Description

This video demonstrates the Single Instrument dissection of Laparoscopic Incisional Hernia Repair performed by Dr. R.K. Mishra at World Laparoscopy Hospital. Omentum and Small both have adhered to the anterior abdominal wall for which adhesiolysis was performed single-handed. A hernia is the protrusion of tissue or part of an organ through the bone, muscular tissue, or the membrane by which it is normally contained. Hernias can be classified as internal or external and as abdominal or thoracic. Abdominal wall hernias can occur spontaneously (presumably from congenital defects) or after surgery. When they occur after surgery, they are called incisional hernias, which can range from small defects to extremely large ones Abdominal incisional hernia is a common complication after open abdominal operations. Laparoscopic procedures have obvious mini-invasive advantages for surgical treatment of abdominal incisional hernia, especially to cases with big hernia defect. Laparoscopic repair of incisional hernia has routine mode but the actual operations will be various according to the condition of every hernia. Key points of these operations include design of the position of trocars, closure of defects and fixation of meshes. The details of these issues and experiences of perioperative evaluation and treatment will be talked about in this article.