Hernia Surgery

What is Hernia?

Abnormal protrusion of visceral contest through opening in Abdominal wall layers @ Different sites.

What are the symptoms/ complaint ?

Abdominal swelling which comes and goes initially . In late stages  it may not reduce.

What are the common sites?

  • Groin
  • Umbilicus
  • Upper abdomen
  • sometime back (Loin)
  • previously  operated sites

When it is risky?

IF patients develops distention of Abdomen, with persistant Swellings Reddening at Hernia site along with fever fatigue,decreased urination pt requires immediate surgeons consultation.

What are treatment options for Inguinal H.?

Treatment is Essentially surgery!

Open Hernia repair

Lichteins repair current gold standard  surgery with  insertion of mesh for strengthening abdominal wall. Complications are very few and only  1  patient in 1000 develops recurrence 

Laparoscopic Inguinal Hernia repair
  • Transabdominal  properitoneal repair (TAPP)
  • Total Entraperitoneal repair (TEP)
  • Extended TEP 

In laparoscopic repair mesh is placed from inside and hence have its own advantages.

Laparoscopic repair better.?

Yes. Laparoscopic repair  has its own be advantages

  • Early resumtion of daily activity  and minima pain after surgery 
  • Minimal Hospitalisation  1-2 days Hospital stay is needed 
  • very few complications 
  • Complete Single surgery for all groin hernias

What anesthesia is required?

for open hernia repair spinal anesthesia is preferred for laparoscopic hernia repair General anesthesia is recommended.

How is recovery ?

Perioperative  patient is hospitalised for 1- 2 days.Patient usually have minimal  Pain diet is  started after  6hr to 8hrs.

what diet is recommended?

High Fibre diet, is  advised Patient should  avoid Non veg food I Spicy food for 2-2 weeks however eggs and fish can be consumed.

when to start exercise ?

Cardio can be started within a week. heavy weight lifting should not be done for a to 2 months.With laparoscopy one can resume weight liftinf in 3-4 weeks 

When to resume work?

Office job can be resumed in  a week person having Jobs with moderate physical activity should however take rest for 3-4 weeks 

What is follow-up schedule ?

Patient should visit surgeon on day 5 after surgery for dressing and Day 10 for suture removal. If everything is all right no further visits are needed.