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SERVICES & TREATMENT

Laparoscopic Inguinal Hernia Repair (TAPP and TEP)

This page will provide you with information about laparoscopic inguinal hernia repair. For further details, please speak to your consultant.

What is an inguinal hernia?

An inguinal hernia is caused by weak spots in the abdominal wall allowing tissue or bowel to push through and create a lump – the name derives from where this lump forms, which is in the inguinal canal. This is a passage inside the body that allows blood vessels to pass in and out of the abdominal cavity (see Figure 1).

Figure 1

An inguinal hernia

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Hernias can be particularly dangerous if left untreated, as they can lead to serious complications. One such complication is the tissue or bowel that is out of place can become trapped. This may lead to the blood flow to this section of tissue to become limited or stop altogether, which will in time cause the tissue to die. This is called a strangulated hernia.

What are the benefits of a laparoscopic inguinal hernia repair?

This type of surgery will put the hernia back in place meaning you will no longer have a lump. It will also minimise the risk of suffering from complications caused by the hernia.

What are the alternatives to surgery?

Without surgical treatment a hernia will not heal. However, some people choose to use a truss (a professionally padded belt used for support) to help control the hernia for a short time.

What will happen during the operation?

You will be put under general anaesthetic and the operation can last up to 30 minutes. If both sides require mending, then it still usually takes fewer than 60 minutes.

The surgeon will need to make a few tiny incisions in the abdomen. From these incisions, he or she will be able to insert a telescope and numerous small instruments to complete the procedure – this method is known as laparoscopy.

With the camera and instruments, the surgeon will move the out-of-place tissue back into the abdominal cavity and then close up the weakened muscles. A mesh may be fitted over the weak spot to help strengthen it for the future.

Risks and complications

Any risks or complications will be discussed in advance of your treatment with your expert consultant.

Recovery

Patients go home either the same day as the laparoscopic inguinal hernia repair procedure or spend at least one night in hospital.

Patients can return to performing their usual daily routine when they feel they can do so without pain or discomfort. This usually takes around a week. Regular, light exercise will help patients recover quickly – but always seek the consent of your doctor before embarking on an exercise routine.

Patients are not required to totally stop lifting objects, but heavy lifting should be avoided for between 2-4 weeks.

Even after a laparoscopic inguinal hernia repair procedure hernias may return.

Summary

This is a type of procedure is used to treat inguinal hernias; these are common forms of hernia and are the result of weak areas in the abdominal wall. This procedure will fix the hernia and stop the patient from suffering from complications that may arise as the result of an untreated inguinal hernia.

 

References:
EIDO Healthcare Limited - The operation and treatment information on this website is produced using information from EIDO Healthcare Ltd and is licensed by Aspen Healthcare.

The information should not replace advice that your relevant health professional would give you.

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