Hernia (cont.)
What is laparoscopic hernia repair?
A number of factors have led to the recent development of a new method of repair called laparoscopic hernia repair. This technique is an extension of a traditional mesh repair method that was used in patients who had already experienced several hernia recurrences at the same site. Previously, this mesh repair approach had required a separate incision somewhat removed from the target area. However, with the progressive development of the instruments and techniques for laparoscopic surgery, the same procedure can now be done with several relatively small incisions. This allows the surgeon to enter the space behind the hernia defect and place the mesh with minimal injury to the surface of the abdomen. The advantages of this method include coverage of all the potential sites of groin hernia, which reduces the risks of recurrence while also decreasing the amount of postsurgical pain.
What about the use of a laser in hernia repair?
This is a relatively common question. It arises because, for a time, there were some surgeons marketing "laser
hernia repair." While a laser may have been used to make the incision and to separate the tissues, the laser has no application in the repair of a hernia. It is impossible to perform the necessary structural repair with a laser, which functions essentially as a cutting tool. Hopes that somehow an incision made with a laser would significantly reduce pain have not been confirmed.
What kind of anesthesia is used for hernia surgery?
Most hernia repairs (except in children) can be done with a variety of anesthetic methods. With modern general anesthetic techniques and monitoring, general anesthesia can be very safe. However the surgery can also be performed under local anesthesia or regional anesthetics, often at the same time using sedation medications to help relax the patient. The specific type of anesthetic for an individual patient is selected after careful evaluation of the patient's general health and individual concerns.
Next: Can strengthening the muscles make a hernia go away? »
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