HERNIA
An inguinal hernia develops through the internal inguinal ring along the inguinal canal or through the fascia transversalis. Surgical repair using a non absorbable mesh is warranted either by laparoscopy or by inguinal incision.
An incisional hernia develops on a previous abdominal incision following open or laparoscopic surgery. Depending of the size of the hernia, either a open or laparoscopic approach may be offered. A non absorbable mesh is always used to secure the repair.
A femoral hernia is a protrusion of the hernia sac through the femoral opening close the femoral vessels. Surgical repair reusing a non absorbable mesh is warranted either by laparoscopy or by inguinal incision.
An inguinal hernia develops through the internal inguinal ring along the inguinal canal or through the fascia transversalis. Surgical repair using a non absorbable mesh is warranted either by laparoscopy or by inguinal incision.
Spigelian hernia occurs through slit like defect in the anterior abdominal wall adjacent to the semilunar line. Most of spigelian hernias occur in the lower abdomen where the posterior sheath is deficient. The hernia ring is a well-defined defect in the transverses aponeurosis. The hernial sac, surrounded by extraperitoneal fatty tissue, is often interparietal passing through the transversus and the internal oblique aponeuroses and then spreading out beneath the intact aponeurosis of the external oblique. Spigelian hernia is in itself very rare and more over it is difficult to diagnose clinically. It has been estimated that it constitutes 0.12% of abdominal wall hernias. Laparoscopic management of spigelian hernia is well established. Most of the authors have managed it by transperitoneal approach either by placing the mesh in intraperitoneal position or by raising the peritoneal flap and placing the mesh in extraperitoneal space.
Umbilical hernia
An umbilical hernia develops trough the umbilicus. Depending of the size of the hernia, either a open or laparoscopic approach may be offered. A mesh is used to secure the repair.
An epigastric hernia develops trough the midline from the umbilicus to xyphoid. Depending of the size of the hernia, either a open or laparoscopic approach may be offered. A mesh is used to secure the repair.
Robotic
TAPP bilateral inguinal hernia mesh repair
IPOM Robotic parastomial hernia
Robotic abdominal incisional hernia repair
Laparoscopic right femoral hernia repair
in a woman
Laparoscopic bilateral inguinal hernia repair
in a man
Laparoscopic left direct inguinal hernia repair
in a man
Laparoscopic left direct inguino-scrotal hernia repair in a man TAPP technique
Laparoscopic right direct inguinal hernia repair in a man
Mesh folding and plugging
Open tension-free indirect inguinal hernia repair in a man
Laparoscopic left Spigelian hernia repair in a woman
Laparoscopic epigastric hernia repair
Open abdominal incisional hernia repair
Laparoscopic incisional hernia repair
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