Do All Laparoscopic Surgeons Have Skills in Both Intra- and Extraperitoneal Hernia Repair? - Surgery

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When consulting a physician again, do all surgeons who perform laparoscopic minimally invasive hernia surgery possess the skills for both intraperitoneal and extraperitoneal hernia repair techniques?

Mr. Li, 50~59 year old female. Ask Date: 2023/03/03

Dr. Chen Ronghong reply Surgery


Hello Mr.
Li, it is not necessarily the case; the techniques of the two procedures have slight differences, and the physician may have only learned (or be accustomed to) one of the techniques.

Reply Date: 2023/03/03

More Info


The question of whether all laparoscopic surgeons possess skills in both intra- and extraperitoneal hernia repair is nuanced. Not all surgeons who perform laparoscopic hernia repairs are trained or experienced in both techniques. The skills required for intra- and extraperitoneal approaches differ, and many surgeons may specialize in one method over the other based on their training, experience, and the specific needs of their patients.

Intra-abdominal (intra-peritoneal) hernia repair involves accessing the abdominal cavity to repair the hernia from within. This technique allows for direct visualization of the hernia and surrounding structures, which can be advantageous in complex cases. On the other hand, extraperitoneal hernia repair involves placing the mesh outside the peritoneal cavity, which can reduce the risk of complications such as adhesions and may lead to less postoperative pain.
Surgeons often choose their preferred technique based on various factors, including the type of hernia, the patient's medical history, and their own training background. Some surgeons may have extensive experience in one approach and limited exposure to the other. Therefore, it is essential for patients to inquire about their surgeon's specific experience and proficiency with the technique being proposed for their hernia repair.

In addition, the choice of technique can be influenced by the type of hernia being treated. For example, inguinal hernias may be more commonly addressed with laparoscopic techniques, while ventral hernias might be approached differently depending on their size and complexity. Surgeons may also consider the patient's anatomy and any previous surgical history, such as prior abdominal surgeries, which could affect the choice of repair method.

When considering laparoscopic hernia repair, patients should have a thorough discussion with their surgeon about the specific technique that will be used, the surgeon's experience with that technique, and any potential risks or benefits associated with it. This conversation can help ensure that the patient feels confident in their surgical plan and understands what to expect during recovery.

In summary, not all laparoscopic surgeons are equally skilled in both intra- and extraperitoneal hernia repair techniques. The choice of technique often depends on the surgeon's training, experience, and the specific characteristics of the hernia. Patients should actively engage in discussions with their healthcare providers to ensure they receive the most appropriate care for their individual circumstances.

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