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June 2012 Hernia Newsletter >>
Clinical Scenario: Laparoscopic Repair of Right Inguinal Hernia
A patient with a reducible right inguinal hernia undergoes laparoscopic repair. During surgery, a femoral hernia is also discovered and repaired. Two weeks after surgery, the patient has recovered and returned to normal activity.
A 53-year-old man in otherwise good health presented with a reducible right inguinal hernia that was 4 to 5 cm wide. Although the hernia has caused him little pain to date, it appears to be increasing in size. His work and personal responsibilities require significant heavy lifting, and he is concerned that the hernia will eventually impede his activity.
Approximately 10 years earlier, the patient had undergone open repair of a left inguinal hernia. At that time, he had requested that the surgeon use an open approach and a specific type of mesh because of its purported lower recurrence rate.
The patient indicated that minimizing the risk of recurrence was still important with the treatment of the right hernia. However, due to work and family responsibilities, he was most concerned with making a fast recovery.
He was scheduled for elective laparoscopic preperitoneal inguinal hernia repair with mesh. During the procedure, surgeons also encountered a femoral hernia, which they reduced and repaired.
After surgery, the patient went home the same day and recovered with no complications. By his two-week follow-up, he had discontinued all pain medications and had resumed normal activity.
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