News Feed › Discussions › Diagnostic laparoscopy as the definitive means of hernia detection? › Diagnostic laparoscopy as the definitive means of hernia detection?

  • drtowfigh

    Moderator
    June 25, 2016 at 4:27 pm

    Diagnostic laparoscopy as the definitive means of hernia detection?

    Wes,

    It’s not uncommon to perform a laparoscopy and miss a hernia. If the hernia is plugged with extraperitoneal fat, then a typical intraperitoneal exploration will not show the hernia hole. A complete exploration in the right setting should include taking down the peritoneum and looking right at the muscle itself, without anything obstructing the view.

    I do not recommend placing mesh if there is no hernia. That can cause mesh-related complications and treating that is complicated and frought with risks, as Jgens points out.

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