How is the Procedure Performed?
There are two general options for inguinal hernia repair: the open approach and the laparoscopic approach. The open approach requires a three to five inch incision in the groin area. The hernia defect is identified and repaired using a piece of surgical mesh. Local anesthetic and sedation as well as spinal anesthetic or a general anesthetic are used for this procedure. In a laparoscopic hernia repair, 3 small incisions are made where a small thin camera called a laparoscope and two working instruments are inserted through the abdominal wall. The layers of the abdominal wall are separated and the space is maintained with carbon dioxide gas. This grants the surgeon access to the hernia defect and the surrounding tissues and allows for dissection and placement of the mesh. Laparoscopic inguinal hernia repair is done under general anesthesia.