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Hernia Surgery (Inguinal/Umbilical)

Abdominal Wall Hernias

What is a Hernia?

A hernia is a weakness or hole in the abdominal muscle wall through which abdominal contents protrude causing a bulge. The protruding contents push out a pouch of the abdominal lining or peritoneum through the weakness forming the “sac of the hernia”.

Why do they occur?

There are sites of potential weakness in the abdominal wall. The areas in which hernias most commonly develop are the:

  • Umbilicus
  • Groin
  • Where there has been an abdominal incision

Why should it be repaired?

  • The possibility of the intestines being caught in the hernial sac causing bowel obstruction. Without urgent surgical intervention this may lead onto strangulation, cutting off the blood supply to the bowel, with resultant death of the loop of bowel. This in turn causes peritonitis. This is a life threatening situation.
  • Pain or discomfort in the hernia especially on standing for long periods or walking long distances.
  • Progressive enlargement of the size of the hernia with increasing likelihood of the above complications and increasing difficulty with repair.
  • The presence of a bulge of which the patient is aware and which may be visible causing embarrassment.

hernia surgery perth

How are hernias repaired?

Various forms of repairs have been utilised over the years. Hernias are now most commonly repaired by placing a synthetic mesh to cover the opening in the muscle layer. The body’s tissue will then grow through the mesh creating a strong new layer, thus repairing the hernia.

How is a laparoscopic hernia repair performed?

Laparoscopic surgery uses a thin, telescope-like instrument known as a laparoscope that is inserted through a small incision at the umbilicus (belly button).

The laparoscope is connected to a tiny video camera which projects an “inside view” of the patient’s body onto television screens in the operating room. The abdomen is inflated with a harmless gas (carbon dioxide) to allow your doctor to view your internal structures.

The peritoneum (the inner lining of your abdomen) is cut to expose the weakness in the abdominal wall. A mesh patch is attached to secure the weak area under the peritoneum. The peritoneum is then stapled or sutured closed. Following the procedure, the small abdominal incisions are closed with a stitch or two, or with surgical tape. Within a few months, the incisions are barely visible.

laparoscopic hernia surgery

What are the benefits of laparoscopic hernia surgery?

  • Three tiny scars rather than one large abdominal incision
  • Short hospital stay (You might leave the day of surgery or the first day after surgery)
  • Reduced post-operative pain
  • Faster return to work
  • Shorter recovery time and earlier resumption of daily activities (a recovery time being only days instead of weeks)

Laparoscopic Groin / Inguinal Hernia Surgery

Many inguinal hernias can be repaired using a ‘closed’ or laparoscopic procedure – especially when they’re smaller.

Laparoscopic repair uses mesh for reinforcement and has a low recurrence rate. Plus, a smaller incision means less discomfort after surgery, little to no scarring, and a quicker return to normal activity. Many people return to work within a few days.

Hernia Surgery Perth – Advance Surgical

Please contact us on 9386 2634 or via email.

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