ليه المنظار بقى الاختيار المفضّل لإصلاح الفتق الإربي؟ | Why Laparoscopy Is Now Preferred for Inguinal Hernia Repair
إرشادات HerniaSurge | HerniaSurge Guidelines
إصلاح الفتق الإربي بالمنظار (Laparoscopic inguinal hernia repair) بقى الاختيار المفضّل في آخر تحديث لإرشادات جراحات الفتق الإربي العالمية (HerniaSurge) سنة 2023. د. محمد حسام زيدان بيوضح إن الكلام القديم إن مفيش إرشادات تدعم المنظار اتغيّر، لأن الألم بعد العملية بيقل والألم المزمن أقل بكتير، بشرط إن الجراح يكون عنده الخبرة. وبيشرح ليه مش كل الجراحين بيعملوه: منحنى تعلّم المنظار أطول بكتير من الجراحة المفتوحة. | Laparoscopic inguinal hernia repair became the preferred approach in the latest update of the international HerniaSurge guidelines in 2023. Dr. Mohamed H. Zidan explains that the old claim that no guidelines support laparoscopic repair is out of date: pain after surgery is lower and chronic pain is much less common, provided the surgeon has the necessary experience. He also explains why not every surgeon offers it: the learning curve for laparoscopic hernia repair is much longer than for open surgery.
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The real value shows after the operation, not before. Many surgeons say there are no guidelines or standards supporting laparoscopic or robotic hernia repair, but that was in the past. In the latest update on inguinal hernia surgery in 2023, this changed completely: laparoscopic inguinal hernia repair became the gold standard because, first, pain after the operation is lower and chronic pain almost disappears, provided the surgeon has the necessary experience. So why don't all surgeons repair inguinal hernias laparoscopically? The truth is that the learning curve for laparoscopic hernia repair is much longer than for open surgery, and more importantly…