Laparoscopic Hernia Repair
A minimally invasive procedure to repair a defect in the abdominal wall by returning herniated viscera to the peritoneal cavity. A prosthetic mesh is typically secured over the weakened fascia to reinforce the area and reduce the risk of recurrence.
Surgical instruments
18 on this table — tap a photo to zoom, the name for its full card.
The case
Spark notes
The 30-second rundown — scan this outside the room.
- Make incisions using a 15 or 11 blade for 2-3 5mm ports and a 12mm or 8mm port
- Separate tissue using bowel or wave graspers, scissors, Maryland or bullet grasper
- Place mesh with a mesh tacker or suture to prevent reoccurrence
- Close port sites with monocryl and dress with skin glue
Walkthrough
What the surgeon does — and what to have in your hand before they ask.
Incisions
During a Laparoscopic Hernia Repair, the surgeon will start by making incisions where the ports will go. This is done using a 15 or 11 blade. The number of ports required is usually 2-3, and they are typically 5mm in size. Additionally, either a 12mm or 8mm port will be placed.
Separating Tissue
To separate the tissue from the hernia inside the abdomen, the surgical team will use bowel or wave graspers. These instruments are used throughout the surgery to grasp and pull the tissue. Scissors, a Maryland, or a bullet grasper may also be used to help separate the tissue.
Placing Mesh
Once the hernia has been emptied of bowel, a piece of mesh is usually placed to prevent reoccurrence. This is done using either a mesh tacker or suture. The mesh is held in place using these instruments to ensure it stays securely in place.
Closing Port Sites
After the mesh has been placed, the gas will be turned off, and the port sites will be closed. The surgeon will use monocryl to close the port sites. This is commonly used for closure as it is an absorbable suture. Skin glue is usually used for a dressing as it is quick and easy to apply, and provides an excellent seal over the incision site.
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