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Experience and Vision of endoscopic hernia repair

 

Experience and vision of Endoscopic Hernia Repair

The experience and the advanced skills of the surgeon in selecting his patient for a particular procedure, which he is highly skilled to do, are the most important factors for having perfect results of this procedure, or any other surgical procedure. The patient himself plays also an important role in the outcome of surgery, whether being an open or minimal invasive surgery. Chronic diseases such as diabetes or obesity are all risk factors which may in a way or another affect negatively the outcome. Therefore, The most important factors for successful outcome  are patient selection, patient co-operation, and experienced surgical hands. These three factors should meet together.       

The endoscopic hernia surgery is now one of the most commonly performed general surgical procedures in practice. Evidence in the literature does not point to either the open or endoscopic repair approaches to be superior or inferior to each other. It is the surgeon’s preference that will dictate the best approach of each case after analysing the risk/benefit ratio followed by a detailed explanation and education of the patient.

According to studies regarding follow-up after endoscopic hernia surgery, low morbidity and recurrence rates are clearly documented. It is a safe procedure with very low rate of complications.

During surgery there are some tricks used by an experienced surgeon in each step will makes the difference.

The procedure takes usually 30-45 minutes depending on if it is unilateral or bilateral hernia. It is normally a one-day surgery unless the patient has any other heath problems. In this case this should be done as an inpatient rather than an outpatient. The patient will be discharged on the same day about 3-4 hours after surgery.

We recommend no driving for the first 2 days especially while taking a painkiller. The recovery time varies, but it is approximately 1 week. Some patients return to work even after 2 days. Strenuous exercise should stop until 4 weeks.   

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