When an internal content of the abdomen, be it an intestine or omentum or organ leaves its original position and comes out through a defect or weak spot in the sheath/ muscle of the abdominal wall containing it, it causes a swelling in that particular area. This swelling is called a hernia.
Our abdomen is protected by the abdominal wall, the main strength of which lies in the abdominal wall sheath and muscle. When the internal content e.g., intestine, or any organ leaves its original position and comes out through a weak spot or defect in
the sheath or muscle of the abdominal wall, it causes a swelling in that particular area, which is known as a hernia. These hernias are common in the morbidly obese population due to weakness in the muscle and sheath caused by over stretching
of the abdomen and excessive fat deposition n the muscle .
This swelling could be over the tummy, groin, thigh, or hiatus in the diaphragm and is named accordingly. Swelling around the umbilicus is called Umbilical or Paraumbilical hernia. It could be reducible ( herniated contents enter back into the abdominal cavity completely) or irreducible ( herniated contents do not enter into the abdominal cavity completely .
Swelling in the upper abdomen is called an Epigastric hernia.
Swelling in the groin is called an ingunal hernia . Inguinal hernia is very common. It could be present at birth when it is called a congenital inguinal hernia. It can appear any time in adulthood or middle age and is mostly related to some sort of increased pressure inside the tummy caused either by excessive or chronic cough over a long duration, or due to excessive straining during passing motion or lifting heavy weights.
Swelling in the upper thigh is called Femoral Hernia, it is not common
Incisional hernia is a swelling in the area of previous surgery scar. It occurs mainly if there is cough or infection after a surgery in the incision or wound area.
Early diagnosis and correct treatment resolve the problem fast.
The repair of all the above mentioned hernias are done through laparoscopy i.e key hole surgery. Use of a mesh during the surgery is very important for long term success of the hernia repair. Different types of mesh are available which your doctor decides according to type of hernia you have.
If the person undergoing hernia repair is obese it is very important to inform and guide the patient to lose substantial weight and also not gain any weight for long term success of the surgery.
If the obese person does not lose weight or puts on further weight, then the chances of recurrence ( getting back the hernia) are very high . Bariatric surgery to lose the excessive weight could be the best answer in the morbidly obese people having hernia, the hernia could be done before , with or after the hernia repair surgery depending on what requires more and prior attention according to the patients complaints.
Dr Tulip’s Obesity and Diabetes Surgery Hospital Bangalore offers the best diagnosis and treatment of Hernia. Expert doctors use modern techniques and state-of-the-art methods to find out the reason behind hernia and correct it. When you are considering any Hernia surgery, then you are in safe hands there.
All surgical procedures are performed in the guidance of qualified doctors and using the best infrastructure.
This swelling could be over the tummy, groin, thigh or hiatus in the diaphragm and is named accordingly.
When the swelling is around the umbilicus. Umbilical hernias are seen at all ages even at birth. These hernias more commonly seen in women and even more common after childbirth. When the contents reduce it is called a reducible hernia. When the contents don’t reduce into the abdominal cavity, it is called an irreducible hernia.
When the swelling is seen in the upper abdomen in the midline, between the xiphisternum and the umbilicus. The content of this hernia is mostly fat, very rarely it may contain the colon which is the large intestine.Read More
When the swelling in the upper thigh. These are not very common.Read More
When the swelling is in the groin it is called an inguinal hernia. It could be on one groin (unilateral inguinal hernia) or both groins (bilateral inguinal hernia). This is one of the commonest hernias seen both in males and
females more common in females who are obese.
Inguinal hernia is of two types-
Direct inguinal hernia- The swelling over the groin is globular just over the Hesselbachs triangle.
Indirect Inguinal hernia: Initially, the swelling may be seen just in the groin region , but as it increases in size, the swelling appears in the scrotal region also called the inguinoscrotal hernia
When the swelling appears in the area or vicinity of previous surgery or scar, we term it as an incisional hernia. The scar could be that of an appendicectomy, or gall bladder surgery, hysterectomy ( uterus removal), caesarean
section scar etc. When one undergoes abdominal surgery, all the layers of the abdominal wall are cut. This may cause weakness in that area if not properly closed or if not properly healed. The reasons could be wound infection,
or excessive coughing, sneezing during the previous surgery.
Obesity is one of the major reasons for developing incisional hernias.
The umbilical, paraumbilical and incisional hernia come under this terminology.Read More
When the upper stomach leaves the abdomen and enters through the hiatus in the diaphragm in the thoracic cavity it is called a hiatus hernia.Read More
The complication of hernia is not uncommon if left untreated for a long time. The following are the complications:
This is the best and most sure treatment for a hernia. It was earlier done by the open technique, but now with the advance in technology, laparoscopic repair is the surgical treatment of choice for
a hernia. All hernias can be treated by the laparoscopic technique.
The advantage of laparoscopic repair is multiform, lesser hospital stay, less pain, cosmetic, early recovery 24 hours, early return to work
Laparoscopic Mesh repair of hernia
Mesh is a must whether we chose the open or laparoscopic technique.
You can see that the port placement differs depending on the type of hernia that needs to be repaired. Also the size of the ports is 5mm( two ports) and 10mm ( one port)
Inguinal hernia can be repaired laparoscopically by TEP method
Inguinal hernia can be repaired laparoscopically by the TAPP method
Laparoscopic technique has a benefit over the open repair, in such case, where in we get a complete view from within and even if 2 to 4 defects are present , it will not be missed. In open technique this could be missed
Certain precautions should be taken so that hernia repair is good and does not recur.
>Note : The surgeon will suggest the appropriate type of surgery based on the location and severity of your hernia.
The cost of Hernia surgery depends on many factors depending on Open/ Laparoscopic Surgery like