What happens at your consultation?
Mr Marzook will ask you details about the symptoms you have from the hernia.
- Discomfort or Pain
- Size – Is it getting bigger?
- Is it affecting your life style and work?
- Are you able to push the hernia back without difficulty?
You will also be asked if you are having chronic constipation, if you strain when passing urine, chronic cough or if you lift excessive amounts of weight to determine the cause for the hernia.
He will also want to know if you have any other serious illness, previous surgeries and your medication history including allergies. It is advised that you bring any medical records including the list of medications with you. It is important for us to know about any blood thinning medication you take.
Arrange your consultation
Will I have an examination?
You can expect to have a general examination and then a detailed examination of your hernia. You will be examined while you are standing and lying down both. You will be asked to cough to make the hernia easier to feel.
If the hernia cannot be felt then Mr Marzook may request an Ultrasound scan to determine if there is a clinically non-palpable hernia or if there is any other cause for your symptoms.
Once a diagnosis has been made Mr Marzook will discuss the details of the operation. This includes an option of non-operative management if you did not wish to have surgery. He will explain the steps of the surgery including risks before you’re asked to sign and complete the consent form. A date for the surgery can then be arranged at a mutually convenient date.
What happens next?
Pre –admission to hospital
When the date for the surgery is confirmed you will also be advised about the time and place to come to on the day of surgery and instructions on what time to stop eating and drinking.
You will be given a date for pre-assessment before surgery. Depending on your medical history you may need to have blood tests, ECG and Chest X-ray. You will receive advice regarding your medications.
Admission to hospital
You will need somebody to drive you home as you will not be able to drive home yourself. You will usually be discharged home on the same day. Therefore you must ensure you have someone to be with you for 24 hours.
In the majority of hernia operations are performed as day case procedures and you will not need to bring clothes for an overnight stay. Bring loose fitting clothes that are easy to get on and off.
For men having groin hernia repairs, brief type underpants are better as they give extra support and comfort. Shaving will be done just before the surgery. We do not recommend shaving at home.
Once you arrive in the ward the nurse will complete the admission. Mr. Marzook and the consultant anaesthetist will see you. You can discuss any questions you have regarding the anaesthesia or surgery with them. Mr. Marzook will draw an arrow in your skin to indicate the site of the hernia.
After the surgery
The nursing staff will make sure you are comfortable and will help you to mobilise safely. We will make sure you eat and drink and you had passed urine before you are discharged. Before you leave we will make sure there is no soiling of your dressing. We will give you a few dressings to take home.
It is important to keep active with short walks and gradually build up distance with time. Walking regularly is the most useful exercise following your surgery.
We recommend showering rather than bathing after the surgery. You can usually take a shower in 24 hours. Remove the wet dressing and dab the area dry. Apply a clean dry dressing (given to you to take home on discharge).
The dressings are used only to prevent your wound rubbing against your clothes and also to protect your clothes from any soiling from the wound. The wound will be stitched with absorbable stitches. Therefore you will have no stitches to remove.
Avoid heavy lifting up to 6 to 8 weeks after surgery. After 4 weeks you should be able to get back to your normal exercise regimen. You will be able to go back to work in about 2 weeks. However if your work involves heavy lifting you may need to be off for longer or be on light duties.
You will not be able to drive for 10 days to 2 weeks. You will need to make alternative arrangement during this period.