Abdominal Wall And Hernia Surgery

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What is a Hernia?


A hernia is the abnormal protrusion of abdominal contents through the muscular wall. It often appears as a soft lump, which can occur in different locations:

Types of Hernia


Hernia typically presented as lump/swelling in following areas

  • Umbilical/Paraumbilical : Around belly button.
  • Inguinal : In groin
  • Femoral : In groin/upper thigh
  • Incisional : Around past surgical scar
  • Spigelian : Lower part of abdomen
  • Lumbar : In Your waist area

Symptoms


  • Common Symptoms : A painless lump or dragging sensation.
  • Emergency Symptoms : A tender lump with pain, vomiting, and inability to reduce the lump may indicate a strangulated hernia. This requires urgent medical attention.

Types of Surgery


(1) Open Surgery :
  • Involves a cut over the lump, pushing the hernia back, closing the hole with stitches, and reinforcing with a mesh.
  • Recovery : 1 week rest, avoid heavy lifting for 4-6 weeks.
(2) Laparoscopic (Keyhole) Surgery :
  • Involves a cut over the lump, pushing the hernia back, closing the hole with stitches, and reinforcing with a mesh.
  • Recovery : 1 week rest, avoid heavy lifting for 4-6 weeks.

Why Treat Hernias?


  • Hernias do not heal on their own and can worsen over time.
  • Risk of incarceration  (intestinal contents stuck in the hernia) or  strangulation (loss of blood flow), which is life-threatening.

Considerations


  • Watchful Waiting : May be an option for asymptomatic hernias, especially in elderly patients.
  • Risks : Include pain, blood loss, infection, or recurrence.
  • Mesh Use : While controversial, modern meshes are lighter, stronger, and reduce recurrence risks.
  • Emergency Risks : Untreated hernias can lead to severe complications, including intestinal necrosis.

Schedule a Consultation


If you suspect you have a hernia, we encourage you to schedule an appointment. Mr Parmar will provide a comprehensive evaluation and discuss the most suitable treatment options for your condition.