Laparoscopic hernia repair in Tashkent
Treatment of inguinal, umbilical, ventral and incisional hernias using the IPOM, TAPP and TEP techniques with placement of a mesh implant.
Key facts
- TechniquesIPOM, TAPP, TEP, fundoplication
- Access3–4 small punctures
- Duration40–120 minutes
- Inpatient stayDischarge on day 1–2
- PriceBased on the examination
Hernia repair at Horev Medical
A hernia is the protrusion of organs or tissues through a weakened area of the abdominal wall or groin. Patients describe it as a "lump" or "bulge" that grows larger when coughing, straining or walking for a long time, and then shrinks or disappears at rest.
A hernia does not "resolve" on its own. Over time the defect usually grows, and discomfort and the risk of strangulation increase. The modern approach is laparoscopic hernia repair with placement of a mesh implant, which reliably reinforces the weak spot.
The techniques we perform
- TAPP / TEP — laparoscopic repair of inguinal and femoral hernias (via a transabdominal or extraperitoneal approach)
- IPOM (Intraperitoneal Onlay Mesh) — laparoscopic mesh placement for umbilical, ventral and incisional hernias
- Laparoscopic fundoplication (Nissen, Toupet) — for hiatal hernia and significant reflux
Examination and preparation take place at the clinic: ultrasound, CT/MSCT if needed, and laboratory tests. After surgery, patients recover in a comfortable inpatient ward.
When it is time to consider surgery
- You can see or feel a bulge in the groin, navel, along a surgical scar or on the abdominal wall
- Pain, heaviness or burning appear and worsen when walking, coughing or lifting weights
- The hernia grows larger and you have to "adjust" the bulge by hand
- Because of the hernia you start limiting your activity, giving up sport and your usual work
- The hernia has already become strangulated once, or signs of a strangulation risk have appeared
The question is not "whether to operate" but when and by which method it can be done more safely. This is discussed at an in-person consultation with the surgeon.
Which hernias are treated laparoscopically
| Type of hernia | Description | Main treatment method |
|---|---|---|
| Inguinal | In the inguinal canal, a "lump" in the groin | TAPP / TEP laparoscopic mesh repair |
| Femoral | Below the inguinal fold, more common in women | Laparoscopic mesh repair |
| Umbilical | In the navel area | Laparoscopic hernia repair (IPOM) or mini-access |
| Ventral | On the anterior abdominal wall | IPOM (laparoscopic mesh placement) |
| Incisional | Along or next to an old incision | IPOM / laparoscopic mesh placement |
| Recurrent | Developed after a previous operation | Repeat laparoscopic hernia repair |
| Hiatal | Hiatal hernia of the diaphragm, heartburn, reflux | Laparoscopic fundoplication (Nissen, Toupet) |
Course of the operation and recovery
On the left — how the operation is performed. On the right — preparation and recovery.
How hernia repair is performed
- A camera and instruments are inserted through 3–4 small punctures, and the hernia defect is examined
- The contents of the hernia sac are gently returned to the abdominal cavity
- The weakened area is reinforced with a mesh implant extending beyond the edges of the defect
- The mesh is fixed with sutures and/or tackers, haemostasis is checked, and the punctures are closed
- The operation lasts 40–120 minutes; you can get up on the day of surgery, with discharge on day 1–2
Before and after the operation
- Before surgery: CBC, biochemistry, coagulogram, ECG; ultrasound or MSCT as indicated
- Discontinuation of certain medications (anticoagulants, antiplatelet agents) per the doctor's schedule
- Fasting for 6–8 hours before the intervention (per the anaesthesiologist's instructions)
- After surgery: wearing a post-operative support belt for 2–4 weeks (as indicated)
- Limiting lifting of weights over 5–7 kg for 4–6 weeks
- Scheduled check-ups and, if needed, ultrasound monitoring of the intervention area
Cost of the operation
The cost is determined individually after an in-person consultation and depends on the type of hernia and the method.
| Service | Category | Price |
|---|---|---|
| Laparoscopic hernia repair (IPOM / TAPP / TEP) | Surgery | Based on the examination |
Frequently asked questions
If the hernia does not hurt, can it just be monitored?
Even a "silent" hernia carries the risk of enlargement and strangulation. A watchful-waiting approach is acceptable only after examination by a surgeon and with a clear understanding of the risks. In most cases planned surgery is safer than emergency surgery.
How safe is mesh placement?
Modern mesh implants made of inert materials are used worldwide as the standard of treatment. With the correct fixation technique the risk of complications and recurrence is minimal.
When can I return to work and sport?
You can usually return to light office work after 5–7 days. Gentle workouts without straining the abs — after about 3–4 weeks; full strength training — after the surgeon's approval (usually after 6 weeks).
What should I do if the hernia suddenly stops reducing and sharp pain appears?
This may be a sign of strangulation. Do not try to reduce the hernia yourself — call an ambulance or get to a hospital as quickly as possible.
Book an appointment with an abdominal surgeon
If you notice a bulge, discomfort or pain in the hernia area, discuss it with a surgeon in advance, while planned surgery is still an option.