What you need to know about:

Laparoscopic Herniorrhaphy

Fast Fact

98%

Worth It Rating

Average Cost:

Please enquire

Recovery Period:

1 week

Permanence:

Not specified

177

Doctors

Time it takes:

2 hours

Hospitals & Clinics

Reviews

Anesthetize:

General Anesthesia

Check treatment prices & reviews

Overview of

Laparoscopic Herniorrhaphy

in Thailand

Laparoscopic and robotic-assisted herniorrhaphy usually involve at least three small incisions, one measuring 1.2 centimeters and two measuring about 0.5 centimeter. Surgical tools are used to visualize the hernia from behind. A synthetic mesh is placed to cover the weakness in the muscle and sutured in place. HERNIA A hernia occurs when an organ, usually the intestine, or fatty tissue (omentum) squeezes through a weak spot in a surrounding muscle or connective tissue. The most common types of hernia are inguinal (inner groin), umbilical (navel), and incisional (resulting from an incision). The first symptom of hernia is usually a palpable mass that may increase and decrease in size. There may or may not be painful.

TYPES OF SURGERY

In an open herniorrhaphy the anesthesia used may be general or local. The doctor will make an incision where the hernia is and push the organ or tissue back to its original location. The doctor will then repair the opening and place a surgical mesh to strengthen the area. The incision will then be closed. This method may result in more pain than other methods and may require a longer recovery than with minimally invasive procedures like laparoscopic herniorrhaphy or robotic-assisted herniorrhaphy. A laparoscopic herniorrhaphy is a minimally invasive procedure to repair the weak spot in the abdominal wall by placing a synthetic net over the area and attaching it to surrounding muscle. A thin, flexible tube with a camera at the end is used for this procedure and images are displayed onto a monitor. Fiber optics provide light and help the doctor visualize the area clearly and perform the procedure accurately. Less blood loss and quicker recovery due to the small incisions

Goals of

Laparoscopic Herniorrhaphy

Surgical repair is recommended for inguinal hernias that are causing pain or other symptoms. It's also recommended for hernias that are incarcerated or strangulated. Surgery is always recommended for inguinal hernias in children. Laparoscopic hernia repair usually is not done on children. But a laparoscope may be used during open hernia repairs in children to explore the opposite groin for a hernia. This can be done by inserting the scope into the side that is being operated on and looking at the opposite side. If a hernia is seen, the surgeon can repair both sides during the same operation

Price of

Laparoscopic Herniorrhaphy

Average Cost

Please enquire

Price Range

Please enquire

Pros and cons of

Laparoscopic Herniorrhaphy

Pros

Pros of Robotic-Assisted Herniorrhaphy:

Small incisions

Less pain after the procedure than in open surgery

High accuracy and safety as the doctor can clearly visualize the patient’s organs The robotic arm can move in up to seven directions, ideal for complicated procedures in hard-to-reach locations.

Decrease in post-procedure complications

In a robotic-assisted herniorrhaphy, the patient will be administered general anesthesia and a breathing tube will be placed. The patient will be positioned on their back. A robotic arm at the patient’s bedside will insert a camera and surgical tools into the patient through 3-4 small incisions made in the abdomen. A doctor will control the robotic arm at a console in the operating room and will perform the surgery by looking at the three-dimensional images displayed of the organs. The images are very clear and can be magnified a good deal. The doctor’s movements are transmitted real time to the robotic arm and the surgical tools.

‍

Pros of Laparoscopic Herniorrhaphy:

Small incisions

Less pain after the procedure than in open surgery

Quicker recovery and return to normal activities

Cons

N/A

How it works:

Laparoscopic Herniorrhaphy

Laparoscopic hernia repair is performed with general anesthesia and requires use of a breathing tube. Three half-inch or smaller incisions are made in the lower part of the abdomen. In laparoscopic hernia repair, a camera called a laparoscope is inserted into the abdomen to visualize the hernia defect on a monitor. The image on the monitor is used to guide the surgeon’s movements. The hernia sac is removed from the defect in the abdominal wall, and a prosthetic mesh is then placed to cover the hernia defect. While doing this, surgeons are careful to avoid injuring the nerves that are near the hernia (that can cause chronic pain if injured), blood vessels that can bleed, or the vas deferens (which carries sperm from the testicle and can reduce fertility if injured). The small incisions are closed with stitches (sutures) that dissolve on their own over time. You should discuss all hernia repair options with your surgeon to determine which approach is best for you. The majority of patients undergoing elective or nonemergent groin hernia repair go home the same day as the surgery once their pain is under control, they have urinated, and they are able to tolerate food or liquids without nausea or vomiting.

