Laparoscopic (Greek lapara – stomach, groin, scopeo – see, look) or endoscopic (Greek endon – inside, scopeo – see, look) surgical treatment of hernias is carried out with the help of special laparoscopic (endoscopic) equipment, which allows the surgeon to see everything from the inside of the surgical instrument – and through the smallest openings to perform a gentle operation.
Hernias in the areas of the navel, midline of the abdomen, groin, thigh, which cause physical limitations (discomfort, pain, restriction of movements, etc.) and (or) aesthetic defects unacceptable to humans, are subject to surgical treatment.
A modern surgical technique used to treat hernias through a minimally invasive approach. This technique allows operations to be performed using special tools and a video camera, which are inserted into the abdominal cavity through small cavities.
Laparoscopic herniology has numerous advantages compared to conventional open access. In particular, it is a lower risk of blood loss, a faster rehabilitation period and a lower intensity of pain after surgery. In addition, laparoscopic herniology is a very precise technique that allows the surgeon to see all the details of the procedure on a large screen, ensuring high accuracy in work.
In laparoscopic herniology, the surgeon can perform various types of operations to correct hernias, including removing the hernial protrusion and eliminating the causes of its formation. It is a safe and effective technique that allows the patient to quickly return to normal life after surgery.
uncomplicated and complicated umbilical hernia
uncomplicated and complicated inguinal hernia
uncomplicated and complicated hernia of the white line of the abdomen
uncomplicated and complicated femoral hernia
uncomplicated and complicated diaphragmatic hernia (hernia in the opening of the diaphragm – the muscle that separates the chest and abdominal cavities)
uncomplicated and complicated ventral postoperative hernia (hernia in the place of the postoperative scar on the anterior abdominal wall)
Gilmore's hernia (Gilmore, "sports" hernia – hernia-like changes in the inguinal canal due to significant physical exertion)
congenital internal hernia (protrusion of internal organs inside the peritoneal folds)
post-traumatic hernia (after injury)
inguinal hernia
perineal hernia
Spieghel hernia (or semilunar line hernia, lat. linea semilunaris – a type of abdominal wall hernia)
obturator hernia (lat. herniae obturatoriae, obturator hernia, is a pathology of the pelvic area, when the hernia is formed through the obturator hole between the buttock and pubic bones)
paraesophageal hernia (hernia through the esophageal opening of the diaphragm, a type of diaphragmatic hernia)
Larrey-Morgagni hernia (a type of diaphragmatic hernia, a defect in the development of the diaphragm with the formation of a hernial opening in the area of the iliac-costal triangle)
Bohdalek hernia (lumbocostal hernia – a type of diaphragmatic hernia, the hernial opening of which is located in the area of the lumbocostal triangle)
hernia of the Winslow orifice (hernia of the omental orifice) – an internal hernia of the abdomen, the opening of which is limited by the liver and ligaments of adjacent organs)
supravesical hernia (lat. hernia supravesicalis interna – protrusion through the supravesical fossa, and then either through the inguinal canal as an external hernia, or in front, behind or outside the bladder as internal hernias)
paracecal hernia (lat. hernia paracaecalis interna – an internal hernia with an opening near the cecum)
mesenterico-parietal hernia (lat. hernia mesenterico-parietalis interna – internal hernia between the mesentery and the wall of the abdominal cavity)
periduodenal hernia (lat. hernia paraduodenalis, hernia Treitzi, – internal hernia through the duodenum-small intestinal recess)
If necessary, the doctors consult people not only in Ukraine, but also in any country in the world, both in the clinic itself in Kyiv and online by prior appointment.
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You should consult a surgeon about a hernia for the following symptoms:
Advanced methods of surgical treatment of hernias.
Clinic specialists of the Valikhnovski Surgery Institute in Kyiv perform various operations on hernias. Read the list of services:
laparoscopic hernioplasty of uncomplicated umbilical hernia
laparoscopic hernioplasty of uncomplicated inguinal hernia
laparoscopic hernioplasty of an uncomplicated hernia of the white line of the abdomen
laparoscopic hernioplasty of uncomplicated femoral hernia
laparoscopic hernioplasty of uncomplicated diaphragmatic hernia
laparoscopic hernioplasty of uncomplicated ventral postoperative hernia
laparoscopic hernioplasty of complicated umbilical hernia
laparoscopic hernioplasty of complicated inguinal hernia
laparoscopic hernioplasty of a complicated hernia of the white line of the abdomen
laparoscopic hernioplasty of complicated diaphragmatic hernia
laparoscopic hernioplasty of complicated ventral postoperative hernia
transabdominal preperitoneal plastic surgery of the inguinal canals (TAPP)
total extraperitoneal plastic surgery of the inguinal canals (TEP)
intraperitoneal onlay mesh (IPOM) for ventral postoperative hernias
surgical treatment of Gilmore's hernia (sports hernia)
surgical treatment of congenital internal hernias (lat. hernia abdominalis interna)
surgical treatment of post-traumatic hernias
surgical treatment of inguinal hernias
surgical treatment of perineal hernias (herniae permeates)
surgical treatment of a hernia of the Spieghel line
surgical treatment of hiatal hernia (lat. herniae obturatoriae)
surgical treatment of paraesophageal hernias
surgical treatment of Larrey-Morgagni hernia
surgical treatment of Bohdalek hernia
surgical treatment of Winslow hernia
surgical treatment of supravesical hernia (lat. hernia supravesicalis interna)
surgical treatment of paracecal hernia (lat. hernia paracaecalis interna)
surgical treatment of mesenteric hernia (lat. hernia mesenterico-parietalis interna)
surgical treatment of duodenal hernia (lat. hernia paraduodenalis, hernia Treitzi)
diagnostic laparoscopy in surgery
The main danger of hernias is that if they are strangulated, life-threatening conditions may develop, as blood circulation is disturbed in the compressed contents of the hernial sac, tissues die, inflammation of the peritoneum and internal organs, intoxication develop.
