Laparoscopic hernia surgery: A modern approach

Hernias are a common surgical condition affecting millions of people worldwide. They occur when an organ or fatty tissue pushes through a weak spot or tear in the abdominal wall, leading to discomfort and pain. Traditional or open hernia repair technique, involving larger incisions and longer recovery periods, has been the standard approach for decades.

In his latest online article, Mr Michail Klimovskij gives us his insights into laparoscopic hernia surgery which has improved the treatment of hernias, offering patients a minimally invasive alternative that promises faster recovery and reduced pain with desirable outcomes.

Understanding laparoscopic hernia surgery

Laparoscopic hernia surgery, often referred to as minimally invasive or keyhole hernia repair, is a surgical technique that has gained popularity for its numerous benefits over traditional open surgery.

This approach involves the use of a laparoscope, a thin tube equipped with a camera and surgical instruments, which are inserted through several small incisions in the abdomen. The surgeon uses the laparoscope to view the hernia and surrounding structures on a high-definition monitor, allowing precise and efficient repair. The procedure is performed under general anaesthesia, and carbon dioxide gas (CO2) is used to inflate the abdominal cavity, creating space for the surgeon to work. Small incisions minimise tissue damage and scarring while ensuring a quicker recovery.

Advantages of laparoscopic hernia surgery

Faster recovery: Patients undergoing laparoscopic hernia surgery typically experience a shorter recovery time. They can often return to their daily activities and work sooner, reducing the disruption to their everyday life.

Reduced pain and discomfort: Smaller incisions and less tissue manipulation result in reduced postoperative pain and discomfort. Patients can often manage pain with over-the-counter medications.

Lower risk of chronic pain: Laparoscopic approach leads to less chance of developing chronic pain postoperatively.

Lower risk of infection: The smaller incisions and reduced exposure of internal tissues to external contaminants contribute to a lower risk of postoperative infection.

Less scarring: Laparoscopic hernia surgery leaves tiny scars compared to the larger, more noticeable scars associated with open surgery. This aesthetic benefit is especially appreciated by patients. Typical size of incisions for laparoscopic hernia repair is 1 x 12 mm and 2 x 5 mm.

Patient eligibility for laparoscopic hernia surgery

Not all hernias are suitable for laparoscopic repair. The eligibility for this type of surgery depends on factors such as the hernia size, type of hernia, and the patient's overall health and previous surgical history. While laparoscopic hernia surgery is an excellent option for many, certain hernias may require open surgery for the best outcome. It is important for patients to consult with their healthcare provider to determine the most appropriate treatment option for their specific case.

Inguinal or groin hernia is the most common hernia and surgeons will try to offer you laparoscopic approach if:

• You have bilateral inguinal hernia.
• You have recurrent inguinal hernia after previous open repair.
• Symptomatic unilateral or one side hernia suitable for laparoscopic approach to achieve faster recovery and return to work.
• Female patients are offered laparoscopic approach for unilateral inguinal and more common femoral hernia among female patients.

Laparoscopic hernia surgery has transformed the way hernias are treated, offering patients a less invasive, more efficient, and less painful alternative to traditional open surgery. Outcomes of the surgery are very dependent on surgeon’s experience in laparoscopic hernia work. This technique not only enhances the surgical experience but also improves patient outcomes, resulting in a quicker return to daily life. Laparoscopic approach should be considered and discussed where appropriate with all patients, undergoing hernia surgery.

Mr Michail Klimovskij is a laparoscopic general and colorectal surgeon. You can schedule an appointment with Mr Klimovskij on his Top Doctors profile.