Preparation before

Laparoscopic Herniorrhaphy

Pre - treatment

In preparation for your operation, you will need a physical examination. You may need other tests to make sure you are healthy to undergo the operation with anesthesia. The surgeon who will do your hernia repair will inform you about the risks and benefits of the operation. You will sign a form confirming you understand and agree to the planned operation. The exact instructions depend on your surgeon, but here are some common things to do: -Take a shower the night before or the morning of your operation. Your surgeon may ask you to use an antibiotic soap. Please DO NOT shave your belly or groin areas. -Stop eating and drinking at the time your doctor tells you before the operation. -The morning of your operation, you may take certain medications your doctor has allowed. Take them with only a sip of water. -You may be asked to stop taking certain medications before your operation. These include blood thinners, certain supplements, and medicines that affect your immune system. Talk to your surgeon’s staff to clarify which of your medications and pills are safe to take. -Smoking will increase the risk of the hernia recurrence (failure of the hernia repair), and the risk for infection. In some cases, your surgeon may require that you quit smoking at least 4-6 weeks prior to your operation in order to improve your outcomes. -You will need someone to drive you home from surgery. Ask your doctor or nurse how much help you may need after you are home.

Recovery after

Laparoscopic Herniorrhaphy

Post - treatment

Pain is common after the procedure and can be managed with medication. You can usually eat normal food within hours after the procedure and resume normal activities within three to four days. Any heavy work or heavy lifting should be avoided for three to four weeks. Incisions should be kept dry as instructed by the doctor.

Risks & side effects

Injury to an artery, the intestines, or the bladder, though this is rare. Trouble passing urine after the operation. Swelling of the testicle and scrotum, injury to the vas deferens. Ongoing pain or discomfort in groin. Bleeding into the incision. Recurrence.

FAQs:

Laparoscopic Herniorrhaphy

What are the recommendations for travel?

If you are taking any blood-thinning medication/anticoagulant, please let your doctor know as some may need to be stopped before you travel for the procedure. Travelers to Thailand should plan to stay in the country for at least one week or for the entire duration of treatment. If you plan to return home after the procedure, please speak to your doctor before making travel arrangements. There are no restrictions for air travel. During your follow-up appointment your medical team will assess your health and your incision and you will receive documents detailing your medical and treatment history and your "Fit to Fly" certificate (if needed).

‍

What are the signs and symptoms of hernias?

The common areas where hernias occur are in the groin (inguinal), belly button (umbilical), and the site of a previous operation (incisional). It is usually easy to recognize a hernia. You may notice a bulge under the skin. You may feel pain when you lift heavy objects, cough, strain during urination or bowel movements, or during prolonged standing or sitting. The pain may be sharp and immediate or a dull ache that gets worse toward the end of the day. Severe, continuous pain, redness, and tenderness are signs that the hernia may be entrapped or strangulated. These symptoms are cause for concern and immediate contact of your physician or surgeon.

‍

How long will I be out of work?

In general, you should plan on being out of work for one to two weeks following a laparoscopic approach and four to six weeks with an open approach. Please note, you can return to work after either procedure as soon as you are ready. This can be as early as few days with either approach. In large part when you return to work will be determined by how big the original hernia was and how difficult it was to repair. Even if you do return to work early you should not lift anything over 10 pounds nor do any vigorous exercise until you are seen in the office. You should not drive an automobile until you are not taking narcotic pain medications. Light exercise, such as golfing or swimming, is fine. Generally, you will be able to resume normal vigorous exercise and heavy lifting in 4 to 6 weeks.

‍

Do all inguinal hernias need to be repaired?

Inguinal hernias are generally repaired if they are causing symptoms which affect daily activities. Inguinal hernias which do not cause symptoms may be observed, though the majority will cause symptoms within a few years. Your surgeon may decide with you that elective surgery is not the best decision based on your medical conditions, and may prescribe a truss. A truss is an external belt which can hold the hernia in, thereby allowing you to continue with your daily activities.

Find Your Package