in the case of taking any drugs, inform the doctor about it and agree with him (it may be necessary to limit them or change the dose, regimen)
for a few days before the operation, follow a gentle diet, water-drinking regime; if there is constipation, take laxatives, use enemas and do not drink alcoholic beverages – so that the body reacts more adequately and predictably to anesthesia and other drugs
refrain from eating for 6–12 hours before the operation, and for 2–4 hours also do not drink, do not use chewing gum, do not smoke – to prevent stomach contents from entering the respiratory organs during anesthesia
on the day of the operation, take a shower, cleanse the intestines with an enema – so that during anesthesia, due to the relaxation of the sphincters, feces do not come out involuntarily
removable objects (piercing jewelry, prostheses) should be removed from the oral cavity and face – so that during the operation they do not accidentally enter the respiratory organs or interfere with the surgical intervention
remove other items (contact lenses, hearing aids, jewelry, etc.) – so that they do not accidentally injure the body and do not get spoiled
cosmetic products (makeup, nail polish, artificial nails) should be removed from the body – to facilitate visual assessment of the body's condition and automated registration using medical equipment
empty the bladder and, if necessary, the intestine – so that this does not happen involuntarily during anesthesia
changing into special clothes, which are given in the clinic
addition, other preparatory measures may be carried out taking into account the individual characteristics of the organism and the specifics of the surgical intervention
The main stages:
on a gurney or escorted on foot. In the airlock room, a medical cap and shoe covers are put on (to prevent microorganisms from entering the air of the operating room).
trauma are performed by an operational team of a certain composition, taking into account the specifics of each operation.
(depending on the specifics of the operation, the position of the body may differ), fixed to it with special straps.
performs a vein puncture on the hand, installs a catheter to administer the necessary drugs, installs electrodes on the body to monitor the electrical activity of the heart, puts a tonometer cuff on the shoulder, and a sensor to determine the oxygen content in the blood. All this is necessary for continuous monitoring of the body's condition during anesthesia and surgery.
depends on the specific task, the part of the body on which the intervention is carried out, corresponds to the features of the selected surgical tactics, technique.
After surgery, the patient wakes up in the ward for postoperative observation. If necessary, oxygen can be supplied through a thin tube to provide the body with a sufficient amount of oxygen. The nurse will carefully monitor the condition of the body and, if necessary, apply drugs agreed with the doctor.
Before patient’s return home, the doctor will examine the areas where the intervention was performed, agree on the tactics of further rehabilitation, give additional advice on preventing the recurrence of hernias.
Laparoscopic hernioplasty is performed on the LEMKE endoscopic stand.
Total One day stay in the hospital.
Seamless technique, painless method, quick rehabilitation after surgery, only 1-2 days.
Compared to competitors, the operation time is 2.5-3 times shorter, and the rehabilitation period is 3.5-4 times shorter, respectively.
All, without the exception of hernioplasty, are performed laparoscopically.
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Hernioplasty (hernia surgery) – surgical treatment of hernias (from Latin hernia – hernia, plasticus – sculpting, forming). For this, laparoscopic surgery (hernia surgery) can be performed.
The duration of the hernioplasty operation is 30–60 minutes.
Despite the differing point of view about the conditional “ease” of surgical treatment of hernias (especially prophylactically, non-compacted ones), this is a full-fledged surgical intervention with all the risks, which are caused to a large extent by factors independent of the medical staff and the clinic. Therefore, the guarantee applies to implants and other medical consumables and equipment, the fair use of leading medical technologies, the involvement of highly qualified specialists and the implementation of the principles of good clinical practice.
Preparation for laparoscopic hernioplasty operations includes preliminary examination and consultation of the surgeon, comprehensive examination, consultation of related specialists (if necessary), etc. Immediately before the operation, the principles of preparation do not differ significantly from those generally accepted in surgery, since general herniology is an integral part of surgery.
Possible complications after laparoscopic herniology operations include general surgical (bleeding and thrombosis, infectious-inflammatory conditions, etc.) and more specific to this field (postoperative defects, repeated hernias, etc.). Careful preparation for the operation, highly qualified and experienced medical staff, modern high-tech equipment and coordinated work of the medical team and other staff of the clinic minimize the risk of complications.
Contraindications to herniological operations are conditions, the severity of which critically increases the risks of surgical treatment, for example, infectious, mental, gastrointestinal, diseases, etc.
