Is endoscopic hernia repair permanently effective?

How endoscopic hernia repair works

Endoscopic hernia repair is a minimally invasive procedure used to treat hernias by using an endoscope to view the area inside the body and repair the defect. Unlike traditional open surgery, this endoscopy requires only small incisions, which leads to quicker recovery and less postoperative pain.

Here’s how the endoscopic procedure is performed:

• Preparation and anesthesia: Before the surgery, the patient is given either general or local anesthesia to ensure comfort throughout the procedure. The choice of anesthesia depends on the size and location of the hernia as well as the patient’s overall health.
• Small incisions: Once the patient is comfortable, the surgeon makes one or more small incisions, typically about half an inch, in the affected area. These incisions are much smaller than the ones used in traditional surgery, allowing for faster healing and less scarring.
• Insertion of the endoscope: An endoscope, which is a thin tube with a light and a camera at the end, is inserted through one of the incisions. The camera provides the surgeon with a clear view of the inside of the body on a monitor, allowing for precise repair.
• Repairing the hernia: Through the small incisions, specialized surgical instruments are inserted to push the organ or tissue back into its correct position. The surgeon may use mesh to reinforce the area and prevent the hernia from recurring. This mesh is often secured using staples or sutures.
• Closing the incisions: After the hernia is repaired and reinforced with mesh, the surgeon carefully removes the instruments and closes the small incisions using stitches or adhesive strips. This step is crucial to minimize the risk of infection and promote faster healing.

Is the procedure permanently effective?

Endoscopic hernia repair is often considered a highly effective treatment for hernias and in most cases, the procedure offers long-term relief.

The success rate of endoscopic hernia repair is high, with many studies reporting a recurrence rate of around 1 to 5%. However, this can vary depending on the type of hernia, the skill of the orthopedic surgeon doctor, and the patient’s adherence to postoperative instructions.

Inguinal hernia repairs, for example, have a success rate of over 90%. Meanwhile, femoral hernia repairs tend to have a slightly higher recurrence rate, particularly in older adults.

Although highly effective, endoscopic hernia repair is not a permanent solution, as the long-term results can be influenced by several factors:

• Mesh failure: In rare cases, the mesh can become damaged, shift, or cause complications, leading to a recurrence of the hernia.
• Obesity and lifestyle factors: Patients who are overweight or have a sedentary lifestyle may have a higher risk of developing a recurrent hernia.
• Age and health: Older adults may have weaker tissues, which could make it harder for the body to heal properly. Chronic health conditions such as diabetes can also impact the healing process and the long-term effectiveness of the procedure.

Post-procedure notes after endoscopic surgery for hernia

Recovery after endoscopic surgery for hernia repair is generally faster and less painful than traditional surgery, but it is still important to follow post-operative instructions carefully to ensure proper healing and prevent complications.

Immediately after surgery

• Pain Management: Most patients experience some discomfort after the procedure, but this can typically be managed with over-the-counter pain medications. If stronger pain relief is needed, your doctor may prescribe something more potent.
• Monitoring: Typically, for a few hours, you will be monitored for a short period in a recovery room to ensure there are no immediate complications.

What to expect during recovery

• Follow-up appointments: After endoscopic hernia repair, a follow-up appointment with your surgeon is scheduled to check the incisions, ensure proper healing, and address any concerns you may have.
• Avoiding strenuous activity: For several weeks, you will need to avoid heavy lifting and strenuous physical activities. Your doctor will provide a timeline for when you can safely resume normal activities.
• Dietary guidelines: A balanced, nutritious diet can aid the healing process. It is important to stay hydrated and avoid constipation, as straining during bowel movements can put stress on the repair.

Long-term care and considerations

• Maintaining a healthy weight.
• Avoiding heavy lifting for a period after surgery.
• Regular check-ups with your doctor to monitor your recovery.

Endoscopic hernia repair offers a minimally invasive, highly effective solution for hernia treatment, with reduced recovery times and less postoperative pain. By following proper post-surgery care and lifestyle recommendations, you can expect long-term relief and a low recurrence rate.