Hernia Surgeries

Hernia Surgery

 

Hernia is one of the common ailment. A Hernia is the exit of an organ such as intestine or the omentum through the wall of the cavity in which it normally resides. Hernias can be broadly divided into-

 

Inguinal Hernia

 

Inguinal/ Groin Hernia

 

An inguinal hernia is the most common type of hernia and occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. It can appear as a swelling in groin area  or lump in your groin, or as an enlarged scrotum. An inguinal hernia isn’t necessarily dangerous. However it doesn’t improve on its own and can lead to life-threatening complications.

 

Symptoms of Hernia in men 

 

Signs and Symptoms of Hernia in Men:

 

  • Hernias present as bulges in the groin area that can become more prominent when coughing, straining, or standing up.
  • Rare Groin pain in men , They are rarely painfull.
  • The bulge commonly disappears/ reduces on lying down.
  • Inability to reduce/ place the bulge back into the abdomen usually means the hernia is complicated and requires emergency surgery.

 

 

Complications of Inguinal Hernia:

 

  • Obstruction – where a section of the bowel becomes stuck in the hernia, causing nausea, vomiting and stomach pain, as well as a painful lump in the groin. This condition requires an emergency surgery.
  • Strangulation – where a section of bowel becomes trapped and its blood supply is cut off; this requires emergency surgery within hours to release the trapped tissue and restore its blood supply. If not operated upon on time, a section of the gut may become gangrenous.

 

 

Hernia Surgery

 

This involves reducing the hernia contents and placing a mesh.

There are two ways an inguinal hernia repair can be performed:

  • Laparoscopic (keyhole) surgery –small holes are made, allowing the surgeon to use various special instruments to repair thehernia. The advantages of laparoscopic hernia repair include lesser pain, faster return to work, better cosmetic effect and the ability of the surgeon to repair hernias on both sides with the same approach.
  • Open surgery – where one cut is made to allow the surgeon to push the lump back into the abdomen. Open surgery becomes necessary if the patient decides to opt for one or in case of complicated or large hernias.

 

 

Complications of Hernia Surgery:

 

  • Blood or fluid building up in the space left by the hernia-“seroma” (this usually gets better without treatment)
  • Swelling in groin area and bruising of the testicles or base of the penis (in men)
  • Groin Pain in Men – Pain and numbness in the groin area
  • Damage to the blood supply to the testicle (in men)
  • Recurrence of hernias have become exceedingly rare with the improvement in technology and quality of meshes

 

 

 

Ventral/Incisional Hernia

 

What is Abdominal wall hernia?

 

A hernia is a protrusion of contents of abdomen through the weakness of abdominal wall. The weakness can be acquired (e.g after surgery) or congenital (since birth).

Hernias are Asymptomatic and do not produce any symptom that can help in their diagnosis. But, it can cause mild to severe pain in cases when they are under continued stress or in contact with other body parts.

Common abdominal wall hernias are – Ventral hernia, Umbilical hernia and incisional hernia

Ventral hernia:

The hernias that appear on the front side of the abdominal wall are called Ventral Hernias.

 

 

Ventral Incisional Hernia

Umbilical Hernia:

It is a common type of Hernia and constitutes around 25% of all Hernia cases. Umbilical Hernia is caused due to weakened opening in the abdominal wall, which should normally close before birth but fails to close completely.

 

Laparoscopic Incisional Hernia Repair

Incisional Hernia:

Such hernias develop through the weak abdominal wall at the site of previous surgery. Up to 10% of surgeries result in incisional hernia.

Laparoscopic Incisional Hernia Repair: Small holes are made on your abdominal wall. Herniated contents are reduced and a sheet of strengthening material “Mesh” is fixed covering the gap.

 

Benefits of Laparoscopic Incisional Hernia Repair :

  • It gives best cosmetic results, and leaves no scars.
  • The recovery time is less.
  • Least surgical pain
  • Patient can resume daily activity earlier in comparison to open surgery.

 

Incisional Hernia Surgery Complications :

Although this operation is considered safe, complications may occur as they might occur with any operation.

Complications during the operation:

-Adverse reactions to general anesthesia,

-Bleeding,

-Injury to the intestines or other abdominal organs.

-Other possible problems include pneumonia, blood clots or heart problems.

-If an infection occurs in the mesh, it may need to be removed or replaced. Also, any time a hernia is repaired it can come back.

 

 

 

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