FESS -Functional Endoscopic Sinus Surgery in Kanpur

CONDUCTING LAPAROSCOPIC HERNIOPLASTY FOR INGUINAL HERNIA

The order of the operation

The case is put into a state of medicine- convinced sleep using general anesthesia. At the spots of unborn perforations, small cuts are made, 15 and 5 mm. The minimal length of the lacerations promotes rapid-fire towel mending.

The coming stage is the preface through perforations of special tubes-laparoports, through which, in turn, manipulators are introduced.

The place of insertion of the first trocar is the umbilical region. A laparoscope with a connected videotape camera is also fitted then. It allows the surgeon to examine the abdominal depression, identify the rudiments of the hernia-the hernial sac and hernial perforation, anatomical milestones, and also diagnose other abnormalities in the abdominal depression.

With the help of tools, a hernial sac is insulated, a special mesh- implant is attached to the area of the disfigurement in the posterior wall of the inguinal conduit, which closes all possible places of inguinal and femoral hernia conformation. The implant is fixed by means of special classes (both absorbable andnon-absorbable braces can be used).

The plastic is finished by covering the implant with the peritoneum to help the contact of the polypropylene mesh with the abdominal organs and to help the development of the adhesion process. Instruments and laparoports are removed, ornamental absorbable sutures are applied to the lacerations, which don't bear junking. Hernioplasty takes about an hour on average.

In ultramodern surgery, in some cases, the system of combined hernia treatment is used. In this case, a small gash is made in the area of the projection itself, the hernial sac is insulated, and the factual plastic is performed laparoscopically. This system is indicated for large sizes of the hernial sac, for illustration, with inguinal-scrotal hernias.

Another option for an inguinal hernia form is the Liechtenstein operation. This is an open surgery in which the inguinal conduit is also strengthened without pressure using a mesh implant. This operation can be performed under original or original anesthesia without resorting to anesthesia, thereby reducing anesthetic pitfalls.

Recuperation PERIOD

After the operation, the case is transferred to the sanitarium ward. Nearly incontinently after the operation, you can get up and move on your own. Mild nausea is possible after surgery. You can take food after a many hours.

In the first many days, slight soreness at the point of the intervention is possible. Pain relievers are specified to relieve pain. There's no need for constant supervision at the clinic, but each case has a round-the- timepiece connection with the operating surgeon.

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