Open Hernia Surgery
In the open hernia repair method, a classic long thin incision is made from the skin and the patch is placed over the torn area. Inguinal hernias, umbilical hernias, and incisional hernias can all be repaired openly.
Open repair of inguinal hernias is called Lichtenstein surgery. In the open method (or classic method), an incision of about 7-8 cm is made in the area of the hernia. The tear in the abdominal wall is reached and the protruding organs are depressed and placed in their normal place in the abdomen. A patch of suitable size according to the diameter of the tear is placed on the abdominal wall just behind the muscles. This area is reinforced so that it can no longer be opened by internal pressure.
In umbilical and incision site hernias, it is performed by making an incision equal to the size of the hernia. As the hernia grows, the surgical incision to repair it grows at the same rate. In abdominal wall hernia repairs performed with an open method, if the tear is very large and there is loss of tissue in the abdominal wall, it should be repaired with qualified patches.
Advantages of Open Method Surgery
It can be performed under local anesthesia, under spinal/epidural anesthesia or under general anesthesia. The flexibility of anesthesia ensures that every hernia patient can be operated on. Open surgery is cheaper than the closed method in terms of cost. Besides the cost advantage, it has the advantage of being easily applied in every hospital. Because it does not require expensive investments. It can be applied by all surgeons and does not require any special surgical skills or experience.
open surgery; It may be preferred in unilateral hernias, people who are in no rush to return to work, and where the cost factor is important. In addition, the open method can be applied to people who cannot receive general anesthesia.
Laparoscopic Hernia Surgery
Laparoscopic (closed) hernia repair; It is a method in which laparoscopic technology and the appropriate patch are used with three small incisions made in the lower part of the abdomen under general anesthesia. With this method we can see the hernia and the surrounding tissues on a screen using a telescope connected to a special camera through a hollow channel. Using this image, the hernia area is revealed. The hernia is not closed with a special patch placed behind the abdominal wall and is repaired using small staples or tissue glue. All of these procedures are performed laparoscopically.
The laparoscopic approach was introduced in the early 1990s based on the success of laparoscopic gallbladder removal. Studies to date have shown less pain, faster return to normal activities, and faster return to work with the laparoscopic approach compared to the open approach. It is important to understand that these differences are measured in days or weeks, not months. For example, patients who have undergone laparoscopic hernia repair return to normal activities an average of 8 days earlier than those who have undergone open repair. It is also important to know that everyone is different in their perception of pain and their occupation. A person may have an open hernia repair and be able to return to work within a week, while a person who has had a laparoscopic repair may return after 6 weeks.
Advantages of the laparoscopic approach
What is the best approach, open or closed surgery?
It should also be noted that some physicians only recommend the open approach due to the higher cost associated with laparoscopic repair. Some doctors recommend the open approach for unilateral hernias and the laparoscopic approach for bilateral hernias.
Treatment of open and laparoscopic hernias
Open hernia surgery
In the open hernia repair method, a classic long thin incision is made from the skin and the patch is placed over the torn area. Inguinal hernias, umbilical hernias, and incisional hernias can all be repaired openly.
Open repair of inguinal hernias is called Lichtenstein surgery. In the open method (or classic method), an incision of about 7-8 cm is made in the area of the hernia. The tear in the abdominal wall is reached and the protruding organs are depressed and placed in their normal place in the abdomen. A patch of suitable size according to the diameter of the tear is placed on the abdominal wall just behind the muscles. This area is reinforced so that it can no longer be opened by internal pressure.
In umbilical and incision site hernias, it is performed by making an incision equal to the size of the hernia. As the hernia grows, the surgical incision to repair it grows at the same rate. In abdominal wall hernia repairs performed with an open method, if the tear is very large and there is loss of tissue in the abdominal wall, it should be repaired with qualified patches.
Advantages of Open Method Surgery
It can be performed under local anesthesia, under spinal/epidural anesthesia or under general anesthesia. The flexibility of anesthesia ensures that every hernia patient can be operated on. Open surgery is cheaper than the closed method in terms of cost. Besides the cost advantage, it has the advantage of being easily applied in every hospital. Because it does not require expensive investments. It can be applied by all surgeons and does not require any special surgical skills or experience.
open surgery; It may be preferred in unilateral hernias, people who are in no rush to return to work, and where the cost factor is important. In addition, the open method can be applied to people who cannot receive general anesthesia.
Laparoscopic hernia surgery
Laparoscopic (closed) hernia repair; It is a method in which laparoscopic technology and the appropriate patch are used with three small incisions made in the lower part of the abdomen under general anesthesia. With this method we can see the hernia and the surrounding tissues on a screen using a telescope connected to a special camera through a hollow channel. Using this image, the hernia area is revealed. The hernia is not closed with a special patch placed behind the abdominal wall and is repaired using small staples or tissue glue. All of these procedures are performed laparoscopically.
The laparoscopic approach was introduced in the early 1990s based on the success of laparoscopic gallbladder removal. Studies to date have shown less pain, faster return to normal activities, and faster return to work with the laparoscopic approach compared to the open approach. It is important to understand that these differences are measured in days or weeks, not months. For example, patients who have undergone laparoscopic hernia repair return to normal activities an average of 8 days earlier than those who have undergone open repair. It is also important to know that everyone is different in their perception of pain and their occupation. A person may have an open hernia repair and be able to return to work within a week, while a person who has had a laparoscopic repair may return after 6 weeks.
Advantages of the laparoscopic approach
What is the best approach, open or closed surgery?
It should also be noted that some physicians only recommend the open approach due to the higher cost associated with laparoscopic repair. Some doctors recommend the open approach for unilateral hernias and the laparoscopic approach for bilateral hernias.
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