laparoscopic hernia repair l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Laparoscopic Hernia Repair PowerPoint Presentation
Download Presentation
Laparoscopic Hernia Repair

Loading in 2 Seconds...

play fullscreen
1 / 18

Laparoscopic Hernia Repair - PowerPoint PPT Presentation


  • 368 Views
  • Uploaded on

Laparoscopic Hernia Repair. Gordon Buchanan Consultant Colorectal, Laparoscopic and General Surgeon. Background. Colorectal Surgery – Lap and Open General and Emergency Surgery Lap Appendicectomy Lap Cholecystectomy Hernia – why not lap?. What is possible ?. Laparoscopic Inguinal Hernia

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Laparoscopic Hernia Repair' - Albert_Lan


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
laparoscopic hernia repair

Laparoscopic Hernia Repair

Gordon Buchanan

Consultant Colorectal, Laparoscopic and General Surgeon

background
Background
  • Colorectal Surgery – Lap and Open
  • General and Emergency Surgery
    • Lap Appendicectomy
    • Lap Cholecystectomy
    • Hernia – why not lap?
what is possible
What is possible ?
  • Laparoscopic Inguinal Hernia
  • Laparoscopic Femoral Hernia
  • Laparoscopic Umbilical Hernia
  • Laparoscopic Ventral Hernia
  • Laparoscopic Incisional Hernia
advantages
Advantages
  • Less Pain
  • Smaller scars
  • Lower Wound infection
  • Faster Return to activity
  • Several hernias fixed through same incisions
cautions
Cautions
  • Relative
    • Complex abdominal surgery
    • Previous preperitoneal surgery
    • Irreducible hernia (especially left side)
  • Absolute
    • Inability to tolerate general anesthesia.
slide7

NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE - 2004 Laparoscopic surgery for inguinal hernia repair1.1 Laparoscopic surgery is recommended as one of the treatment options for the repair of inguinal hernia.1.2 To enable patients to choose between open laparoscopic - transabdominal preperitoneal [TAPP] - totally extraperitoneal [TEP], fully informed of all risks and benefits associated with each of the three procedures.

slide14

RisksRisks of any operation (anaesthetic, DVT etc)Risks specific to inguinal hernia repair:Immediate:Bleeding at the time of surgery Damage to the testicular vessels or other structures (rare) Early:Haematoma in wound or scrotum Infection of the wound (<5%), Retention of urine.

slide15

Late:

    • Recurrence: <5% life time risk.
    • Damage to nerves
    • Normal to expect some numbness below scar as cutaneous nerves are divided gaining access to the inguinal canal.
    • Ongoing groin pain 3-5% - damage or entrapment of ilioinguinal nerve
post op
Post op
  • Daycase / 1 night
  • No restrictions
  • Driving 24hrs
  • Exercise – as comfort allows
  • Return to work 4 days
  • Heavy lifting as they wish
  • Sex – Encouraged
incisional hernia
Incisional Hernia
  • Laparoscopy
    • New meshes against bowel
    • Smaller scars
    • Less wound infection
    • Size of defect
summary
Summary
  • Laparoscopic Repair
    • Most types hernia
    • Quicker recovery
    • Caution in complex abdomen
    • Less pain