Text Size Reload Font Increase Font Decrease Print Page

Hernia's > How is Hernia surgery performed?

I. The open approach is done from the outside through a three to four inch incision in the groin or the area of the hernia. The incision will extend through the skin, subcutaneous fat, and allow the surgeon to get to the level of the defect. The surgeon may choose to use a small piece of surgical mesh to repair the defect or hole. This technique is usually done with a local anesthetic and sedation but may be performed using a spinal or general anesthetic.

II. The laparoscopic hernia repair. In this approach, a laparoscope (a tiny telescope) connected to a special camera is inserted through a cannula, a small hollow tube, allowing the surgeon to view the hernia and surrounding tissue on a video screen.

Other cannulas are inserted which allow your surgeon to work "inside." Three or four quarter inch incisions are usually necessary. The hernia is repaired from behind the abdominal wall. A small piece of surgical mesh is placed over the hernia defect and held in place with small surgical staples. This operation is usually performed with general anesthesia or occasionally using regional or spinal anesthesia.

What happens if the Hernia surgery can't be used using the laparscopic technique?

 

In a small number of patients the laparoscopic method cannot be performed. Factors that may increase the possibility of choosing or converting to the "open" procedure may include obesity, a history of prior abdominal surgery causing dense scar tissue, inability to visualize organs or bleeding problems during the operation.

The decision to perform the open procedure is a judgment decision made by your surgeon either before or during the actual operation. When the surgeon feels that it is safest to convert the laparoscopic procedure to an open one, this is not a complication, but rather sound surgical judgment. The decision to convert to an open procedure is strictly based on patient safety.

<< What preparation is required for surgery | What to expect after Hernia surgery >>

02 92213919

0414676611

  Call now for all Enquires


Dr Clement Tsang
Consultant Surgeon

Waratah Private Hospital clinic
Level 2, 31 Dora st Hurstville 2220

Keyhole surgery Centre

 Level 8, 187 Macquarie st, sydney
Mon-Friday 8 to 4.30pm 

Campbelltown Private Hospital Clinic
Suite 12, level 1

42 Parkside Crescent, Campbelltown 2560