There are many ways to repair a hernia. The conventional
method: the hernia sac and defect are dissected out and the sac is
either removed or reduced. Next using suture material, the muscle
tissue surrounding the hernia defect is reapproximated. Tension free
repair
using mesh: This is our procedure of choice. Once again the hernia
defect and sac is dissected out and the sac either removed or reduced.
The mesh is then inserted and covers the abdominal wall defect. Since
the hernia is repaired without tension and minimal suturing used,
there is a less pain. The mesh is a polypropylene substance that
has been
around for years and is well tested. It is well accepted by the body’s
natural tissues which grow into the mesh. Recovery is rapid and the
likelihood of a recurrence is low. The laparoscopic method: this
is a similar to the tension free repair. A laparoscope which is a
camera
and light source is inserted in the vicinity of the hernia. The surgeon
can then visualize the procedure on a television monitor. Surgical
instruments are then inserted through separate incisions. The hernia
defect and sac are dissected out and the hernia sac and its contents
reduced back through the defect. Mesh is then used to cover the defect
and is held in place with surgical staples.
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