In some cases, your surgeon will use a synthetic mesh to reinforce that weakened area. Open surgery can be performed either with general anesthesia or with sedation or local anesthesia. During this procedure, your surgeon will make a few small incisions in your abdomen. Your surgeon will then inflate your abdomen, using a special gas, in order to make your internal organs easier to see. Your surgeon will then insert a small, narrow tube into one of the incisions in your abdomen.
This tube has a tiny camera, or laparoscope, at the end of it. That camera serves as a kind of guide for your surgeon, who is then able to insert surgical instruments through the other incisions in your abdomen. Your surgeon will repair the hernia using mesh. Because minimally invasive surgery allows the surgeon to avoid scar tissue from earlier hernia repairs, it may be an especially good option for people who have had their hernias recur following traditional hernia surgery.
It may also be a good option for people with bilateral hernias, or hernias on both sides of the body. Patients who choose minimally invasive surgery may experience less scarring and discomfort following surgery than those who choose open surgery.
Patients may also be able to return more quickly to their normal activities. Your doctors will speak with you in detail about all of your treatment options and will recommend a course of action best suited to your individual needs. Updated visitor guidelines. Groin Hernias.
Inguinal Hernias Inguinal hernias, also known as groin hernias, occur when a bit of tissue protrudes through a weak spot in the muscles between the upper thigh and the lower abdomen. Symptoms The primary symptom of an inguinal hernia is a lump or bulge in the area of the groin. Causes Inguinal hernias can be caused by any one of the following, or by a combination of factors: Chronic coughing Chronic sneezing Increase of pressure in the abdomen Pregnancy Straining during bowel movements Strenuous activity Weak spot in the abdominal wall The cause of an inguinal hernia, however, is not always immediately apparent.
Risk Factors Certain populations seem to be at greater risk of developing inguinal hernias than others. Risk factors include the following: Aging: Muscles grow weaker with age. Being male: Men are more likely to develop inguinal hernias than women. Chronic constipation , which usually causes excessive straining during bowel movements. Chronic cough , particularly when caused by smoking. Family history: If you have had a parent or sibling with an inguinal hernia, you may be at greater risk of developing one yourself.
Premature birth and low birth rate are both associated with greater incidences of inguinal hernias. Previous inguinal hernia or hernia repair: Those who have already suffered an inguinal hernia are at greater risk of developing another one. Complications In some cases, an inguinal hernia can result in additional complications. These may include: Incarcerated hernia: A hernia can grow to obstruct the bowel if its contents become trapped in the weak area of the abdominal wall. With minimally invasive surgery, patients are back to their regular activity within two weeks.
Open surgery is the other treatment option — recovery takes four to six weeks. For both men and women, repair is recommended for most abdominal hernias. The exception is if you have risk factors for complications or hernia recurrence, such as obesity or poorly controlled diabetes. Some patients do not have symptoms and may decide to delay repair after discussion of the risks and benefits with their surgeon. Surgical options and recovery time for ventral hernias vary widely because these hernias come in all shapes and sizes.
A small umbilical or incisional hernia can often be treated on an outpatient basis. However, repairing more complicated hernias may require a hospital stay of one to five days. A: When most hernias start, the internal tissue that pushes through the muscle gap is usually fat. The risk of this is very low, but when it happens, it needs emergency repair.
Seek immediate medical attention if you have:. For more information about hernias and their treatment, visit the Johns Hopkins Comprehensive Hernia Center. Health Home Conditions and Diseases. Q: What is a hernia? Q: Who is at higher risk for a ventral hernia? Q: How can you tell if you have an inguinal groin hernia? Symptoms in Men A bulge you can see or feel Aching pain in the area A feeling of pressure A tugging sensation of the scrotum around the testicles Pain that worsens with activities that add pressure to the area, such as heavy lifting, pushing and straining Symptoms in Women Aching or sharp pain Burning sensation A bulge at the hernia site, but this may not be present with a groin hernia Discomfort that increases with activity Q: How are hernias treated?
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