How does laparoscopic surgery compare with open incisional hernia repair?

Doctor's Answers 1

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Dr Stephen Chang

General Surgeon

In general, as per all abdominal surgeries, laparoscopic approach has less pain compared to open incisional hernia repair during the recovery period.

In incisional hernia repair, with the laparoscopic approach, it may be possible to identify other subclinical hernia defects in the old incision and they can then be repaired at the same time.

Of course, some incisional hernias are so big that it may be impossible to perform the repair laparoscopically. In addition, when the surgical field may be infected, it may not be prudent to perform a laparoscopic incisional hernia repair which usually requires a mesh as placement of a mesh will be contraindicated.

*Dr Stephen Chang*
Medical Director, GLAD Clinic

Adj Assoc Professor, NUS

Founding President, Hepatopancreatobiliary Association (Singapore)

www.GLADClinic.com.sg

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Is surgery necessary for an abdominal hernia?

It sounds like your cousin has an abdominal hernia. A hernia occurs when the “inner organs” pushes through the weakened layers of the abdominal wall, forming a bulge. This bulge often gets bigger over time. It can also cause abdominal pain, nausea and vomiting, which could explain the stomach discomfort your cousin has experienced. An abdominal hernia can be exacerbated by heavy lifting or straining. There are several different types of abdominal hernias – the most common type is an inguinal hernia.

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