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What is better Laparoscopic hernia repair or open exploration for repair of a hernia Explain.?
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I need to find a TRUE specialist who is and has performed Laparoscopic surgery on incisional/ventral hernia's. ?
better to go for Hernia Specialist Training Course, in that we can find the true specialist.
Who is the best Laparoscopic hernia surgeon in Kolkata?
This is very difficult to name the best Laparoscopic hernia surgeon in Kolkata, but according to the patients operated by Dr. Susenjit Prasad Mahato, he is one of the best Laparoscopic hernia surgeon in Kolkata. He has successfully operated many hernia surgery cases. He is very experienced in the laparoscopy surgery field.
What has the author David C Dunn written?
David C. Dunn has written: 'Hernia repair' -- subject(s): Endoscopic surgery, Hernia, Laparoscopic surgery, Methods, Surgery, Surgery, Laparoscopic
What does CPT 49651-50 stand for?
Laparoscopic recurrent bilateral inguinal hernia repair with implantation of mesh.
What is cpt code for repair recurrent inguinal hernia?
Initial inguinal hernia laparoscopic surgical repair cpt code is 49650 with icd 9 of 550.93
What is the recovery time for laparoscopic hernia repair Is there usually pain after the surgery?
After an uncomplicated Laparoscopic Hernia Surgery, patient can go home the same day or within 24hrs of operation. In complicated or difficult cases it may take 2 to 3days hospital stay. little bit of Pain remains for 1 or 2 days and gradually it decreases.
please let me know name and address of surgeon who does laparoscopic surgery on groin hernia.?
Dr. David S. Edelman at 8940 N Kendall Dr. #804E is in Miami and will do groin hernia and has had several positive reviews from his patients.
What anaesthetic for inguinal hernia?
Small hernias can be repaired under a local anaesthetic as a day case. Laparoscopic hernia repairs will be done under a General anesthetic. Unfit patients can be considered for repair under a regional anaesthesia combined with some sedation.
A man that having hernia have a capability to have a child?
Yes but he had better have something done about the hernia.
Is laproscopy best fot umbilical hernia?
Short answer: The review showed that laparoscopic repair takes longer and has a more serious complication rate in respect of visceral (especially bladder) and vascular injuries, but recovery is quicker with less persisting pain and numbness. Reduced hernia recurrence of around 30-50% was related to the use of mesh rather than the method of mesh placement. Longer answer: Repair of a hernia in the groin (an inguinal hernia) is the most frequently performed operation in general surgery. The hernia is repaired (with suturing or placing a synthetic mesh over the hernia in one of the layers of the abdominal wall) using either open surgery or minimal access laparoscopy. The most common laparoscopic techniques for inguinal hernia repair are transabdominal preperitoneal (TAPP) repair and totally extraperitoneal (TEP) repair. In TAPP the surgeon goes into the peritoneal cavity and places a mesh through a peritoneal incision over possible hernia sites. TEP is different as the peritoneal cavity is not entered and mesh is used to seal the hernia from outside the thin membrane covering the organs in the abdomen (the peritoneum). The mesh, where used, becomes incorporated by fibrous tissue. Minor postoperative problems occur. More serious complications such as damage to the spermatic cord, a blood vessel or nerves, are occasionally reported with open surgery and nerve or major vascular injuries, bowel obstruction, and bladder injury have been reported with laparoscopic repair. Reoccurrence of a hernia is a major drawback. The review authors identified 41 eligible controlled trials in which a total of 7161 participants were randomized to laparoscopic or open surgery repair. The mean or median duration of follow up of patients ranged from 6 to 36 months. Return to usual activities was faster for laparoscopic repair, by about seven days, and there was less persisting pain and numbness than with open surgery. However, operation times were some 15 minutes longer (range 14 to 16 minutes) with laparoscopy and there appeared to be a higher number of serious complications of visceral (especially bladder) and vascular injuries. Using a mesh for repair reduced the risk of a recurring hernia rather than the method of placement (open or laparoscopic surgery). Researchers: McCormack K, Scott N, Go PM.N.Y.H, Ross SJ, Grant A, Collaboration the EU Hernia Trialists
Had laparoscopic surgery to reapair inciscional hernia Now have large collection of fluid in the anterior abdominal wall above the umbilicus ct scan reveals no hernia identified Should needle be used?
