Our Summary

This research paper is about a study done on hernia repair surgeries. The researchers were looking at one particular method of doing these surgeries, where a large instrument (a 10-12mm port) is put through the hernia itself to insert the mesh used in the repair. This method is an alternative to the usual method where the port is put through a different site on the body.

The researchers were concerned that this method could increase the risk of surgical site infection (SSI). They studied people who had this type of surgery at one institution between 2014 and 2017. They found that the risk of SSI was actually quite low, with only two out of 315 patients getting an infection. They also found the risk of the hernia reoccurring, or a new hernia forming at the port site, was low.

In conclusion, the researchers suggest that this method of hernia repair, where the mesh is introduced through a port in the hernia itself, is safe and has a low risk of complications. They do note that further studies are needed to confirm these results.

FAQs

  1. What is the alternative method of hernia repair surgery discussed in this research paper?
  2. Is the risk of surgical site infection (SSI) high when the mesh is introduced through a port in the hernia itself?
  3. Did the research find a high risk of the hernia reoccurring or a new hernia forming at the port site using this method?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laparoscopic hernia repair is to follow post-operative care instructions carefully to reduce the risk of complications. This may include avoiding heavy lifting, taking prescribed medications as directed, keeping the incision site clean and dry, and attending follow-up appointments with your healthcare provider. It’s also important to listen to your body and report any unusual symptoms or concerns to your doctor promptly.

Suitable For

Patients who are typically recommended for laparoscopic hernia repair include those with inguinal hernias, umbilical hernias, ventral hernias, and incisional hernias. These patients may have symptoms such as pain, discomfort, and bulging at the site of the hernia. Additionally, patients who are looking for a minimally invasive approach to hernia repair may also be good candidates for laparoscopic surgery. Patients who have a higher risk of complications with traditional open hernia repair, such as those with obesity, diabetes, or a history of previous hernia repairs, may also benefit from laparoscopic hernia repair.

Timeline

Before laparoscopic hernia repair:

  • Patient is diagnosed with a hernia through physical examination or imaging tests
  • Patient discusses treatment options with their healthcare provider, including the possibility of laparoscopic hernia repair
  • Patient undergoes pre-operative evaluations and tests to ensure they are a suitable candidate for surgery
  • Patient receives instructions on how to prepare for the surgery, including fasting and stopping certain medications

After laparoscopic hernia repair:

  • Patient arrives at the hospital or surgical center on the day of the surgery and undergoes the procedure under general anesthesia
  • Surgeon makes small incisions in the abdomen and inserts a camera and surgical instruments to repair the hernia with a mesh
  • Patient is monitored in the recovery room before being discharged home the same day or after a short hospital stay
  • Patient is given instructions on post-operative care, including restrictions on physical activity and caring for the incision sites
  • Patient follows up with their healthcare provider for post-operative appointments to monitor their recovery and ensure the hernia has healed properly

Overall, laparoscopic hernia repair offers a minimally invasive option for treating hernias with low risk of complications and a quicker recovery time compared to traditional open surgery.

What to Ask Your Doctor

  1. What is laparoscopic hernia repair and how is it different from traditional open hernia repair?
  2. What are the benefits of laparoscopic hernia repair compared to open surgery?
  3. What are the potential risks and complications associated with laparoscopic hernia repair?
  4. How long is the recovery period after laparoscopic hernia repair surgery?
  5. What is the success rate of laparoscopic hernia repair in terms of preventing hernia recurrence?
  6. Are there any specific instructions or precautions I should follow before and after the surgery?
  7. How experienced are you in performing laparoscopic hernia repair surgeries?
  8. What type of anesthesia will be used during the surgery?
  9. Will I need to stay overnight in the hospital after the surgery?
  10. Are there any alternative treatment options for my hernia that I should consider?

Reference

Authors: Dhanani NH, Bernardi K, Olavarria OA, Cherla D, Kao LS, Ko TC, Liang MK, Holihan JL. Journal: World J Surg. 2020 Dec;44(12):4093-4097. doi: 10.1007/s00268-020-05757-y. Epub 2020 Sep 1. PMID: 32875356