Laparoscopic Inguinal Hernioplasty - Bilateral

Steps Involved in IVF:

Procedure Description

Laparoscopic inguinal hernioplasty, commonly referred to as minimally invasive hernia repair, is a surgical procedure performed to repair hernias in the inguinal area. When a patient has a bilateral inguinal hernia, it means both the left and right sides of the groin have hernias that require repair. In this procedure, a laparoscope, a small tube with a camera, and other specialized instruments are used to repair the weakened area of the abdominal wall through several small incisions rather than a single large incision. This approach offers patients a quicker recovery time and less postoperative discomfort compared to traditional open surgery.

During the procedure, surgeons insert the laparoscope and tools through tiny incisions, usually near the belly button. The surgeon then locates the hernia sacs on both sides, reduces any protruding tissue, and strengthens the weakened muscle areas with a synthetic mesh. This mesh provides support to the weakened regions, helping prevent future hernias from developing. The laparoscope allows for a magnified view, enabling surgeons to see intricate details of the tissues and ensure precise placement of the mesh.

Laparoscopic inguinal hernioplasty is favored for its minimally invasive nature, which reduces trauma to the abdominal wall. It is especially beneficial for patients who need repair on both sides, as the laparoscopic approach can address bilateral hernias in one procedure without significantly increasing operative time or recovery. However, candidates must consult with a qualified surgeon to assess their suitability for this technique, as it may not be appropriate for individuals with specific medical histories or extensive abdominal scarring from prior surgeries.

Procedure Duration

The laparoscopic inguinal hernioplasty procedure typically lasts between 1 and 2 hours, depending on factors such as the complexity of the hernias, the patient's anatomy, and any additional surgical needs. The surgery usually begins with general anesthesia to ensure patient comfort. After anesthesia is administered, the laparoscopic tools are inserted through small incisions, and carbon dioxide gas is introduced to create a clearer operating space within the abdomen.

The procedure is often done in three phases. In the first phase, the surgeon carefully navigates to each hernia site to assess the protruding tissues and the size of the defect in the abdominal wall. The second phase involves reducing the hernia sac—returning any protruding tissue to its proper position—and inserting a supportive mesh. The final phase focuses on securing the mesh to ensure long-term stability. This step requires precise anchoring to prevent any future displacement.

After surgery, patients are moved to a recovery area for observation until the effects of anesthesia wear off, typically a few hours. While most patients can go home the same day, some may require an overnight stay if additional monitoring is needed. Full recovery time varies but is generally faster than open hernia repair. Patients can often resume light activities within a week and regular activities within 4 to 6 weeks, with some experiencing minor discomfort as they heal.

Benefits of Laparoscopic Inguinal Hernioplasty - Bilateral

  • Minimally Invasive: Small incisions lead to less trauma to the abdominal wall, reduced scarring, and a faster recovery.
  • Reduced Pain: Patients often report less postoperative pain compared to open hernia repair.
  • Quick Recovery: Many patients can resume light activities within a week, returning to regular activities in about a month.
  • Lower Risk of Recurrence: The use of mesh and meticulous repair techniques reduce the chances of hernia recurrence.
  • Simultaneous Bilateral Repair: Both hernias can be repaired in one procedure, minimizing the need for additional surgeries and recovery periods.

Potential Destinations for Laparoscopic Inguinal Hernioplasty

  • Thailand: Thailand has become a hub for medical tourism due to its highly skilled surgeons and state-of-the-art facilities. The country offers high-quality care and affordability, making it a prime destination for laparoscopic procedures, including bilateral hernioplasty.
  • Turkey: Known for its advanced medical facilities and experienced surgeons, Turkey provides a variety of laparoscopic procedures at competitive prices. Istanbul, in particular, attracts medical tourists seeking cost-effective yet high-standard surgical options.
  • India: India has a strong reputation for medical expertise, particularly in minimally invasive procedures. With numerous hospitals equipped with modern laparoscopic technology, India offers comprehensive care, making it an ideal option for hernia repair.
  • Mexico: For North American patients, Mexico is an accessible option for affordable laparoscopic hernia repair. Medical facilities in cities such as Tijuana and Guadalajara offer high-quality healthcare with a shorter travel time for U.S. residents.
  • Spain: Spain is known for its advanced healthcare system and highly trained medical professionals. The country provides a comfortable environment for medical tourists, with numerous hospitals offering laparoscopic hernioplasty by specialized surgeons.

Risks & Considerations of Laparoscopic Inguinal Hernioplasty

  • Infection: Though minimal with laparoscopic procedures, infection is a risk with any surgery. Ensuring proper wound care and following postoperative guidelines helps mitigate this risk.
  • Mesh Complications: While rare, some patients may experience reactions to the mesh, such as infection or rejection, leading to additional medical intervention.
  • Recurrence: Although the risk of hernia recurrence is low with mesh reinforcement, improper placement or excessive strain on the abdominal area during recovery can increase this risk.
  • Pain and Discomfort: Some patients report lingering pain after laparoscopic hernioplasty. This may be due to nerve irritation or mesh placement and may require follow-up care.
  • General Anesthesia Risks: As with any surgery involving anesthesia, there are risks associated with its use, including reactions and complications for patients with certain pre-existing conditions.

How to Choose the Right Doctor and Hospital

Selecting a qualified surgeon and hospital for bilateral laparoscopic inguinal hernioplasty is essential to a successful outcome. It is important to choose a surgeon who specializes in laparoscopic techniques and has substantial experience with hernia repairs. Look for board-certified professionals with patient testimonials or case studies that demonstrate their expertise in minimally invasive hernia repairs.

Equally, the hospital's reputation, certifications, and the availability of advanced laparoscopic technology are crucial. Consider hospitals that are internationally accredited and offer dedicated care for international patients. Many reputable facilities provide pre-surgical consultations, transparent cost estimates, and specialized postoperative care tailored to patients’ needs, ensuring a smoother and safer medical tourism experience.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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