Asymptomatic hernias can be followed temporarily, but large, painful hernias should be operated.
There are 2 types of surgery.
Open Technique: Over time, the surgical procedures have changed. Before recurrence rates and post-operative pain complaints are high, now we perform mesh operations. (tension free surgery)
Laparoscopic technique: Small cuts of 0.5 cm to 1 cm are made hernia is repaired from behind the abdominal wall and with long thin instruments. It is done under general anesthesia. Laparoscopic hernia repair is performed using a mesh. This mesh is placed on the peritoneum, which is lowest layer of the abdominal wall. There are 2 types of laparoskopic surgery. TEP (Total Extraperitoneal) or TAPP (Transabdominal Preperitoneal). The first of these methods do not enter the abdomen and in the second method is entered into the abdomen, the mesh is placed on the peritoneum.
Meshes changed over time. Three-dimensional meshes have been developed, and these meshes do not need to be fixed because they are seated in the area. Thus, postoperative pain is very low.