Profile view by Elizabeth Smith: TENSION FREE HERNIA REPAIR


A hernia or (“rupture”) is a lump which occurs from a weakness in the abdominal wall. As a result, some of the contents within the abdomen can then bulge (push through) under the skin. When normal, the front of the abdomen has several layers comprising skin, then fat, then muscles, all of which keep the intestines (guts) and internal tissues in place. If for any reason there is a weak point in the muscles, then a part of the intestines can push through. The patient can then feel a soft lump or swelling under the skin. The most common types of hernia that occur are umbilical hernia, incisional hernia, inguinal hernia and femoral hernia. There is a small chance that a hernia might strangulate. A hernia strangulates when too much intestine (bowel) has come through the gap in the muscle or ligament and then it becomes squeezed. Strangulated hernias are usually dealt with by emergency surgery.

Most hernias need treatment by performing an operation. Hernia surgery is one of the most common operations performed by surgeons. It is very common for patients to have their hernia repaired as a day case so that one doesn’t need to stay overnight in hospital. Hernia surgery can be done either under a general or a local anesthetic. The type of operation will depend on the type of hernia one has. Surgeons will discuss their patients the type of hernia operation to be had, taking into account factors such as the type of hernia, the size of the hernia, and the patient’s general health. Hernias are mostly repaired by using a mesh.Inguinal hernia is the most common type of hernia, accounting for more than three out of every four hernias. They usually occur in men, on both sides of the body.

Inguinal hernia occurs when some tissue pushes through the lower abdomen in the groin. They often occur after heavy lifting, during which one may experience a sharp pain in the groin and notice the appearance of a swelling.An inguinal hernia can be fixed by a small operation. Inguinal Hernia Surgery is usually done by a “key-hole” operation, as the recovery is quicker compared to having an open operation. The operation is performed through three tiny cuts, the largest of which is only around 1.5 cm in size. It is more common that inguinal hernias be repaired by using a mesh. This is a thin sheet of material which is usually stitched or glued over the hole of the hernia. This has shown to be stronger and more effective than sewing the edges of the hole together for inguinal hernias. With time, the mesh safely becomes incorporated into the muscle layer, which results in a very strong, permanent repair.

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Posted by Elizabeth Smith on 20 July 2012, 5:39 AM

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