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Know What Laparoscopic Hernia Surgery Is

Laparoscopic hernia surgery is a fast operation with minimal pain in treating hernias. In addition, laparoscopic hernia surgery requires smaller incisions than open surgery. A hernia is a condition in which there is an organ that pushes a weak protective layer (muscle or tissue), which holds the organ in place. The impact, these organs will protrude and potentially cause symptoms, one of which is pain in the problematic part. In this article we will discuss surgery for inguinal hernias or known as hereditary, which is a condition in which organs in the stomach, such as the intestine, protrude out through the surrounding tissues or muscles that are weakened. Basically, hernias can be treated with two types of surgery, namely open surgery (down-winding surgery) and laparoscopic surgery. Laparoscopic hernia surgery itself includes minimally invasive surgical procedures, or surgery that requires only a small incision in the abdominal wall. This procedure is carried out with the help of a device called a laparoscope. This tool is shaped like a hose that has a camera and light.

Indications Hernia Surgery with Laparoscopy

Not all hernias need surgery. Surgery will be recommended for hernias with certain conditions, including:
  • The symptoms are more disturbing and worsening.
  • Hernias get bigger.
  • The body organ is pinched so that its function is not running normally (hernia strangulata).
Basically, a hernia can be treated with two types of surgery, open surgery and laparoscopic or keyhole surgery. Compared with open surgery, laparoscopic hernia surgery has a faster recovery period and requires smaller incisions. Therefore, laparoscopic hernia surgery is generally recommended for patients who have conditions such as liver disease, blood clotting disorders, and hypertension, rather than open surgery.

Warning for Laparoscopic Hernia Surgery

Before the operation is performed, the doctor will ask the patient to provide a history of the disease they have. Some conditions that require special attention are:
  • Respiratory disorders.
  • Skin infection.
  • Diabetes.
In addition to a history of illness, also inform your doctor if you are taking certain drugs, especially:
  • Anticoagulants, for example heparin and warfarin.
  • Nonsteroidal anti-inflammatory drugs, such as ibuprofen.
  • Vitamin K.
  • Herbal products and supplements.
Laparoscopy in children should be consulted first with a doctor, because the handling of hernias in children can be different. This procedure uses anesthesia. For patients who have a history of allergies to anesthesia, it is better to consult with your doctor before operating.

Preparation of Hernia Surgery with Laparoscopy

Before the operation begins, the doctor will perform checks, such as blood pressure and heart rate checks. Doctors can also do imaging tests, such as MRI or CT scans. This examination will assist doctors in preparing surgery, and anticipating complications. Patients will also be asked to fast 6-12 hours before surgery. In addition, patients must also avoid smoking. Smoking can inhibit postoperative recovery, as well as cause complications. Hair that is around the operating area will also be trimmed before surgery.

Laparoscopic Hernia Surgical Procedure

Before the surgical procedure begins, the patient will be injected with anesthetic through a vein in the arm and put on a breathing apparatus. When the anesthetic effect works, the surgical procedure starts. The patient will not feel anything during the operation. Laparoscopic hernia surgery begins by making a small incision in the abdominal wall. The incision is generally divided into 3, measuring about 1-1.5 cm, and is used for the entrance of the laparoscope along with other surgical support devices. Then, one of the special tools is first used to enter carbon dioxide gas into the stomach. The gas serves to create space in the stomach, separating the abdominal wall from organs, so the surgeon can see the condition of the organ more clearly. After that, the laparoscope along with other surgical support devices are inserted through a previously made incision. Doctors assisted by other medical staff will return the problematic organ to its original location. When the problematic organ has been repaired, the muscle tissue gap where the organ is released is closed with a special mesh or net. After the mesh or special mesh is properly installed, the procedure is continued to the final stage. The laparoscope along with other surgical support devices will be issued. Existing incisions will also be sewn and bandaged. The operation time ranges from 30-45 minutes.

After Laparoscopic Hernia Surgery

When the operation is complete, the patient can take a short rest in the ward until the effects of the anesthesia disappear completely. Patients must be accompanied by family or relatives when they want to return home after surgery. The effect of anesthesia makes it not recommended for patients to drive for up to 24 hours in the future. The cut can cause pain for the next few days. The doctor can prescribe medication to relieve pain symptoms. Pain in the shoulder and flatulence after the procedure can also appear and are quite natural. This is the effect of carbon dioxide used during the procedure. The recovery period generally lasts for 1 week. If within 1 week there are still many complaints that are felt due to the procedure, see a doctor immediately. The following are some things that can help recovery:
  • Enough rest.
  • Avoid strenuous activities.
  • Avoid wearing tight clothes.
Other reactions, such as continuous vomiting or increased body temperature, can occur. It would be better if the patient was monitored for at least 24 hours after the procedure took place.

Complications of Hernia Surgery with Laparoscopy

Laparoscopic hernia surgery is a safe procedure to do. However, immediately notify the doctor if after surgery you experience complaints in the form of:
  • Fever.
  • Continuous stomach pain.
  • The incision is swollen, red, or bleeding occurs.
  • Crowded
  • Cannot urinate.
Because this procedure also uses anesthetics, there are some side effects that can occur, such as:
  • Nausea.
  • Gag.
  • Dry mouth.
  • Sore throat.
  • Shaky.
  • Hoarseness.
  • Sleepy.

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