I have had that also I have had 7 hernia repairs. Do not have it drained it will go away on its own it will reabsorb into your body. If you have it drained you run the risk of infection. Hope this helps I have been there too many times. Rhondafiala@cox.net
What is best method to repair small inguinal hernia in young man?
An inguinal hernia is a defect in the opening of the musculo-tendinous opening of the abdomen. It can be due to a tear ("direct", the less common type), or due to a stretching of a normal orifice (the inguinal ring) through which the scrotal cord naturally passes ("indirect", the more common type).The hole must be closed (in the case of a "direct" hernia), or tightened back to its normal small dimension (in the case of a "indirect" hernia).Older methods of inguinal hernia repair involve mobilizing the tissues that surround the hole and bringing them together under tension, holding them together with sutures. These methods (which include the Bassini (and modified Bassini), McVay, and Shouldice methods), have a high incidence of recurrence (variably between 8 and 20%) due to the tension of tissues pulling at the sutures. Such tension causes the sutures to erode through tissues (much as a wire cheese cutter cuts through cheese), which is the eventual cause for recurrence."Tension-free" methods include patching the holes with a piece of plastic mesh (and, experimentally, with bio-mesh materials), plugging the hole with a piece of plastic, or both.Plastic mesh sheets can be placed from the outside (open Lichtenstein method) or from the inside (laparoscopic method). A single sheet of a plastic patching mesh has a higher risk of recurrence than using a method that involves a combination of both plugging the hole and patching it as well. This is because the sheet of plastic can "wad up" into the hole, can pull loose from the edges, and can shift position (sliding sideways so that the hole is again exposed).Securing a large plastic sheet in an attempt to avoid this is necessary, but placement can involve a wide area of dissection and therefore increased post-operative pain. Furthermore, laparoscopic methods involve securing the mesh with staples close to critical nerves and small blood vessels; the complication rate of laparoscopic methods can be as high as 30% because of this. Experimental methods of securing the mesh using glue instead of staples may reduce these complication rates in the future.Plug-and-patch methods currently include the Per-fix method and the Prolene hernia system. The Prolene hernia system has the lowest demonstrated recurrence rate but requires a greater dissection for placement and therefore carries a higher risk of post-operative pain. The device consists of two disks of mesh connected by a stalk of mesh connecting them, that acts as a plug. When the defect is larger, this system may be preferable.The Perfix plug and patch requires the smallest incision for placement and the least dissection. It is basically a badminton-birdie (shuttlecock) -shaped cone of plastic (avaialble in various sizes) placed nose first into the defect. It is additionally covered by a smaller sheet of plastic (on the outside), placed separately. There is still a risk of post-operative pain with this method, even though dissection is less. This can occur especially if the hole is tightened too much, so that nerves are impinged during repair and/or become entrapped by scar tissue that necessarily occurs around the plastic mesh.Currently the preferred method for initial inguinal hernia repair should either be the Perfix plug/patch mesh method (especially for smaller defects) or the Prolene hernia system (better for larger defects).When an inguinal hernia repair is recurrent, however, there is often scar tissue from the original hernia repair. If the original repair was "open" (i.e. through an external incision) instead of laparoscopic, the scar tissue will be external. In such situations, a laparoscopic method for repair of the recurrence allows an approach through areas (from the "inside", or abdominal side) of the recurrent hernia that presumably are not scarred. This is usually easier to perform. Laparoscopic hernia repair ought to be done by a surgeon experienced not only in laparoscopic surgery, but specifically in laparoscopic hernia repair. Complication rates by non-experienced surgeons is unacceptably high.It is unclear which is the best way to repair a recurrent inguinal hernia that was initially done laparoscopically. Logically, scar tissue from the original repair will in this instance be on the "inside" (or abdominal side) of the hernia defect following laparoscopic repair. Repair of a recurrence is therefore logically easier using an external ("open") approach. Whether a patch only (Lichtenstein) or plug/patch (Perfix Plug or Prolene hernia system) method is preferable in such instances is not clear, but a logical extension of results from other comparisons (of initial hernia repair methods) of the Lictenstein method versus the plug/patch methods likely favors the latter for repair of laparoscopic recurrences as well.
