Hernia, laparoscopic hernia surgery (hernioplasty)
A hernia is a bulge that usually happens in your belly. A very common site to develop a hernia is along the midline of your abdomen where abdominal muscles are weaker. A hernia may also develop through a former abdominal surgery incision, known as an incisional hernia. A hernia means thar insides of your abdomen push through your abdominal cavity. The risk factors for hernia include family history, obesity, chronic cough, constipation or excessive strain on your abdomen. Men often develop an extremely large hernia.
Hernia symptoms
A hernia is often just a cosmetic issue. It is a bulge under your skin, and you may not show any symptoms at all. However, you may start to feel pressure or mild pain or be sick. Complications may begin when your hernia gets stuck, and you may develop a bowel obstruction and access to blood supply may be lost (known as strangulation). This is a life-threatening condition requiring immediate surgery
The hernia contents are usually made of different components:
- A bulged peritoneum-a thin layer of tissue thatlines the walls of the abdomen and surrounds the organs in it
- A weak spot in the abdominal cavity through which the abdominal organs bulge through
- Hernia contents is mostly made up from intestinal loops or fatty tissue
Groin hernia symptoms
First symptoms include burning sensation in your groin following physical activity or cough. Later, you may notice a bulge that slides in and out when you lie down or stand up. Eventually, the tissue that is pushed out could be trapped and cut off from blood supply. You will feel aching pain and you may vomit, in which case seek medical attention immediately.
Abdominal hernia surgery
The procedure usually lasts 30 to 60 minutes. Depending on the size of hernia, minimally invasive laparoscopic procedure is often recommended. It is performed under general anaesthesia. Advantages of laparoscopic procedure to the patient include shorter recovery time, lower risk of post operative complications and less scaring. The surgeon uses a laparoscope and other thin instruments to reduce the hernia, pushes the tissue back and reinforces the site with mesh material.
Length of hospital stay and recovery time
After your surgery, you will be discharged in 1 to 2 days so you can continue healing at home. You will have to avoid doing sports and physical activity, including heavy lifting for 2 to 3 months.
Interview with MUDR. Majerník: Abdominal and groin hernia
