How the Procedure is Performed
Normally performed after general anesthesia is administered, laparoscopic incisional hernia repair is done with smaller incisions. These incisions are used to insert specialized surgical instruments to perform the necessary steps to correct the damage from the incisional hernia. One of the incisions is used for the insertion of a lighted scope with a camera attached (laparoscope).
What’s termed the “hernia sac” is located and isolated. This is the area where the abdominal lining is coming through the abdominal wall. The protruding tissue is then returned to its original position. The tear is then corrected. If the defect is small, it may be closed with sutures. If the tear is larger, a mesh graft may be used to cover the hole. With larger tears, the use of mesh reduces the odds of recurrence.
After the mesh is correctly placed, the laparoscope and other instruments are removed and the small incisions are closed with sutures. When the sutures are removed during a follow-up visit, small, sticky bandages (steri-strips) may be placed over the incisions. Sometimes, a special type of glue is used.