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| Name | Laparoscopic Repair of Recurrent Complicated Incisional Hernia |
| Video Uploader | Video From Dr. R. K. Mishra |
| Upload Date | This Video Uploaded At 13-06-2023 16:05:12 |
| Video Discription | This video demonstrates the Laparoscopic Repair of Recurrent Complicated Incisional Hernia performed by Dr. R K. Mishra at World Laparoscopy Hospital Incisional hernias are a common complication following abdominal surgery, occurring when the abdominal contents protrude through a weakened area in the abdominal wall. While many incisional hernias can be repaired successfully, recurrent complicated incisional hernias pose unique challenges due to their complexity and associated complications. In recent years, laparoscopic repair has emerged as a preferred surgical approach for managing recurrent complicated incisional hernias. This essay aims to explore the laparoscopic repair technique and its benefits in addressing this challenging condition. Definition and Prevalence of Recurrent Complicated Incisional Hernia: Recurrent incisional hernias occur when a hernia reoccurs at the site of a previously repaired hernia. Complicated incisional hernias refer to cases where the hernia is associated with complications such as bowel obstruction, strangulation, or infection. The prevalence of recurrent complicated incisional hernias is estimated to be between 5% and 15% following primary hernia repair surgeries. Laparoscopic Repair Technique: Laparoscopic repair involves the use of minimally invasive techniques, utilizing small incisions and a laparoscope with specialized instruments. The surgeon gains access to the abdominal cavity, allowing for a comprehensive evaluation of the hernia defect and associated complications. The hernia defect is then closed using various techniques, including primary closure, mesh reinforcement, or component separation techniques. The use of synthetic mesh is common in laparoscopic repair to provide additional support and reduce the risk of recurrence. Laparoscopic repair offers the advantage of better visualization, precise dissection, and reduced trauma to the abdominal wall compared to open surgery. Benefits of Laparoscopic Repair: a. Reduced morbidity and shorter hospital stay: Laparoscopic repair is associated with decreased postoperative pain, decreased wound complications, and reduced risk of surgical site infections. Patients undergoing laparoscopic repair generally experience a quicker recovery and shorter hospitalization compared to open surgery. b. Lower recurrence rates: The use of mesh reinforcement in laparoscopic repair significantly reduces the risk of hernia recurrence compared to primary closure alone. The mesh is placed in an intraperitoneal or preperitoneal position, providing strong reinforcement and minimizing tension on the abdominal wall. c. Improved cosmetic outcomes: Laparoscopic repair offers the advantage of smaller incisions and minimal scarring, resulting in improved cosmetic outcomes for patients. The reduced visibility of scars can have positive psychosocial effects on patients' self-esteem and body image. Considerations and Challenges: Laparoscopic repair of recurrent complicated incisional hernias requires expertise and advanced surgical skills. Patient selection is crucial, considering factors such as the size of the defect, patient comorbidities, and previous surgical history. In some cases, the presence of dense adhesions or infection may necessitate conversion to an open procedure. Conclusion: Laparoscopic repair has revolutionized the management of recurrent complicated incisional hernias, offering numerous advantages over open surgery. The minimally invasive approach provides improved visualization, reduced morbidity, lower recurrence rates, and enhanced cosmetic outcomes. However, careful patient selection and the expertise of the surgical team are essential for successful outcomes. As technology and techniques continue to advance, laparoscopic repair will likely remain at the forefront of treating recurrent complicated incisional hernias, providing patients with safer and more effective surgical options. Contact us World Laparoscopy Hospital Cyber City, Gurugram, NCR Delhi INDIA : +919811416838 World Laparoscopy Training Institute Bld.No: 27, DHCC, Dubai UAE : +971525857874 World Laparoscopy Training Institute 8320 Inv Dr, Tallahassee, Florida USA : +1 321 250 |
| Category | Science & Technology |
| Tags | laparoscopic hernia repair | recurrent incisional hernia | complicated hernia repair | abdominal wall hernia | hernia recurrence | laparoscopic techniques | surgical complications | mesh reinforcement | minimally invasive approach | postoperative recovery | surgical expertise | patient selection | surgical outcomes | laparoscopic surgery | recurrent hernia | incisional hernia | complicated hernia | minimally invasive surgery | surgical technique |
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