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Hernia repair (TEP), laparoscopic

What is an inguinal hernia?

Weak spots can develop in the layer of muscle in the abdominal wall, resulting in the contents of the abdomen pushing through. This produces a lump called a hernia (see figure 1).

An inguinal hernia happens at the inguinal canal. This is a narrow passage in which blood vessels supplying the testicle pass through the abdominal wall.

A hernia can be dangerous because the intestines or other structures within the abdomen can get trapped and have their blood supply cut off (strangulated hernia).

Hernia repair  

What are the benefits of surgery?

You should no longer have the hernia. Surgery should prevent you from having any serious complications that a hernia can cause.

Are there any alternatives to surgery?

You can sometimes control the hernia with a truss (padded support belt) or simply leave it alone. It will not go away without an operation.

What does the operation involve?

The operation is performed under a general anaesthetic and usually takes about half an hour (less than an hour for a repair to both sides).

Your surgeon will insert a telescope into your abdominal wall through a small cut made around your umbilicus. They will then perform the operation using surgical instruments inserted through two small holes.

Your surgeon will return the part of the abdomen showing out and causing the hernia, and insert a synthetic mesh to cover the weak spot.

What complications can happen?

1. General complications of any operation

  • Pain
  • Unsightly scarring
  • Blood clots
  • Bleeding
  • Infection in the surgical wound

2. Specific complications of this operation

a. Laparoscopic complications

  • Surgical emphysema

b. Hernia repair complications

  • Developing a lump at the site of the original hernia
  • Discomfort or pain in the groin
  • In men, discomfort or pain in the testicle on the side of the operation
  • In men, difficulty passing urine
  • In men, damage to the blood supply of the testicle

How soon will I recover?

In hospital

You should be able to go home the same day or the day after.

You may return to normal activities when you feel comfortable to do so, usually after one week. You do not need to avoid lifting, but you may find it uncomfortable if you lift heavy weights within the first two to four weeks.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, you should ask a member of the healthcare team or your GP for advice. Occasionally the hernia comes back.

Summary

An inguinal hernia is a common condition caused by a weakness in the abdominal wall, near the inguinal canal. If left untreated, an inguinal hernia can occasionally cause serious complications.

Paying for your procedure

Laparoscopic inguinal hernia repair (TEP) costs are covered by most medical insurance policies, but please check with your insurer first. If you are paying for your own treatment the cost of the operation will be explained and confirmed in writing when you book the operation. Ask the hospital for a quote beforehand, and ensure that this includes the surgeon’s fee, the anaesthetist’s fee and the hospital charge for your procedure.

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Acknowledgements

Author: Mr Ian Beckingham DM FRCS

Illustrations: Hannah Ravenscroft RM

This document is intended for information purposes only and should not replace advice that your relevant health professional would give you.

Copyright © 2008 EIDO Healthcare Limited   The operation and treatment information on this website is produced by EIDO Healthcare Ltd and is licensed by BMI Healthcare.

The intellectual property rights to the information belong exclusively to EIDO Healthcare Limited.

You may not copy, print out, download or otherwise reproduce any of the information other than for your personal, non-commercial use.

The information should not replace advice that your relevant health professional would give you.

 
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