A hernia is the protrusion of an organ through the structure or muscle that usually contains it. The condition occurs most often in the abdominal wall, when the intestine pushes through a weak spot in the wall. The most common abdominal wall hernia is an inguinal hernia.
According to the FDA, inguinal hernias account for approximately 800,000 of the annual hernia repair surgeries in the United States. Men are eight to 10 times more likely than women to develop an inguinal hernia, and the risk rises with age: Occurrence is most common in people ages 75 to 80.
Some of the most common types of hernias are explained below.
A hernia is usually treated with surgery. There are three main types of hernia surgery; open hernia repair, laproscopic hernia repair and robotic hernia repair.
Seek immediate medical attention if there are signs that your hernia has become stuck or strangulated, which can be life-threatening and usually requires emergency surgery. Signs of this condition include:
Robotic hernia repair, like laparoscopic surgery, uses a laparoscope and is performed in the same manner (small incisions, a tiny camera, inflation of the abdomen, projecting the inside of the abdomen onto television screens).
Robotic surgery differs from laparoscopic surgery in that the surgeon is seated at a console in the operating room, and handles the surgical instruments from the console. While robotic surgery can be used for some smaller hernias, or weak areas, it can now also be used to reconstruct the abdominal wall.
One of the biggest differences between laparoscopic surgery and robotic surgery is that the use of the robot provides excellent three-dimensional images of the inside of the abdomen (vs. the two-dimensional images of laparoscopic surgery). Robotic surgery also allows the surgeon to easily use stitches to sew tissue and meshes inside the abdomen.
Other benefits of robotic hernia surgery are that the patient has tiny scars rather than one large incision scar, and there may be less pain after this surgery compared to open surgery.
Hernia surgeries typically do not cause a high level of postoperative pain, and most pain can be managed with medications such as acetaminophen (Tylenol or other brands) and ibuprofen (Motrin, Advil, etc.). These pain relievers can be supplemented with opioids, although this often is not necessary.
Limiting the use of opioids helps avoid negative side effects, including problems urinating after hernia surgery, which have been known to occur in a minority of patients after inguinal hernia operation repair. Postoperative urinary retention occurs most often in people over age 50, especially males. Taking medications as directed prior to surgery, including medicines for benign prostatic hyperplasia, which is caused by enlargement of the prostate, also helps prevent postoperative urinary retention.
Under medical direction, measures might also be taken before surgery to limit postoperative pain and nausea, such as taking acetaminophen for pain and a small dose of promethazine to prevent nausea. Consult your anesthesiologist about whether these are appropriate options for you.
Ravet, a vibrant suburb in Pune, boasts a robust healthcare system with skilled medical professionals. When it comes to hernia surgery, residents of Ravet have access to top-notch care.
Selecting the right hernia surgeon is paramount. You’ll want to look for the following qualities:
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