Specialities

Hernia Treatment

A hernia is a bulge caused by internal organ or other body part pushing through the wall of muscle that’s holding it in. Most hernias happen within abdominal area between the hips and the chest.

These are the most common 6 types of hernia:

01 Inguinal hernia

An inguinal hernia occurs when a small portion of the bowel bulges out through the inguinal canal-a passage or opening through the muscles of the abdominal (belly) wall-into the groin. The bulge usually contains tissue lining the inside of the abdomen as well as fatty tissue from inside the abdomen. Or it may contain a loop of intestine. There are two types of inguinal hernias: Direct and Indirect.

02 Femoral hernia

A femoral hernia occurs when tissue bulges from the lower belly into the upper thigh, just below the groin crease. Femoral hernias occur more often in women than in men. Pain from a femoral hernia is usually felt in the groin area. It is sometimes mistaken for an inguinal hernia. A femoral hernia can be hard to diagnose.

03 Umbilical hernia

An umbilical hernia occurs when intestine, fat, or fluid pushes through a weak spot in the belly. This causes a bulge near the belly button, or navel. Umbilical hernias can also occur in people who have health problems that create pressure in the belly, such as being overweight, being pregnant, or having too much fluid in the belly.

04 Incisional hernia

An incisional hernia can occur after surgery in the belly. It can happen months or even years after surgery. Most of the time, it occurs along a vertical (up and down) incision. This type of hernia can occur in people who: Are very overweight, Are older, Have used steroid medicines, Have had lung problems after surgery, Have had a wound infection after surgery or have had more than one surgery using the same incision.

05 Epigastric hernia

Epigastric hernias are lumps or bulges that occur in the upper part of the abdominal wall – in an area known as the epigastrium, which is above the navel and just below the breastbone. Epigastric hernias can be present from birth. They may vary in size, and it is possible to have more than one epigastric hernia at a time.

Typically, an epigastric hernia is small, with only the lining of the abdomen breaking through the surrounding tissue. Larger hernias, however, may cause fatty tissue or part of the stomach to push through.

06 Hiatal hernia

A hiatal hernia is different from other types of hernias, because it involves the stomach instead of the intestine. It occurs when part of your stomach bulges up through your diaphragm and into your chest. The diaphragm is a sheet of muscle that separates your belly from your chest. You can’t feel a hiatal hernia or see a bulge.

Most people with a hiatal hernia have no symptoms. But one symptom you may have is heartburn. If you often have symptoms, or if they are very bad, you may also have gastroesophageal reflux disease (GERD). A hiatal hernia can lead to GERD. It’s common to have both problems at the same time.

 

What is Hernia Surgery?

A hernia repair is a surgical procedure to treat hernias. Hernia repair surgery is the most common surgery performed throughout the world. Generally it takes 1 to 2 years before hernias begin to cause irritation and painful symptoms. These are the two methods of hernia surgeries: 

Hernioplasty (mesh repair): It is a type of hernia repair surgery where a mesh is stitched over the weakened muscle and with the help of mesh muscle grow back over time. Now a days it is a common hernia surgery and have better outcomes for the patients.
Herniorrhaphy (tissue repair): It is the oldest type of hernia repair surgery and now a days less commonly used.

What are the types of Hernia Surgery?

There are mainly 3 types of hernia surgeries:

Open hernia repair surgery: In this surgery, the surgeon makes a cut into the body at the location of the hernia and gently pushes the hernia back into place and close the weakened muscle through stitches with or without a mesh.
Laparoscopic (minimally invasive) hernia repair surgery: In this surgery, a thin and a telescope like instrument called as a laparoscope inserted through a small incision at the abdomen. This generally performed under general anaesthesia. Tiny scar, less pain after the surgery, shorter hospital stay are the main benefits of Laparoscopic hernia repair surgery.
Robotic hernia repair surgery: It is a kind of advanced laparoscopic surgery where the surgery performed through robotic system that have 3D imaging, tremor filter, and articulated instruments. Improved visualization and greater dexterity are two major features of robotic-assisted laparoscopic surgery provides undoubted technical advantages over conventional laparoscopy.

Can hernia be cured without surgery?

Surgery only can repair a hernia because hernias don’t go away on their own. People can delay in surgery sometimes if the hernia is small and doesn’t have any symptoms, doctor may watch for symptoms then decide for surgery.

Hernias tend to get bigger with the time because of the muscle wall weakness and tissues bulges due to that. It’s highly recommended going for surgery to avoid serious condition such as strangulation.