It is done by a physical examination. Just in difficult cases, imaging studies such as ultrasound or CT Scan, may have a role. Occasionally, laparoscopy can be both diagnostic and therapeutic for particularly challenging cases.
As mentioned earlier, a hernia can be repaired with the approximation of the patient’s own tissues or using a prosthetic material to close the defect, the first has been widely abandoned (it is reserved for specific cases) and the second technique, “tension-free” repair is now the standard. The tension free repair can be made through the traditional approach, “open or anterior” or the “laparoscopic approach”; it is Dr. Rosales’ preference to use this last approach in the majority of his patients, taking in consideration the great advantages laparoscopy offers.
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