An inguinal hernia occurs in the groin area when fatty or intestinal tissues push through the inguinal canal. The inguinal canal resides at the base of the abdomen. Both men and woman have an inguinal canal. In men, the testes usually descend through this canal shortly before birth. In women, the canal is the location for the uterine ligament. If you have a hernia in this passage, it results in a protruding bulge that may be painful during movement.
1. Transabdominal preperitoneal (TAPP) approach or
2. The total extraperitoneal (TEP) approach.
The TAPP approach involves placing laparoscopic trocars in the abdominal cavity and approaching the inguinal region from the inside. This allows the mesh to be placed and then covered with peritoneum. While the TAPP approach is a laparoscopic procedure, it requires entrance into the peritoneal cavity for dissection.
In the TEP procedure, an inflatable balloon is insufflated in the preperitoneal (extraperitoneal) space of the groin region, so as to push the peritoneum posteriorly, creating a working space for the laparoscope. The repair is similar to the TAPP approach, except that the peritoneum is never entered, eliminating risk of injury to the bowel.
Laparoscopic Intraperitoneal Onlay Mesh Repair is done as a day care surgery procedure.
A hernia occurs when the contents of a body cavity bulge out of the area where they are normally contained. These contents, usually portions of intestine or abdominal fatty tissue, are enclosed in the thin membrane that naturally lines the inside of the cavity. Hernias by themselves may be asymptomatic (produce no symptoms) or cause slight to severe pain.
Nearly all have a potential risk of having their blood supply cut off (becoming strangulated), and getting obstructed.
Incisional/ventral hernias are defects that appear at the site of a prior surgical incision. This results in a bulge or a tear in the area where the abdominal muscles have weakened. Incisional hernias can increase in size with time.