The only way to cure a hernia is to have repair surgery. Treatment of hernia is mandatory because it will not go away on its own. The good news is that today, surgical hernia repairs are typically quick, easy, and even fairly comfortable.

Inguinal and Femoral Hernia

Inguinal and femoral hernia can usually be treated in 3 ways

  1. Open Mesh Repair
  2. Laparoscopic Total Extraperitoneal Repair (TEP)
  3. Laparoscopic Transabdominal Preperitoneal Repair (TAPP)

Open Mesh Repair

  • It is usually indicated if the patient is not fit for general anesthesia or the hernia is becoming strangulated or obstructed.
  • sometimes if there is recurrence after laparoscopic repair.
  • During an open repair surgical procedure, we will make an incision(approx. 5-6 cm) through the skin in the area of your groin.
  • Through this incision, the hernia will be moved back into its original place inside the abdomen.
  • Synthetic mesh will be placed to strengthen the closure.

Laparoscopic Total Extra Peritoneal Repair (TEP Repair)

  • This is the procedure of our choice. However we do not perform in severely obese patients, in strangulated or obstructed hernias or patient is unfit for general anesthesia.
  • Technically most demanding among all the three procedures.
  • Best for the patient as recovery is very fast and large mesh can be placed to for better support and hence minimizes the chances of recurrence.
  • The procedure does not violate the peritoneal cavity and there is no contact with the bowel, thereby  minimizing  the chances of post-operative bowel adhesions.
  • Can repair the hernia on both sides with the same cuts.
  • 3 small cuts are made below your navel.
  • Thin scope with a tiny camera is inserted in the groin area.
  • Treatment of hernia is possible using special instruments that are inserted through this scope.
  • A large mesh will be placed to provide better support and optimal repair of hernia.

Laparoscopic Transabdominal Preperitoneal Repair (TAPP)

  • Usually done only in patients who are fit for general anesthesia but have obstructed hernias.
  • However, one has enter into the abdomen to do repair.
  • There is a small chance of bowel adhesions (1-2%).
  • Provides all the benefits of laparoscopic surgery and technically easier to perform as compared to TEP repair.

Epigastric, Umbilical and Incisional Hernia Management

  • Nowadays treatment of hernia can be easily done through  laparoscopic approach.
  • Three small cuts are made into your abdomen and after reduction of hernia a mesh is placed to ensure better support (intra peritoneal onlay mesh repair)
  • We usually advise to place a composite mesh so as to prevent post-operative bowel adhesions or bowel erosions.
  • These composite mesh have resorbable collagen barrier on one side to limit visceral or bowel attachments, and a polyester knit structure on the other to promote differentiated tissue ingrowth. Its unique polyester material works with the body’s natural systems for true tissue integration  and it is optimized to minimize shrinkage.
  • However, if the patient has incisional hernia and the size of defect is more than 10-12 cm, we usually perform component separation repair method. This technique is done through open method and ensures better hernia repair with minimal chances of recurrence.

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