Inguinal Hernia Repair

An inguinal hernia  is a common type of Hernia where fat or intestine push through an opening in the groin region. They can occur in both men and women but they are much more in men due to the natural anatomy of the groin. Inguinal Hernias can cause a noticeable bulge in the groin are and can be uncomfortable or painful.

Dr.Prashant Sharma offers a range of minimally invasive surgical procedures for inguinal Hernia repair which include laparoscopic and robotic approaches depending on the complexity of the Hernia. He still offers open repairs in patients who cannot tolerate a general anaesthetic due to medical reasons.

Minimally invasive inguinal Hernia repair
Laparoscopic and robotic (when indicated) is the gold standard for inguinal and femoral hernia repair within all the international Hernia societies and specialised hernia units throughout the world.

Why is Laparoscopic inguinal hernia repair preferred over Open repair?

  • Lower recurrence rates
  • Lower rates wound morbidity – seroma, haematoma, wound infection and mesh infection
  • Lower rates of chronic pain
  • Less post operative pain, especially in young patients and in bilateral cases
  • It allows the surgeon to repair inguinal, femoral and obturator Hernias with one mesh.

The latest Inguinal Hernia Repair Techniques:As a specialist laparoscopic hernia surgeon, Dr.Prashant Sharma at Advanced Surgical Center is highly skilled in the  following laparoscopic and robotic inguinal hernia repair techniques: All these techniques deploy the mesh in a layer of the abdominal wall so it does not come in contact with bowel or other viscera.

  • TEP: Totally extraperitoneal. Surgical dissection and mesh placement is performed outside of the peritoneal cavity in the pre-peritoneal space away from the visceral contents. Mesh does not come into contact with bowel or visceral organs. Usually utilised for inguinal, femoral and small Spigelian hernia.
  • eTEP:  Extended view totally extraperitoneal. Same as TEP, however it can be utilised for larger inguinal hernia. 
  • TAPP: Transabdominal preperitoneal. Allows direct access to the abdominal cavity and allows for better visualisation of the hernia and surrounding structures. This approach is offered both as a robotic and laparoscopic repair.
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