Laparoscopic Hernia Surgery
A hernia occurs when inner layers of abdominal muscle become weakened.
The lining of the abdomen then bulges out into a small sac, and
part of the intestine or abdominal tissue may enter the sac. Hernias
occur most commonly in the groin (inguinal hernia), the navel (umbilical
hernia), and at the incision site of a previous surgery.
For information on hiatal, or
diaphragmatic, hernias click here.
Some people with hernias remain relatively free from symptoms.
But a hernia can cause severe pain and other potentially serious
problems (e.g., infection, bowel obstruction). Surgery is the only
way to repair them, because they do not resolve on their own.
Laparoscopic surgery can be used for hernia repair. Instead of
one long incision, four or five tiny incisions are made in the area
around the hernia. A device called a laparoscope, which is a miniature
scope attached to a video camera, is inserted into one of the incisions.
The surgeon is able to see the hernia and the surrounding tissue
and organs on a video screen.
Instruments used to repair the hernia are inserted through the
other incisions and the operation proceeds in much the same way
as open surgery. Advantages of this technique include shorter recovery
time and less postoperative pain.
Eligibility for laparoscopic surgery depends on a number of factors.
The surgeon must be able to see the interior of the abdomen clearly,
and sometimes obesity or large amounts of scar tissue make that
difficult. Also, the patient may not be a good candidate because
other health problems prohibit the use of general anesthesia.
A. General Surgery
1. Laparoscopic Surgery
f. Hiatal Hernia
2. Conventional Surgeries
f. Soft Tissue Masses and Skin
B. Vascular Surgery
1. Repair of abdominal
aortic aneurysm (AAA)
2. Bypass surgery of extremities
3. Carotid endarterectomy
4. Creation of
of central lines
C. Varicose Vein Treatment
1. TIPPS (Trans-Illuminated
2. SEPS (Subfascial
Endoscopic Perforator Surgery)
3. Deep venous
D. Breast Disease Management
1. Evaluation of breast
lumps (solid or cystic)
2. Cyst aspirations
3. Fine-needle aspiration
of solid breast lump
5. Sentinel lymph
E. Gastric Bypass (Bariatric Surgery)
F. Wound Management and Treatment
G. Thoracic surgery
1. Chest tube
2. Removal and
biopsy of nodules in lung and mediastinum
H. Vascular Laboratory