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Broadcast:
Minimally Invasive Inguinal Hernia Repair
Step inside the operating room at the University of Maryland Medical Center in Baltimore and watch a laparoscopic totally extraperitoneal inguinal hernia repair. This operation is referred to as "a total extraperitoneal repair" because the operating surgeon will actually be going through multiple layers of the abdominal wall but not all the way into the abdominal cavity. There is a sack that envelopes the intestines called the paradigm. That sack will not be violated. By watching this webcast, you will see how the surgeon is able to repair the hernia through a pocket of air that is created between the abdominal wall and that paradigm sack. Through tiny incisions and the use of small instruments, a piece of mesh, approximately 4 by 6 inches in size, will be placed behind the abdominal wall muscle and used to repair the hernia.
It is estimated that nearly 5 million Americans suffer from hernias every year, though only 750,000 seek medical attention. Once a hernia develops, it will not resolve itself and that is why some people opt for surgery.
Hernias are caused most commonly from overexertion through lifting, although many patients have absolutely no recollection of what caused their hernia. Some patients will notice an asymptomatic bulge, very commonly in the shower. Sometimes they are detected in a routine physical examination. In most cases it is probably a series of multiple repetitive traumas which add up, causing the bulge. They are common in heavy laborers and athletes.
University of Maryland Medical Center is a leader in minimally invasive surgery The University of Maryland Medical Center has been a leader in minimally invasive surgery since its inception. There have been surgeons here that have been instrumental in the development of laparoscopic technology in laparoscopic instrumentation. We have surgeons specializing in all facets of laparoscopic surgery, including hernias, anti reflux surgery, colon surgery, solid organ surgery, such as spleen removal and adrenal surgery and we offer the latest techniques in all of laparoscopic surgery.
Benefits of laparoscopic hernia repair At the University of Maryland, we always feel it's beneficial to have surgery by the experts. Laparoscopic surgery is becoming increasingly prevalent and is performed all around the country in community hospitals. However, having surgery by an expert in their field that performs hundreds of an operation per year offers an advantage to patients instead of having surgery by someone who does one or two of an operation on an infrequent basis, it makes sense to have surgery by someone who performs an operation regularly and that's been shown to have improved outcomes in many surgical areas.
Participants
Featuring:
Adrian Park, MD, FACS, FRSC
Stephen Kavic, MD
Mark Kligman
Patricia Turner, MD