ttelo1.gif (1393 bytes)LAPAROSCOPY  IN  UROLOGY 

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Patient information

Lap. Procedures

Hernia

Kidney

Removal

PUJ Repairl Rad.Prost.ctomy

Stone

Und. Testis

Vaginal Fistula

Varicocoel

Non-Lap. Procedures

PCNL

Ureteroscopy

Bladder stone

TURP

ESWL

Hypospadias

 

Surgical steps

Simp Neph.tmy

Rad. Neph.tmy

Und. Testis

Uretic stone

Varicocoel

 

 

Go to Hopitals

 

Specialists' Hosp

 

Ernakulam Medical Centre

 

 

LAPAROSCOPIC INGUINAL HERNIA REPAIR

For some time, laparoscopic hernia repair was not considered to be as good as open hernia surgery. However, presently, laparoscopic hernia repair  has established its well deserved place in surgery. Its results are not only at par with open surgery, but has the benefits of less post operative pain, early discharge from hospital and early return to regular activity.

Only 2 to 4 key holes are required for laparoscopic hernia repair. Of this only one 10mm key hole is  muscle cutting. A prolene (special plastic) is positioned under the abdominal muscles to cover the hernial defect.

 pic 1- Lap. view of hernia defect

pic 2- Mesh in place

PRE OP PREPERATION.

General medical check up is done as an outpatient procedure and the patient admitted the day before surgery.

OPERATION

  • 3 Key holes (10mm and two 5mm) are used to position a prolene mesh over the hernial defect.

  • A urinary tube (catheter) and a drain are maintained on the day of operation.

POST OPERATIVE PERIOD

  • The next day the catheter and the drain are removed and the patient allowed to go home.

  • He/she is advised not to do strenous activity involving lifting weights, squating on the floor or driving for 2 weeks.