1.What is Hernia Repair?
Closure of weak spot or defect in the abdominal wall
2. If I have hernia can I wait?
Yes You can wait, but surgeons recommend highly surgery to prevent possible serious complications such as Incarceration(strangulation)
3. Is hernia a serious condition?
No, if it is symptomless, but it may grow and become more painful and your bowel could become trapped in the abdominal wall
4. Which type of hernia is more severe?
There are many types of hernia. Most common are Inguinal, Incisional, femoral(outer groin specially in women), umbilical (belly button) and hiatal(diaphragm). If any of the above hernias become trapped then it is severe regardless of the location.
5. What is hernia repair with mesh?
Closure of the defect in the abdominal wall with additional support of the damaged or weak tissue through a medical device called mesh. ( loosely woven sheet created from both inorganic & biological materials). it allows tension free repair with no complication.
6.Do we always need a mesh in hernia repair?
For Sure Not, Nevertheless depending on the age, weight,work and activities. It cares for stability of the abdominal wall.
7. Types of mesh in Hernia Repair
- Absorbable and Non Absorbable : permanent or Combined
-Synthetic Mesh ( woven or non woven sheets)
- Coated or Composite mesh can set in contact with intestine
8.Can the mesh be removed later?
Depending on the material, if it is absorbable or non absorbable.If not absorbable it can be removed but with higher rate of complication such as bleeding or injuries for neighbouring structures.
9.Can the body tolerate mesh?
Yes, but in very rare cases a mesh can trigger the body’s immune response causing rejection of the foreign body. Patients will have symptoms such as bloating, fever, vomiting, nausea, noticeable lump with tenderness.
10.How long does hernia surgery take?
It depends on the procedure.
A unilateral open hernia repair takes almost 30-45 minutes
A unilateral endoscopic hernia repair takes about 30 minutes.
A bilateral endoscopic hernia takes about 60 minutes
11. How long I have to stay in the hospital?
In general, hernia repair is a one day surgical procedure nevertheless in some cases a patient may stay in the hospital overnight depending on age and besides diseases
12. Can we eat and drink after surgery?
You can eat and drink your normal diet. Avoid alcohol especially if you are on painkillers.
13.Can we do some activities after surgery?
Depending on the procedure .If endoscopic there is fast recovery.You may return to work after 3-5 days.If open surgery you may need 7-10 days. But in general light activities after 3 weeks of endoscopic surgery and 6-8 weeks after open surgery I suggested.
14. Can we avoid recurrence of hernia?
There are many factors which affect the recurrence of hernia after surgery such as collagen defects of the connective tissue, faults in operative technique, and post operative infection.
15. Are there any complication in hernia surgery?
Complications are very Rare. but possible complications are:
Testicular pain and swelling
Injuries to bowel
16. Is the procedure covered by insurance companies?
Most Insurance companies cover hernia surgery especially if there is a medical indication.
17. What kind of Anesthesia is required?
Open hernia may be done under general, regional(spine) or local. Endoscopic repair requires always general anesthesia.
18. Does second opinion feel reasonable for elective surgical procedure?
Second Opinion is always reasonable for non emergency cases. The patient has always the right to ask about advantages and disadvantages of the procedure, which method is suitable and even the experience of the surgeon.
19.Sexual life after hernia repair
It has a positive effect when the patient has no more discomfort from the bulging of hernia. In rare cases after the surgery, patient may get sexual dysfunction for a short period of time because of pain but there are no medical or physical restrictions on sexual activities after surgery
20.Pregnancy and Hernia
A asymptomatic hernia during pregnancy may be postponed after delivery.Otherwise if it is an emergency condition the surgery should be done.
- Possible complication after endoscopic hernia repair
- Open versus endoscopic Hernia repair.
- Latest techniques of endoscopic hernia repair