Advanced Laproscopic Procedures

What is Abdominal wall hernia?

A hernia is a protrusion of contents of abdomen through the weakness of abdominal wall. The weakness can be acquired (e.g after surgery) or congenital (since birth).

Hernias are Asymptomatic and do not produce any symptom that can help in their diagnosis. But, it can cause mild to severe pain in cases when they are under continued stress or in contact with other body parts.

Common abdominal wall hernias are – Ventral hernia, Umbilical hernia and incisional hernia

Incisional Hernia:

Such hernias develop through the weak abdominal wall at the site of previous surgery. Up to 10% of surgeries result in incisional hernia.

Laparoscopic Hernia Repair: Small holes are made on your abdominal wall. Herniated contents are reduced and a sheet of strengthening material “Mesh” is fixed covering the gap.

Umbilical Hernia:

It is a common type of Hernia and constitutes around 25% of all Hernia cases. Umbilical Hernia is caused due to weakened opening in the abdominal wall, which should normally close before birth but fails to close completely.

Ventral hernia:

The hernias that appear on the front side of the abdominal wall are called Ventral Hernias.

 

Benefits of Laparoscopic Hernia repair

  • It gives best cosmetic results, and leaves no scars.
  • The recovery time is less.
  • Least surgical pain
  • Patient can resume daily activity earlier in comparison to open surgery

Laparoscopic Appendectomy

  • Appendix is a narrow tubular organ attached to caecum. It has no major function in body
  • Appendicitis is the inflammation (infection or swelling) of appendix.
  • Patients usually present with pain abdomen which has a characteristic feature of shifting from umbilicus to right lower abdomen. Nausea and anorexia (Loss of appetite) are usually associated
  • Acute appendicitis is the commonest abdominal emergency and requires surgery. Acute means sudden or very recent in onset
  • Ideally surgery should be performed within first 48hours of symptoms
  • Laparoscopic appendectomy (removal of appendix) is performed by making three small holes on your abdominal wall. Through these holes instruments and camera are introduced and appendix is removed.
  • Laparoscopy has many advantage than the open surgery e.g patient has early recovery and cosmetically it is better. Also, the entire abdomen can be examined with the camera and other causes of same kind of pain can be ruled out
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