Our Summary

This study looked at different methods of performing hernia repair surgery, comparing the results of single-port and multi-port (i.e., one incision versus multiple incisions) methods using either laparoscopic (small camera-assisted) or robotic techniques. They also compared two different approaches to the surgery, either from within the abdomen (transabdominal) or outside the abdominal cavity (extraperitoneal). They found that the number of complications, hernia recurrences, and occurrences of fluid buildup or bleeding after surgery were not significantly different between the various methods. However, they did find that the multi-port robotic method took slightly longer for single-sided hernia repairs, and that patients reported more post-surgery pain with the single-port and multi-port laparoscopic methods. The single-port method also resulted in better cosmetic results. The researchers concluded that the choice of surgical method can depend on the surgeon’s expertise and the resources available, without affecting the success of the surgery.

FAQs

  1. What were the different methods of hernia repair surgery investigated in this study?
  2. Did the study find any significant differences in complication rates among the different surgical methods?
  3. How did the single-port and multi-port methods of hernia repair surgery compare in terms of post-surgery pain and cosmetic results?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laparoscopic hernia repair is to follow post-operative instructions carefully, including avoiding heavy lifting and strenuous activities for the recommended period of time to allow for proper healing. It is also important to keep the incision site clean and dry to reduce the risk of infection. Additionally, staying hydrated, eating a healthy diet, and getting plenty of rest can help support the body’s healing process. If any unusual symptoms or complications occur, such as severe pain, fever, or excessive swelling, it is important to contact your doctor immediately.

Suitable For

Patients who are typically recommended for laparoscopic hernia repair include those with inguinal hernias, umbilical hernias, incisional hernias, and other types of abdominal wall hernias. Laparoscopic hernia repair is often preferred for patients who are looking for a minimally invasive approach to surgery, as it generally results in less post-operative pain, shorter recovery times, and better cosmetic outcomes compared to traditional open surgery methods. Additionally, patients who are at a higher risk for complications with open surgery, such as those who are obese or have other medical conditions, may also be good candidates for laparoscopic hernia repair. Ultimately, the decision to undergo laparoscopic hernia repair should be made in consultation with a surgeon who can evaluate the individual patient’s specific situation and determine the best approach for their needs.

Timeline

Before laparoscopic hernia repair:

  1. Patient consults with a healthcare provider to discuss symptoms and potential treatment options.
  2. Patient undergoes physical examination and possibly imaging tests to confirm the presence of a hernia.
  3. Healthcare provider recommends laparoscopic hernia repair as a treatment option.
  4. Patient receives pre-operative instructions and prepares for surgery, which may include fasting and stopping certain medications.
  5. Patient undergoes laparoscopic hernia repair surgery.

After laparoscopic hernia repair:

  1. Patient is monitored in the recovery room immediately after surgery.
  2. Patient may experience pain, swelling, and discomfort at the surgical site.
  3. Patient is discharged from the hospital after a period of observation.
  4. Patient is provided with post-operative care instructions, including wound care and pain management.
  5. Patient may need to follow up with their healthcare provider for post-operative appointments and monitoring.
  6. Patient gradually resumes normal activities and may experience improvements in their symptoms over time.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with laparoscopic hernia repair?
  2. How experienced are you in performing laparoscopic hernia repair procedures?
  3. What is the success rate of laparoscopic hernia repair compared to traditional open surgery?
  4. How long is the recovery time after laparoscopic hernia repair?
  5. Will I need to follow any specific post-operative care instructions?
  6. Are there any restrictions on physical activity or lifting after the surgery?
  7. What type of anesthesia will be used during the procedure?
  8. How long will the surgery take?
  9. How soon after the surgery can I expect to resume normal activities?
  10. What are the potential long-term outcomes of laparoscopic hernia repair compared to open surgery?

Reference

Authors: Thanawiboonchai T, Cyntia Lima Fonseca Rodrigues A, Zevallos A, Shojaeian F, Parker BC, Coker AM, Deng H, Adrales GL. Journal: Surg Endosc. 2025 Jan;39(1):530-544. doi: 10.1007/s00464-024-11321-9. Epub 2024 Oct 17. PMID: 39419843