Hernia Repair

India
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Overview

Hernia is the outgrowth or protrusions of the organ or fatty tissue in the abdominal area. These hernias mostly occur due to weakness in the respective areas. There are different types of hernia. An inguinal hernia (present in the inner groin area), incisional hernia (resulted due to incision), femoral hernia (outer groin), umbilical hernia (belly button), and hiatal hernia (upper stomach). The hernias are observed in both men and women.

The inguinal hernias are also found in infants and children. The infants of 6 months will be at higher risk than the adults. The hernia in infants should be corrected with surgery as early as possible; it should not be delayed. The infants with lung problems, heart disorders, and seizures should be hospitalized for surgery rather than in an outpatient setting.

Symptoms of an inguinal hernia

The inguinal hernias are the protrusion of the intestine or the bladder in the groin area. They are also observed in the scrotum, usually a bulge will be observed in the scrotal sac. Inguinal hernias are common in males than in females. These hernias will appear as bulges on the skin and they cause hernia pain and discomfort upon touch, lifting of heavy objects, cough, strain, prolonged standing and sitting. Some complications can develop as a result of inguinal hernia such as

Obstruction The bowel will be obstructed in the inguinal canal and result in hernia pain, vomiting, and painful lumps in the groin area.

Strangulation The sections of the bowel get trapped, so that blood supply is cut off to the region and results in dead tissue.

To overcome these complications, the inguinal hernias should be treated as early as possible.

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Before the Treatment

Preparation for the procedure

 

  • You may need to go for blood analysis, medical checkup, and electrocardiogram depending upon your age and health condition.
  • You should inform about the use of any herbal supplements to the surgeon.
  • You will be instructed by your surgeon to stop all the medications before the procedure.
  • You should shower with an antibacterial soap in the night before the surgery.
  • You should take nothing by mouth during the night before the surgery.
  • You should quit smoking as it helps in early recovery and there are chances of hernia recurrence with smoking.

 

 

How it is Performed

Inguinal hernia repair procedure

An inguinal hernia treatment can be conducted by open surgery or a laparoscopic procedure. Before the procedure you will be given general or regional or local anesthetic based on your health condition. The type of the surgery to be performed will be decided by the surgeon.

Open surgery

Your surgeon will make a cut near the hernia and separate it from the surrounding tissues. The surgeon will remove the hernia sac or push back it into the abdomen. After that, the tear will be stitched, and the weak muscle tissues will be strengthened. Sometimes a mesh will be placed at the site of the hernia treatment.

Laparoscopic surgery

Your surgeon will make 3 to 5 tiny incisions in your belly and insert a laparoscope through one of the cuts. The surgeon can view the inner parts of the belly on the monitor. The other surgical tools are inserted through other incisions for repairing the hernia. Laparoscopic method is preferred when the size of the hernia is small. After the hernia treatment, the tools will be removed, and the incisions are stitched and closed. The laparoscopic method can be made to open surgery based on the condition of the hernia.

Recovery

Aftercare and Recovery

  • You will be sent to home on the same day or the day after the surgery.
  • You should follow the instructions of your surgeon after discharge for early recovery.
  • You should take healthy diet and add more liquids to the diet to avoid constipation.
  • You should avoid straining as it may affect the wound.
  • You can resume to activities and work after 2 weeks of the surgery.
  • If you experience any pain during urination, then a catheter will be provided.
  • You should change the positions slowly.
  • You should try to avoid forceful sneezing and coughing.
  • You should visit the surgeon in the follow-up visits.
  • You will be recovered completely within six weeks.

You should inform the surgeon immediately about the conditions such as

  • Fever above 101 degrees, chills
  • Increased swelling in the abdominal and groin area
  • Uncontrolled bleeding at the site
  • Nausea and vomiting
  • Shortness of breath
  • Inability to urinate
  • Foul-smelling drainage from the incisional site
  • Redness around the incisional site

Complications of Inguinal Hernia Repair

 

  • Bleeding
  • Infections
  • Respiratory problems
  • Blood clots
  • Damage to the blood vessels and nerves
  • Damage to testicles
  • Uncontrolled pain and numbness in the incisional area
  • Return of a hernia after some years
  • Chances of injury to the vas deferens

 

  • Swelling and bruising may be observed at the base of the penis and in the scrotum

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