Umbilical Hernia Laparoscopic Repair: Cost, Recovery Time and Complications

No mom or dad wants their precious child to undergo an operation.

However, umbilical repair surgery is quick and easy for kids or adults. Please look at the before and after pictures.

Undergoing Umbilical Hernia Repair Surgery

A belly button hernia is a bulge right on your navel. There are two distinctive repair technique surgeries for adult and pediatric patients. Historically, high morbidity has been associated with such an operation chiefly because of the high risk and incidences of incarceration that demand rapid emergency surgery. The narrow neck compared to the robust herniated mass is why strangulation occurs and may prove fatal.

Anesthesia options include spinal, general, or local. They achieve maximum comfort with local. A local might be extra challenging in obese patients. General is used for big hernias. They perform laparoscopic ventral using general anesthesia combined with endotracheal intubation. Spinal anesthesia that combined low-pressure CO2 and also utilized pneumoperitoneum.

A quarter of all hernia repairs are done laparoscopically since the 1990s. It has become the preferred method in obese patients who stand a greater chance of post-surgery infection with conventional open incisions.

Repair With Mesh or Suture?

Suture or repair with mesh are the two main options. They can repair small defects (measuring only two to three centimeters) that promote the hernia through suturing. The abdominal wall fascia is overlapped in a vest-over-pants technique that was made popular by William Mayo and became called the “Mayo Technique” in the medical literature. Sadly, the reoccurrence rate hovers at 28 percent.

Nowadays, prosthetic materials are popular and effective. The reoccurrence rate is significantly lower with mesh versus suture. With mesh only 11.5 percent. A decrease in wound complications rates also occurs when the mesh is used with tissue repair. In Scotland, surgeons almost always use a mesh to patch defects. In the US, the protocol is typical if it is over two centimeters.

Which Mesh is Best?

Polypropylene mesh remains the platinum standard. Lightweight microporous is gaining notoriety for both onlay and sublay. The lightweight mesh helps prevent a foreign rejection response from your immune system. There is also far greater abdominal wall compliance. Tissue incorporation is successful with less shrinkage. Bilayer prosthetic are being used for open intraperitoneal inlay. The two sides are made up of polypropylene mixed with a non-adherent material that will be placed on the viscera. The patch has two tails hanging from each side which can be sutured to prevent migration. Sadly, these new and innovative dual mesh patches are very expensive and often not covered by insurance because they are deemed ‘unnecessary’ when a standard less costly mesh patch can be used.

Infections are Part of Umbilical Hernia Repair Complications

Mesh by surgeons for either laparoscopic or open approaches. Open onlay mesh has become the mainstay for most. However, without subcutaneous dissection, side effects include a hematoma or seroma and lead to a severe infection as one of the prominent umbilical hernia repair complications.

Mesh and Laparoscopic Umbilical Hernia Repair

If you are wondering what kind of doctors repairs a hernia, then the answer is a gastroenterological surgeon. The surgical team will place the mesh into the umbilicus region with a laparoscopic technique. Subcutaneous dissection is first employed. The mesh can be laid in either a sublay or preperitoneal position. With onlay or the sublay placement, there is a better-reinforced repair. Fascial margins might be left, but it should undertake suture closure either after or before preperitoneal mesh for best results. Mesh plug repair has become another option. With the mesh plugging variation you might ponder what to expect after repair. Be aware that inter-cutaneous fistula formation or migration are frequent.

What is the Umbilical Hernia Repair Recovery Time?

Depending on the surgical method, you can return home the same day or the following day tooheal. The umbilical hernia repair recovery time is rapid. Most people can return to work on light duty within a few days. You’ll feel back to your old self in less four to six weeks.

At first, you will be advised not to lift over ten pounds. Extracurricular exercise practices are out of the question until you have achieved a full and resounding recovery. Bending squatting, and rotating should be avoided. Even if you feel rejuvenated and pain-free, you still must abstain to prevent a reoccurrence.

What Does the Umbilical Hernia Repair Cost?

There are many variables involved in surgical costs. Typically, an umbilical hernia repair cost will run anywhere from $4,000 to $11,000 depending on size, anesthesia, and suture/mesh. Individuals with insurance might pay out-of-pocket $700 to $2000 if their yearly deductible has been satisfied. On the billing statement delivered to the insurance company, you will notice a cpt code that might say icd 10. These odd numbers and alphabetical letters are simple codes used to let the insurance adjusters know what they did and the cost. If you have questions, then consult with your hospital billing department and ask them to go over the details and figures so you can gain a deeper understanding. You do not want your insurance overcharged or billed for unnecessary items.

 

 

 

Article References:

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4605112/#b14-ucd-31-3-157
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4605112/#b10-ucd-31-3-157
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4605112/#b19-ucd-31-3-157
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4605112/#b17-ucd-31-3-157
  5. https://health.costhelper.com/hernia-repair.html

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