Laparoscopic Mesh Repair for Umbilical/Ventral Hernia (IPOM)
Laparoscopic intraperitoneal onlay mesh (IPOM) repair is an endoscope-assisted surgical procedure during which a synthetic mesh is placed within the abdominal cavity to fortify the space; it offers a lasting remedy with quicker recovery and small cuts, and a lot fewer postoperative pains, as one would expect from any other traditional open surgery
Overview
An umbilical and ventral hernia is formed when tissues or organs protrude through a weakness in the abdominal wall. Umbilical and ventral hernias exist around the navel known as the belly button or ventral hernias along the midline of the abdomen. Both the umbilical and ventral types of hernias respond very well to a laparoscopic IPOM repair-which is a minimally invasive procedure using a mesh to support the abdominal wall and diminish recurrence. A laparoscopic surgeon as experienced, Dr. Sarath Kumar Reddy can result in the best outcome with this kind of surgery.
Symptoms
Umbilical/Ventral Hernia Symptoms
The following are symptoms that may be indicative of an umbilical or ventral hernia
- Lump close to the belly button or abdomen, often noticeable when standing or trying to strain
- Pain or tenderness around the area of the lump and worsen with any physical exertion or effort to lift.
- Nausea or vomiting (severe cases may indicate strangulation of the hernia)
If such symptoms arise, it should be visited a laparoscopic surgeon for proper diagnosis and treatment.
Diagnosis
The surgeon may use various diagnostic techniques to diagnose the presence and severity of an umbilical or ventral hernia including:
- Physical examination: The first line of assessment to detect any palpable bulge or weaknesses in the abdominal wall.
- Ultrasound: Helps visualize the hernia and the surrounding structures.
- CT scan or MRI: This would give a clear, more detailed view of large and complex hernias. These help in making further planning for surgery.
The surgeon can now have all this information to form his personalized treatment plan tailored specifically for the hernia in question.
Treatment Options
Laparoscopic IPOM Mesh Repair
In IPOM, the technique of surgery entails introducing a laparoscope into a couple of minor incisions that are done on the abdomen. Using the laparoscope, a mesh of synthetic is used by the surgeon to overlay the hernia region. It is a minimal invasion procedure; therefore, a patient stays in the hospital for a short period while staying there to recover from surgery. The patient is in less pain after surgery due to the minimal invasiveness. A properly anchored mesh reinforced the region, which was weak to thus reducing the rate of hernia recurrence to very minimum.
Open Hernia Repair
Sporadically, an open hernia repair would be needed, especially when the hernia is enormous or during a previous complicated surgical operation. There would be longer recovery with the open procedure, and more often incisions are large, however laparoscopic IPOM mesh is often the first procedure to the hernias needing extensive manipulation and dissection.
Post-Treatment Care
Post-hernia repair by IPOM, follow-up visits with a surgeon are essential: they ensure that healing is taking place and that there are no signs of infection or recurrence.
Dietary Considerations
A diet rich in smooth digesting food is advisable to prevent straining on the abdominal area:
- High-fibre food: Prevents constipation that keeps pressure off the repair site.
- Hydration: Drinking plenty of water supports overall recovery and digestive health.
Physical Activity
Light exercise, such as walking, is commonly suggested to aid in recovery; however, strenuous exercise and heavy lifting should be avoided for several weeks following the surgery. Patients should ask their surgeon about when to resume exercise or labor work.
FAQs
Q1: How effective is laparoscopic surgery for colon cancer?
A: Laparoscopic surgery is highly effective for many patients with colon cancer, offering a minimally invasive option that typically results in a quicker recovery.
Q2: What is the recovery period like after a colectomy?
A: Recovery can vary, but most patients can return to normal activities within a few weeks. Follow-up care is essential to monitor for recurrence and manage any side effects.
Q3: Are there risks associated with colectomy?
A: As with any surgery, there are risks, including infection, bleeding, and complications related to anesthesia. However, the benefits often outweigh the risks, particularly for cancer treatment.
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DR SARATH KUMAR REDDY A
MBBS, MS (Gen.Surgery), FMAS, MRCS (Edin), FIAGES, FRCS (UK) (Colorectal Surgery), FALS (Robotic Surgery), FALS (Surgical Oncology)
Sr. Consultant - Surgical Oncology
Laparoscopic & Robotic Surgeon
Surgical Oncology
Language Known:
- Hindi
- Telugu
- English
- 20 years of extensive experience
- Successfully performed 3500+ surgeries including open, laparoscopic and robotic techniques
- Trained from premier institutions in India and the UK
- Gold medallist- Osmania Medical college, Hyderabad
