Minimal Surgery Center
Friday, July 03, 2020

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Hernia Repair

Inguinal (Laparoscopic)


Your Procedure

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Now it's time to talk about the actual procedure your doctor has recommended for you.

On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth ...
... and an intravenous line may be put in.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving the abdomen.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia.
The surgeon will then apply antiseptic solution to the skin around the area where the incisions will be made...
place a sterile drape around the operative site . . .
After allowing a few minutes for the anesthetic to take effect, a small incision is made below the umbilicus;
then, a hollow needle will be inserted through the abdominal wall.
And the abdomen will be inflated with carbon dioxide.
An umbilical port is created ...
... for the laparoscope.
Two or more incisions will be made, with care taken to keep the openings as small as possible.
Once in place, the laparoscope will provide video images that allow the surgeon to inspect the hernia and the surrounding tissues.
Once the hernia has been located, the surgeon carefully opens the peritoneum in order to reveal the hernia sac. Next, the surgeon carefully draws the hernia sac back into the abdominal cavity.
A mesh patch is then inserted over the opening in the peritoneum
... and is secured in place with surgical staples.
This patch reinforces the weakened abdominal wall and helps prevent a second hernia from developing in the same space.
Finally, the peritoneum is closed over the mesh - taking care to protect the spermatic cord.
All of the instruments are withdrawn...
the carbon dioxide is allowed to escape...
and the skin is closed with sutures or staples.
Finally, a sterile dressing is applied.

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