This method is usually performed as same-day surgery, often using local anesthesia. Although the patient is discharged quickly, the healing process still may limit normal activity for many weeks. Laparoscopic hernia repair takes a different approach from the conventional procedure. Instead of repairing the hernia from outside the abdominal wall, the restoration is made from inside the wall, similar to putting a patch on a tire. The videosurgeon locates the hernia, then uses the instruments to place a large mesh patch at the site from inside the abdominal wall.
Laparoscopic repair is done using general anesthesia, and almost all patients go home the same day.
Post-operative pain is reduced, and the patient may return to work within a week. The laparoscopic technique can be especially beneficial for patients with bilateral or recurrent hernias. With bilateral hernias, both repairs can be made at the same time without additional incisions. There are advantages and disadvantages to both techniques, and the patient, together with his or her surgeon, can determine which is the best option.