Leading Laparoscopic Hernia Surgeon Less Pain and Return to Work Earlier Faster recovery and shorter waiting time
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The Hernia Operation

The hernia operation is performed under a general anaesthetic.  There are two laparoscopic ports or incisions used, one around the umbilicus and one 5 mm port on the opposite side of the hernia.  If the patient requires a bilateral hernia repair, where there are hernias on both sides, it is usually performed at the same time with an additional 5 mm port on the other side.

The mesh used is polyester and measures approximately 10cm x 15cm. This is a new style of mesh, it is larger than the size used in the past and is made from a lighter material with less risk of shrinkage, allowing for more adequate coverage and better outcomes. 

In our practice, the operation of first choice is a laparoscopic hernia repair which is performed in 95% of cases, as an extra-peritoneal repair with the use of special equipment such as a balloon to create the necessary space outside the abdominal wall.  For some patients, our clinic would use an intra-peritoneal repair from inside the abdomen and would perform an open hernia repair under local sedation for patients with conditions such as chronic respiratory disease or patients who present as a high general anaesthetic risk such as obese patients and those who are oxygen dependant.  

With umbilical hernia repair, because of the minor incisions performed around the umbilicus, which is the size of a port, laparoscopic repair is not an option.