What instrument is used in laparoscopic inguinal hernia repair?

What instrument is used in laparoscopic inguinal hernia repair?

Laparoscopic inguinal hernia repair uses an instrument called a laparoscope. Between two and four small incisions are made through the abdominal wall through which are passed the laparoscope (a thin telescope with a light on the end) and surgical instruments into the abdomen. The incisions are small,…

What is the CPT code for laparoscopic hernia repair?

The 1994 CPT code set added only two codes for laparoscopic hernia repair (49650 and 49651). Laparoscopic hernia repair was developed as a technique long after open hernia repair. In 1994, when codes 49650 and 49651 were created, very few laparoscopic inguinal hernia repairs were performed for incarcerated hernias.

How do you report a unilateral hernia repair?

All open and laparoscopic hernia repairs are unilateral, with the exception of umbilical hernia repair (49580–49587). Modifier 50, Bilateral procedure, is used to report bilateral hernia repair in one of two ways, by line-item format or by bundled format, depending on a payor’s reporting preference.

How painful is an inguinal hernia repair?

In practice and depending upon how it is performed, you can get quite a lot of pain after a laparoscopic inguinal hernia repair, because the pain does not come from the skin cut anyway.

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Is keyhole inguinal hernia repair a good idea?

When done well, by well-trained and experienced surgeons in appropriately selected cases, the results of keyhole inguinal hernia repair can be very good and where appropriate we use it ourselves. The problem is that well-trained surgeons who are experienced in laparoscopic surgery and specialise in hernia repair are few and far between.

Are there any complications of endoscopic inguinal hernia surgery?

Complications in endoscopic inguinal hernia surgery are more dangerous and more frequent than those of open surgery, especially in inexperienced hands, and hence are best avoided. It is possible to avoid most of these complications if one follows a set of well-defined steps and principles of endoscopic inguinal hernia surgery.

Can a hernia be repaired with a laparoscopy?

Repair of a recurrent hernia often is easier using laparoscopic techniques than using open surgery. It is possible to check for and repair a second hernia on the opposite side at the time of the operation. Because smaller incisions are used, laparoscopy may be more appealing for cosmetic reasons.

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