia tacker, which is used to fix the mesh in place. There are 2 methods of laparoscopic repair using either the Transabdominal preperitoneal (TAPP) approach or the total extraperitoneal (TEP) approach. The TAPP approach involves placing laparoscopic trocars in the abdominal cavity and approaching the inguinal region from the inside. This allows the mesh to be placed and then covered with peritoneum. While the TAPP approach is a straightforward laparoscopic procedure, it requires entrance into the peritoneal cavity for dissection. Consequently, the bowel or vascular structures may be injured during the procedure. In the TEP approach, the extraperitoneal space of the inguinal region is developed, sometimes with the use of an inflatable balloon. For most surgeons, the TEP approach to hernia repair is more technically demanding than the TAPP approach.

In both the TAPP and TEP approaches, the hernial sac is reduced, and a large piece of mesh is placed to cover the indirect, direct and femoral areas of the inguinal region. The mesh is held in place by metal staples.

Most of the inguinal herniae especially recurrent ones are suitable for laparoscopic repairs. However, previous Pelvic or lower abdominal surgery, such as radical prostatectomy or aorto-femoral grafts, would prevent the peritoneum separating from the muscle and render the laparoscopic procedure unsuitable.

The outcome is more or less the same for both the open and laparoscopic repair. You can discuss this with your surgeon.


Private Health Services