Laparoscopy, surgical; repair initial inguinal hernia
CPT4 code
Name of the Procedure:
Laparoscopy, Surgical; Repair Initial Inguinal Hernia
Common name(s): Laparoscopic Inguinal Hernia Repair
Summary
Laparoscopic inguinal hernia repair is a minimally invasive surgical procedure to fix an inguinal hernia, which occurs when a part of the intestine protrudes through a weak spot in the abdominal muscles. This method uses small incisions and a camera (laparoscope) to guide the repair.
Purpose
The procedure addresses herniation of the intestine through the inguinal canal, which can cause pain, discomfort, or complications such as intestinal obstruction. The goal is to return the protruding tissue to its proper place and strengthen the abdominal wall to prevent recurrence.
Indications
- Persistent pain or discomfort in the groin area
- Bulging in the groin, particularly with coughing or lifting
- A confirmed diagnosis of an inguinal hernia
- Patients who have not responded to non-surgical management
Preparation
- Fasting for at least 6-8 hours prior to surgery
- Adjustment or discontinuation of certain medications, as advised by the healthcare provider
- Preoperative assessments, including blood tests and imaging studies
- Anesthetic evaluation to determine suitability for general anesthesia
Procedure Description
- General anesthesia is administered.
- Small incisions are made near the navel and in the lower abdomen.
- A laparoscope (a thin tube with a camera) is inserted through one incision to visualize the hernia.
- Surgical instruments are inserted through the other incisions.
- The herniated tissue is pushed back into the abdominal cavity.
- A synthetic mesh is placed over the weakened area to reinforce the abdominal wall.
- Incisions are closed with sutures or surgical glue.
Duration
Typically, 30 minutes to 1 hour.
Setting
The procedure is usually performed in a hospital or outpatient surgical center.
Personnel
- Surgeon (specialized in laparoscopic and hernia repair)
- Anesthesiologist
- Surgical nurses
- Operating room technicians
Risks and Complications
- Infection at the surgical site
- Bleeding or hematoma formation
- Injury to surrounding tissues or organs
- Recurrence of the hernia
- Pain and discomfort post-operation
- Adverse reaction to anesthesia
Benefits
- Minimally invasive with smaller incisions
- Reduced postoperative pain and quicker recovery
- Lower risk of infection compared to open surgery
- Shorter hospital stay and faster return to normal activities
Recovery
- Monitoring in a recovery area after the procedure until anesthesia wears off
- Instructions on pain management and wound care
- Avoiding heavy lifting and strenuous activity for a few weeks
- Follow-up appointments to monitor healing and remove any sutures if necessary
Alternatives
- Open hernia repair: Larger incision with direct access to the hernia, but longer recovery time.
- Watchful waiting: Monitoring the hernia without surgery if it is not causing significant symptoms.
- Pros of open repair: Potentially quicker if large hernia
- Cons of open repair: Larger scar and longer recovery
Patient Experience
Patients may experience mild to moderate pain and discomfort after the procedure, which can be managed with prescribed pain medications. There might be some swelling and bruising around the incision sites. Most patients can resume light activities within a week and fully return to normal activities within a few weeks, following their surgeon's advice.