Hernia is becoming one of the most common problems that people are facing these days. Hernias can be of many types depending upon its nature and site of origin. Though the primary concept is same, it is a condition in which any of the internal organs (such as intestine) or tissues (such as fat or bowel) gets stuck out of the body through a small orifice on the skin.
Epigastric hernia is one of such types. It occurs when fat bulges out through a weak spot in the abdomen. It is not a fatal disease and most of the time, not even an emergency situation. But oral medication does very little to cure it permanently. Hence, laparoscopic hernia operation is needed to address this medical condition.
How epigastric hernia surgery is performed?
It is usually carried out under the effect of general anesthesia. Most of the hospitals that offer laparoscopic hernia operation either perform these as inpatient or outpatient. After the anesthesia is in action, the incisions are made to insert the laparoscope and other equipment.
The extruding portion of the abdomen, called the ‘hernia sac’ is isolated from the rest of the surrounding healthy tissues by visual inspection. This hernia sac is then gradually pushed back inside. The surgical repair is done next depending upon the size of the weak spot.
Having a hernia earlier will elevate the chances of its recurrence in the future. Thus, closing it properly is crucial. In case the orifice is very small, simply shutting it close with stitches will do the trick. Its position on the hernia ensures that it does not reoccur. But in case the orifice is large enough, stitches is not a big help. Upon simply stitching, the chances of recurrence of hernia increases a lot.
In such cases a surgical mesh is added as an extra measure to mitigate such risks associated with it. Most of the recent hernia procedures include the use of mesh. The only exceptional cases when the mesh is not used is when the patient is known to have a history of rejecting surgical implants or have allergies to metallic things.
After sewing the mesh, the instruments are removed and the outer layer of the muscle is sewed back. This can either be done with surgical bandages, tapes, clips or staples, depending upon the incisions.