For young patients, especially young women, laparoscopic/endoscopic surgery with a mesh is not necessarily the best option.
Patients with a medical history of surgery or radiation therapy of the pelvic area as well as patients suffering from a bleeding disorders should not undergo laparoscopic/endoscopic surgery, either.
As you can see, it is crucial to factor in each patient´s individual condition to plan the optimal treatment. Its premise is a comprehensive physical examination and evaluation of medical history and experienced surgeons versed in endoscopic and open surgery as well so that they can find the best solution together with their patients.
Laparoscopic (endoscopic) and “open” surgical procedures require a subtle and gentle surgery technique without being under time pressure that almost does not result in any bleeding at all.
Given a recurrent hernia, it is better to choose a different surgical incision than in previous operations, e.g., a recurrent hernia after laparoscopic surgery is often better treated with an open operation (Lichtenstein technique) and vice versa.
Dr. Lausberg, M.D., who operates patients with groin hernias at Beta Klinik, has been an expert in open and endoscopic surgery techniques for decades.