Laparoscopic Herniorrhaphy

What you should know

Laparoscopic herniorrhaphy is surgery to repair a hernia.


Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

Risks

  • You may bleed more than expected during your surgery. Your nerves, blood vessels, or abdominal organs may be injured during surgery. The contents of your bowel may spill into your abdomen and cause a severe infection. TAPP hernia repair may need to be changed into an open hernia repair surgery. An open surgery means your surgeon will make larger and deeper incisions, which will take longer to heal. You may have shoulder and chest pain from the gas used during your surgery. You may have bruising, seroma (collection of fluid), swelling, or infection at your surgery site. After surgery, you may have trouble emptying your bladder. You may get a blood clot in your leg or arm. This may become life-threatening.

  • You may have chronic pain or numbness in your groin area for months or years after your surgery. You may need to have another surgery if your condition returns or occurs in a different area. Without this surgery, your pain or discomfort may increase. Parts of your bowel or other body tissues may get trapped in the hernia opening. When tissues and organs are trapped, they may become necrotic (the tissue dies). Trapped necrotic tissue and organs may be life-threatening.

Getting Ready

The week before your surgery:

  • Write down the correct date, time, and location of your surgery.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • You may need an abdominal ultrasound or a CT scan. Talk to your caregiver about these or other tests you may need. Write down the date, time, and location for each test.

The night before your surgery:

Ask caregivers about directions for eating and drinking.

The day of your surgery:

  • Ask your caregiver before you take any medicine on the day of your surgery. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital. Caregivers will check that your medicines will not interact poorly with the medicine you need for surgery.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

  • Your surgeon will make 3 to 4 small incisions around your groin area and into your abdomen. A laparoscope and other tools will be inserted through the incisions. A laparoscope is a long metal tube with a light and camera on the end. Carbon dioxide gas may be used to inflate your abdomen. The gas will help your surgeon see the area that needs repair.

  • Your surgeon will examine the weakened muscles in your groin through the scope. He will remove your hernia or push it back into its normal space. A mesh patch will be placed over the area of the hernia and stapled or tacked in place. Your peritoneum (inner tissue lining of your abdomen) will then be closed over the mesh with staples or stitches. The carbon dioxide gas and surgery tools will be removed. Your incisions will be closed with stitches and covered with a bandage. The bandage will help keep your incisions clean and dry, and help to prevent infection.

After your surgery:

You will be taken to a room to rest until you are fully awake. Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home or be taken to your hospital room. An ultrasound may be done after your surgery to check the repair.

Contact a caregiver if

  • You cannot make it to your surgery.

  • You have a fever.

  • You get a cold or the flu.

  • Your groin is swollen, painful, or feels warm to the touch.

  • You have questions or concerns about your surgery.

Seek Care Immediately if

  • You have nausea or are vomiting.

  • Your hernia area suddenly becomes very painful.

  • Your lump increases in size, or you are not able to push it back into your abdomen.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Laparoscopic Herniorrhaphy (Precare)

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