Hemiorrhaphy (Hernia Repair)

Cause / Condition
A hernia is a weakness or tear in the wall of the abdomen, sometimes called a "rupture." Acquired hernias are caused by wear and tear over the years. Congenital hernias result from a weakness in the abdominal wall that is present at birth. Approximately 80% of all hernias are located in the groin. Hernias may also be found below the groin, through the navel, and along a previous incision.

Some hernia patients will notice a bulge under the skin or feel pain when lifting, coughing or straining. Substantial weight gain, persistent coughing or difficulty with bowel movements or urination can also cause the abdominal wall to tear.

About the Procedure
Surgical repair is the only way to repair a hernia. The surgeon makes 3 ½" incisions to allow insertion of specially designed laparoscopic instruments to see inside the body and perform the repair. After the repair a patch of strong mesh is secured directly over the weak spot in the abdominal wall with surgical staples, clips or sutures.

Barring any complications, laparoscopic herniorrhaphy is a same-day procedure. There is minimal post-operative pain and normal activity generally resumes in 2 days (see comparative table below).

Expectations / Experience
Incisional tenderness can be expected but it is temporary. Discharge instructions will include guidelines on lifting, driving, exercise and diet. Low complication and recurrence rates indicate consisently excellent patient results.

Laparoscopic hernia repair is particularly suited to patients with bilateral (both groins) hernia, as both sides can be repaired through the same 3 tiny incisions.

MIMIS surgeons have taught laparoscopic herniorrhaphy to other surgeons through training courses since 1991.

Factor Traditional Laparoscopic
Hospital Stay Same day Same day
Pain during recovery Moderate Minimal
Return to work timeframe 2-3 weeks 4-5 days
Cosmetic results 5" scar 3 tiny incisions

For more information contact:

The Milwaukee Institute of Minimally Invasive Surgery
Columbia St. Mary's Hospital Milwaukee
2301 N. Lake Dr.
Milwaukee, WI 53211

(800) 377-2673

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