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Diagnostic laparoscopy as the definitive means of hernia detection?
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Diagnostic laparoscopy as the definitive means of hernia detection?
Dr Goldstein
Rarely have a read a response that provides an answer so clearly and concisely.
Just wanted you to know.
JG
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Diagnostic laparoscopy as the definitive means of hernia detection?
I would agree with Dr. Goldstein. Often there is fat from the retroperitoneum that is contained in a small hernia or at least as a cord lipoma that can cause pain when a transabdominal lap approach is used. This often is not seen intra-abdominal and the peritoneum must be opened to see it. Dr. Szotek
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Diagnostic laparoscopy as the definitive means of hernia detection?
It’s not that simple. First, even though laparoscopy is a fairly low risk procedure, it is not risk free and that risk goes up significantly in patients with prior surgery. Second, small fat containing hernias are not always seen in a standard laparoscopy. The peritoneum needs to be opened which adds significantly to the procedure. Third, a hernia may or may not be the cause of pain and sometimes the only way to know is to do a repair, which can actually make things worse. The bottom line is that there are no easy answers and the decision has to come after a detailed discussion between the patient and surgeon.
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