Clinical Overview
Laparoscopic Incisional Hernia Repair is an advanced technique used to repair a hernia that has formed through a previous surgical scar. Dr. Janak Malu places a specialized mesh beneath the scar site laparoscopically to reconstruct and reinforce the abdominal wall.
Incisional hernias develop at the site of a prior abdominal surgical scar due to muscle weakness. Dr. Janak Malu performs advanced laparoscopic repairs (and abdominal wall reconstructions) placing a large mesh to support the weakened wall, avoiding large open wounds and reducing recurrence rates.
Symptoms & Indications
If you are experiencing any of the following symptoms, a consultation with Dr. Janak Malu is highly recommended to explore your options:
The Surgical Process
Here is a step-by-step breakdown of how the advanced minimal access procedure is performed:
Anesthesia
Performed under general anesthesia.
Adhesiolysis
The surgeon carefully detaches internal organs or scar tissues adhering to the abdominal wall.
Reduction
The hernia sac content is fully reduced back into the abdominal cavity.
Mesh Fixation
A composite dual-sided mesh is placed, overlapping the defect by at least 3-5 cm, and secured using secure tacks or sutures.
Closure
Suturing keyhole incisions.
Laparoscopy vs Open Surgery
Understand the clinical differences and benefits of minimal access keyhole surgery compared to conventional methods:
| Feature | Laparoscopic Incisional Repair | Open Abdominal Reconstruction |
|---|---|---|
| Incision Risk | Very Low (no large wound exposed) | Higher due to large skin flap dissection |
| Overlap Coverage | Excellent, placed internally | Limited in some cases |
| Recovery Time | 5 to 7 days | 4 to 6 weeks |
Why Choose Laparoscopic Approach?
- Avoids reopening the old, scarred surgical wound, which significantly reduces wound infection risks.
- Shorter hospital stay and faster healing compared to large open reconstructions.
- Strong abdominal wall support using wide-coverage composite meshes.
- Less postoperative pain, allowing early mobilization.
Recovery Timeline & Post-Op Guidelines
Patient mobilization and customized home-care directives facilitate safe and prompt healing:
In-patient monitoring. Gradually move onto a normal soft diet and walking.
Discharged, light activities allowed. Wear an abdominal binder support belt as advised.
Surgical site is well-healed. Safe to resume heavy exercises and routine gym work.
Frequently Asked Questions
Find answers to common concerns regarding the procedure, safety, and hospital directives:
Q: Why did my old incision turn into a hernia?▼
Q: What is an abdominal binder?▼
Q: How long should I wear the abdominal binder after incisional hernia repair?▼
Q: Is laparoscopic repair safer than open repair for incisional hernias?▼
Request Consultation
Consult with Gold Medalist surgeon Dr. Janak Malu regarding Incisional Hernia diagnostics, cashless insurance, and surgery costs at Janahit Hospital.
Expert Surgeon
Dr. Janak Mahesh Malu
Gold Medalist Surgeon
MBBS, MS (Surgery), FNB-MAS (Minimal Access Surgery)