- Umbilical, Inguinal, others: These are hernias that protrude through the anterior abdominal wall and are visible to the patients usually. They present with a bulge to through the hernia defect, pain at the site of the hernia, and sometimes if complicated and has a piece of bowel in the hernia defect itself, symptoms of bowel obstruction partial or complete. There is no alternative to surgery for hernias. Watchful waiting can be done in selected high-risk patients.
Hernia repair can be both done open and laparoscopic. The open method carries a higher risk of wound complications and seroma formation (fluid accumulation at the hernia site) than the laparoscopic approach. In good hands, they are equivalent in success rate. Mesh is always used in laparoscopic hernia repair. Recovery in Laparoscopic is faster with less pain than open hernia repair as well.Our experience with these hernia is great, using all the laparoscopic techniques (Total extraperiteal repair (TEP) or Trans-Abdominal Pre-Peritoneal repair (TAPP)).