A hernia is the projection of a limb or the front part of an organ through the barrier of the cavity that usually holds it. Majority of the hernias are clinically significant and must be fixed electively before they start expanding. Today the majority of the hernia operations are carried out under local anesthesia usually with adjunctive tranquilization administered by an anesthesiologist. Only the patient undertaking laparoscopic operation gets general anesthesia.
Modern Treatment Of Hernia
There are two surgical ways of the treating incisional hernias: 1) Laparoscopic Incisional Herniorrhaphy and 2) Conventional open repair procedure.
In Laparoscopic incisional herniorrhaphy, a tube-like gadget is introduced in the abdomen with a camera attached to it at its tip. This surgery uses small slits. In this procedure, the patient lies down flat at the back or sideways depending upon the location of the hernia. As a rule general anesthesia is given, though some patients might have regional anesthesia depending upon the complication of the hernia management and the placement of the hernia. For squeezing the bladder and getting rid of urine, a catheter might be initiated into the bladder. If the hernia is close to the stomach, a gastric tube needs to be placed in from the mouth or nose to the stomach so that the stomach is compressed.
A small ½ inches cut in the skin at the belly button is made in laparoscopic surgery. Then, a thin tube is initiated flanked by the muscle fibers without hurting any muscles. The laparoscope is introduced into the body of the patient, which has a small camera, and a source of light thereby allowing it to send images through a fiber-optic card to the TV monitor. By watching the television monitor, which shows a high decree exaggerated image, the surgeon can carry out the surgery.
Again further two ½ inches cannulas are put within. This time, the already weak muscles do not perturb and the position of the net is completed through the ½-inch hole, which are away from the hernia. Hence, there is a negligible commotion in the psychology of the normal body resulting in much less pain and only a little rest, which is necessary post surgery. The hernia is pulled back to the original place rather than pushed from outside as is done in conventional open repair procedure.
This surgery is speedily gaining status in the West in spite of early disapproval of the uselessness of the process as this technique reduces post operative pain, rest and reappearance rates.