✦ HERNIA SURGERY · LAPAROSCOPIC

Laparoscopic Hernia Repair

Q: Is laparoscopic hernia repair suitable for all patients?

Laparoscopic repair is suitable for most patients. Very large defects or prior extensive abdominal surgery may require open repair.

Q: What is the difference between TEP and TAPP?

TEP (Totally Extraperitoneal) places mesh without entering the peritoneal cavity. TAPP (Trans-Abdominal Preperitoneal) enters the abdomen first — preferred for bilateral, recurrent, or complex cases.

Q: When can I return to exercise after laparoscopic hernia repair?

Light activity in 1 week. Office work in 1–2 weeks. Strenuous exercise restricted for 4–6 weeks until the mesh has fully integrated.

Minimally invasive keyhole hernia repair with mesh — under 1% recurrence, day surgery, rapid recovery.

45–90 Min TREATMENT DURATION

Day Care / 1 Day CARE SETTING

Laparoscopic APPROACH

1–2 Weeks RECOVERY TIMELINE

What is Laparoscopic Hernia Repair?

Laparoscopic hernia repair uses 3–4 small keyhole incisions to place a polypropylene mesh reinforcing the hernia defect from within. Technique depends on hernia type — TEP or TAPP for inguinal/femoral, IPOM for incisional and ventral hernias. All achieve under 1% recurrence with mesh. Dr. Tagore Mohan Grandhi performs all laparoscopic hernia repair techniques — TEP, TAPP, and IPOM. Bilateral inguinal hernias are repaired simultaneously through the same 3 incisions. Day surgery with return to work in 1–2 weeks.

Suitable for most patients with inguinal, femoral, umbilical, incisional, or ventral hernias — particularly bilateral inguinal hernias (both sides repaired simultaneously).

How the Procedure Works

Port Placement

3–4 small incisions (5–12 mm). Laparoscopic ports placed. CO₂ pneumoperitoneum creates working space.

Hernia Identification

Hernia sac and defect identified laparoscopically. Contents reduced. Defect measured for mesh sizing.

Mesh Placement

Large polypropylene mesh (15×10 cm minimum) placed covering the defect with 3–5 cm overlap beyond defect in all directions.

Mesh Fixation

Mesh fixed with tacks or sutures. Peritoneum closed over mesh for TAPP. Fascial closure at 12 mm ports.

Recovery

Day surgery. Return to light activity in 1 week. Heavy lifting restricted for 4–6 weeks.

Outcomes

45–90 MinTREATMENT DURATION

Day Care / 1 DayCARE SETTING

LaparoscopicAPPROACH

1–2 WeeksRECOVERY TIMELINE

Who Needs This Treatment?

→Under 1% recurrence — equivalent to or better than open mesh repair
→3–4 small incisions — significantly less post-operative pain
→Day surgery — home the same day for most patients
→Bilateral hernias repaired simultaneously through the same 3 incisions

Laparoscopic hernia repair gives patients the best of all worlds — under 1% recurrence, 3 small incisions, home the same day, and back to work in a week. For bilateral hernias, we fix both sides through the same 3 incisions.

— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Is laparoscopic hernia repair suitable for all patients?+

What is the difference between TEP and TAPP?+

When can I return to exercise after laparoscopic hernia repair?+

Not sure which treatment is right for you?

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