Our Summary

This research paper is about a study that was done to see if the size of the mesh overlap used in hernia repairs affects the chances of the hernia coming back. Hernias can be fixed either by a traditional open surgery, or a less invasive method called laparoscopic surgery. The researchers looked at studies done from 1990 to 2013 where a mesh was used and where the size of the mesh overlap and the recurrence rate of the hernia was reported.

They found that in traditional open surgeries, the size of the mesh overlap did not make a difference in the likelihood of the hernia recurring. However, in laparoscopic surgeries, the larger the mesh overlap, the less likely the hernia was to come back. So, for laparoscopic surgeries, using a larger mesh overlap could reduce the chances of a hernia recurrence.

FAQs

  1. What were the years of the studies examined in the research paper about hernia repairs?
  2. Does the size of the mesh overlap affect the recurrence rate of hernias in traditional open surgeries?
  3. How does the size of the mesh overlap impact the chances of hernia recurrence in laparoscopic surgeries?

Doctor’s Tip

Therefore, a helpful tip a doctor might tell a patient about laparoscopic hernia repair is to ensure that a larger mesh overlap is used during the surgery to decrease the risk of the hernia returning. It is important to discuss the size of the mesh overlap with your surgeon to ensure the best possible outcome for your hernia repair.

Suitable For

Patients who are recommended for laparoscopic hernia repair are typically those who have smaller hernias, are at a lower risk for complications, and are looking for a less invasive surgical option. This includes patients with inguinal hernias, umbilical hernias, ventral hernias, and incisional hernias. Additionally, patients who have had previous hernia repairs that have failed or have a higher risk for complications with traditional open surgery may also be recommended for laparoscopic hernia repair. Ultimately, the decision on whether to undergo laparoscopic hernia repair will depend on the individual patient’s specific situation and the recommendation of their healthcare provider.

Timeline

Before the laparoscopic hernia repair:

  • Patient experiences symptoms of a hernia, such as pain or discomfort in the affected area
  • Patient consults with a healthcare provider, who diagnoses the hernia through physical examination and possibly imaging tests
  • Patient discusses treatment options with the healthcare provider, including the option of laparoscopic hernia repair
  • Patient undergoes pre-operative evaluations and tests to ensure they are a suitable candidate for surgery

After the laparoscopic hernia repair:

  • Patient undergoes the laparoscopic hernia repair procedure, which involves making small incisions and inserting a camera and instruments to repair the hernia with the use of a mesh
  • Patient is monitored in the recovery room before being discharged home the same day or after a short hospital stay
  • Patient may experience some pain or discomfort post-operatively, which can be managed with pain medication
  • Patient is instructed on post-operative care, including wound care, activity restrictions, and follow-up appointments
  • Patient gradually resumes normal activities and can expect a quicker recovery time compared to traditional open hernia repair
  • Patient is monitored for any complications or signs of hernia recurrence in the follow-up period.

What to Ask Your Doctor

  1. What is laparoscopic hernia repair and how does it differ from traditional open surgery?
  2. What are the potential benefits of laparoscopic hernia repair compared to open surgery?
  3. How experienced are you in performing laparoscopic hernia repair procedures?
  4. What are the potential risks and complications associated with laparoscopic hernia repair?
  5. How long is the recovery period for laparoscopic hernia repair compared to open surgery?
  6. Will I need to stay in the hospital overnight after the procedure?
  7. How long do I need to wait before returning to work or normal activities?
  8. Will I need to follow any specific post-operative care instructions?
  9. What is the likelihood of the hernia recurring after laparoscopic hernia repair?
  10. How does the size of the mesh overlap used in the procedure affect the chances of hernia recurrence?

Reference

Authors: LeBlanc K. Journal: Hernia. 2016 Feb;20(1):85-99. doi: 10.1007/s10029-015-1399-9. Epub 2015 Jul 5. PMID: 26143072