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Open or Laproscopic surgery for left inqinal hernia with a bulge???

Posted on 5/17/18 at 7:12 am
Posted by davidsheroes
Los Angeles
Member since May 2007
3523 posts
Posted on 5/17/18 at 7:12 am
Open or Laproscopic surgery for left inquinal hernia with a bulge???

Which surgery would you choose?
Posted by Boudreaux35
BR
Member since Sep 2007
21397 posts
Posted on 5/17/18 at 7:14 am to
I'd probably go with the Dr's advice....Since I haven't been to a Holiday Inn Express in a while.
Posted by tigerbru17
Billy in 4C
Member since Jan 2009
9815 posts
Posted on 5/17/18 at 7:15 am to
Xi Davinci.
Posted by LSUballs
RayVegas LA
Member since Feb 2008
37701 posts
Posted on 5/17/18 at 7:16 am to
You came to the right place. Piihb
Posted by Cosmo
glassman's guest house
Member since Oct 2003
120122 posts
Posted on 5/17/18 at 7:16 am to
Is it really bothering you?

Id generally avoid any surgery if I could.
Posted by LZ83
La
Member since Sep 2016
17406 posts
Posted on 5/17/18 at 7:16 am to
Lap. Less invasive. Quicker recovery
Posted by mpar98
Baton Rouge
Member since Jan 2006
8034 posts
Posted on 5/17/18 at 7:16 am to
Excellent choice for medical advice here
Posted by davidsheroes
Los Angeles
Member since May 2007
3523 posts
Posted on 5/17/18 at 7:35 am to
I have went to specialists - one says open and the other surgeon said laparoscopic.

I have read the research and that goes each way.

I came here for readers who experienced this repair and which would they choose if they had the choice again.

So, I'm asking for thoughts to help me decide.
Posted by Ace Midnight
Between sanity and madness
Member since Dec 2006
89453 posts
Posted on 5/17/18 at 7:43 am to
My doc was old school - his father was a general surgeon (although not a good one) and his brother is, as well. He recommended open and I went with that.

I had a pretty big bulge ( ) on the left. He later had to come fix a smaller one on the right a couple of years later. I had zero complications with either one.

Having said that - if I absolutely had to have the quicker recovery time, I would go lap. I had a completely normal recovery, but the fatigue is what surprised me. It was probably a good thing because I was in no hurry to exert myself - with an open you need 12 weeks and then the muscles are going to be as good as they're going to be. Laproscopic is significantly quicker across the board. I just think they can miss stuff and don't quite have access to what they need to fix it properly, particularly if it is a large hernia (like I had).

And another thing - the younger the surgeon, the more likely I would opt for a lap. Just my $0.02.

Posted by BestBanker
Member since Nov 2011
17473 posts
Posted on 5/17/18 at 7:46 am to
Posted by memphis tiger
Memphis, TN
Member since Feb 2006
20720 posts
Posted on 5/17/18 at 7:48 am to
Laparoscopic has a quicker recovery but you have to make sure the surgeon has enough laparoscopic experience to do it right otherwise recurrence rate will be higher.

All things equal, go with lap.
Posted by davidsheroes
Los Angeles
Member since May 2007
3523 posts
Posted on 5/17/18 at 9:34 pm to
I think I may go with Robotic hernia surgery.

I have reviewed many research studies and it seems like the right thing.

What do you think:

Robotic Surgery facts

Robotic surgery article

This post was edited on 5/17/18 at 9:35 pm
Posted by LSShoe1030
Kenner
Member since Aug 2014
754 posts
Posted on 5/17/18 at 9:58 pm to
Coming from an OR nurse, how much faith do you have in your doc?

A good doc, if they feel can’t do a sufficient job lap, will open up in the case. We are always prepared for open cases even for lap procedures. A lap will definetly have the best recovery. Robot cases are essentially lap but with better dexterity for the doc. They do the same thing for robot and lap. Make a few trochar holes and insert instruments. The difference being on the outside of the body the thing controlling the instruments in one is a human the other a robot
This post was edited on 5/17/18 at 10:01 pm
Posted by davidsheroes
Los Angeles
Member since May 2007
3523 posts
Posted on 5/17/18 at 10:15 pm to
That's the big question- Robotics is new - I believe within last 10 years. But many surgeons want to use the new robotic method but from what I understand the machine cost millions and some hospitals just cannot afford the machine. Therefore, their docs are not very supportive of robotics.
Posted by davidsheroes
Los Angeles
Member since May 2007
3523 posts
Posted on 5/17/18 at 10:20 pm to
Anyone has recommendations for hernia specialist who uses the laparoscopic technique or the robotic technique?
Posted by Catahoula20LSU
Louisiana
Member since Oct 2011
2094 posts
Posted on 5/17/18 at 11:33 pm to
Go lap dude
Posted by Eightballjacket
Member since Jan 2016
7305 posts
Posted on 5/17/18 at 11:38 pm to
Ask the docs if they can center the bulge.
Posted by Columbia
Land of the Yuppies
Member since Mar 2016
3131 posts
Posted on 5/18/18 at 5:45 am to
What’s more important is the Dr doing the procedure. I work in surgery and although laparoscopic or robotic are less invasive, a shitty laparoscopic job and you will be back. A piss poor surgeon can put the mesh in half assed. Your best bet is to find someone in the area that works in surgery and ask who does the best job. Don’t ask a surgeon friend. Surgeons don’t see how each other perform in surgery.

The guy I would go to in my area typically does them open and I would t hesitate to go to him. That being said, some guys do a great job laparoscopic.

Some people think because someone is a Dr that they must know everything. There are good, average and bad ones. Also, just because a surgeon is really nice in the office, doesn’t mean they are good with their hands.
This post was edited on 5/18/18 at 5:49 am
Posted by CamdenTiger
Member since Aug 2009
62355 posts
Posted on 5/18/18 at 5:55 am to
In the inguinal region, I’d go open, just too many problems with the laparoscopic approach in that region. Not that you can’t get a good result from laparoscopic approach, and quick recovery, but the complications of the internal approach are much greater, and not worth just a few more days of healing. The experience of the surgeon and his preferred technique in this area is the key...
Posted by lsufanintexas
Member since Sep 2006
5008 posts
Posted on 5/18/18 at 7:38 am to
quote:

Laproscopic surgery



Less pain, less healing time, and less big arse scar.

I did open once....ONCE. Will never do it again if I get another hernia.
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