Treatments for Hernias

Treatments for Hernias

Treatment for an inguinal hernia

You can have open surgery with a cut in the groin or Key hole (Laparoscopic) surgery. If you are having open surgery you can have a general anaesthetic, regional anaesthetic or local anaesthetic depending on your fitness and preference.An  incision is made in the groin. The hernia sac is identified. The sac is opened, emptied and excised. The hernia is repaired with a non-absorbent mesh and the skin is then closed with absorbable stitches. The surgery takes about 30 minutes.

Key-hole surgery is done under General anaesthetic. You will have 3 small incisions in the abdomen which will be 0.5cm to 1cm in length. The sac will be reduced in to the abdominal cavity The hernia is repaired with a non-absorbent mesh and the skin is then closed with absorbable stitches. If you have hernias in both groins  both can be fixed with the same skin incisions and at the same time. The surgery takes about 30 to 40 minutes for one side and about an hour for two sides.

Click here to read more about inguinal hernias

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Treatment for a femoral hernia

You can have open surgery with a cut in the groin or Key hole (Laparoscopic) surgery. If you are having open surgery you can have a general anaesthetic, regional anaesthetic or local anaesthetic depending on your fitness and preference.

A small transverse incision is made over the hernia. The sac is always opened to make sure there is no bowel. The sac will be excised. The defect will be repaired with non-absorbable stitches or non-absorbable mesh depending on the size of the defect. The surgery will take about 30 minutes.

Key-hole  surgery is done under General anaesthetic. You will have 3 small incisions in the abdomen which will be 0.5cm to 1cm in length. The sac will be reduced in to the abdominal cavity The hernia is repaired with a non-absorbent mesh and the skin is then closed with absorbable stitches. If you have hernias in both groins  both can be fixed with the same skin incisions and at the same time. The surgery takes about 30 to 40 minutes for one side and about an hour for two sides.

Click here to read more about femoral hernias

Treatment for an epigastric hernia

A small transverse incision is made over the hernia. The hernia sac is exposed. This can either be pushed back or excised depending on its size. If the defect is small this can be stitched with non-absorbable stitches. However if the defect is large  you will have a repair with a non-absorbable mesh. The skin will be closed with absorbable stitches.

The operation will take about 30 minutes. You will be allowed home when you are comfortable.

Click here to read more about epigastric hernias

Treatment for an umbilical hernia

A small transverse incision is made above or below the umbilicus. The hernia sac is opened and it contents is  reduced. The sac is excised. The defect is usually small and  needs a couple of stitches. The defect will most probably need a repair with a non-absorbent mesh but this may depend on how large it is. The skin is closed with absorbable stitches.

The surgery will take about 30 minutes. You will be allowed home when you are comfortable.

Click here to read more about umbilical hernias

Treatment for an incisonal hernia

The operation usually will be under General anaesthesia  and you will be asleep through the operation.  In some cases it can be done with regional anaesthesia.

Repair of incisional  hernia can be performed as  Key hole (Laparoscopic) if it is smaller than 10cm in size. For hernias larger than 10cm you may need open surgery.

Key hole (Laparosocopic) surgery

You will have 3 or 4 small cuts in the abdomen. One cut will be used to introduce a telescope and look inside the abdomen. The sac will be reduced. The defect will be closed with a non-absorbable mesh and the skin cuts will be closed with absorbable stitches. You will be  allowed home when you are comfortable.

Open surgery

A cut is made over the lump. The sac and its contents are reduced. The defect is closed with a non-absorbable mesh and the skin will be closed with absorbable stitches.  In some larger hernia repairs you may need to have a drain and will stay in hospital for a few days.

Click here to read more about incisional hernias

Treatment for a hiatus hernia

Treatment depends on the symptoms that the patient presents. In most cases, treatment is not required. Therefore, the presence of symptoms will determine if treatment is needed.

Symptoms can usually be controlled with medication and Lifestyle changes. Click here to read more.

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