Hernia surgery is undergoing continuous change in technique to improve results and to meet high expectations of the patient.
No more is one surgery held as treatment for all and neither is one technique. Each case is evaluated and strategy tailor made. Thus, we now perform open Stoppa repair, component separation procedure, laparoscopic IPOM to name a few. In some cases, a prior weight loss surgery (bariatric surgery) is even done to optimise results.
Here is a case of post pelvic surgery incisional hernia which had been repaired 3 times by open technique. We repaired it laparoscopically.
Some of the critical steps of the procedure that are crucial to good outcome such as careful adhesiolysis, raising of peritoneal flaps, suture closure of the defect, large mesh and strategic fixations are shown.
Watch the video right here: