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Synopsis

When an organ or tissue pushes or bulges out through the weak spot in the muscle, it is called a hernia. This usually occurs in the abdomen or groin. Hence, hernia surgery, also known as hernioplasty or herniorrhaphy, becomes necessary. The surgery involves stitching the weak region or patching it up. This also involves reintroducing the misplaced tissue into the body.

 

The surgery is quite safe and efficient. However, it's critical to understand the recovery process and any possible hazards. Hospitals like Gleneagles Hospitals offer the best hernia treatment in Hyderabad. They adopt advanced surgical methods to reduce downtime and minimise complications. However, just like any other surgery, hernia surgery may also have certain side effects, which include - blood clots, excessive bleeding, pus draining, etc. 

What Is Hernia Surgery?

Hernia surgery is a specific medical procedure that is performed to repair a hernia. The frequent types of hernia are - 

 

  • Inguinal (Groin)
  • Hiatal (Upper Stomach)
  • Umbilical (Belly Button)
  • Incisional (At Previous Surgical Site)

 

A general surgeon usually does the surgery. It is mostly performed as an outpatient surgery at a clinic or a hospital. You won't need to stay for very long following hernia surgery unless there are issues because an outpatient surgical centre doesn't require an overnight stay. Both adults and children may undergo the procedure. It usually takes less than an hour or two to complete the surgery - depending on the severity of the condition.

Types Of Hernia Surgery

1. Herniorrhaphy: Herniorrhaphy is a traditional and still utilised form of hernia surgery. A surgeon makes a lengthy incision directly over the hernia to access it and then uses surgical instruments to widen the incision sufficiently. After that, the hernia sac is excised, and tissues or a displaced organ are put back where they were. Then, the sides of the hole or muscle opening through which the hernia protruded are sutured by the surgeon after sterilisation.

 

This is best for patients with small to moderate hernias that do not require mesh reinforcement. It is mostly used for inguinal hernia, umbilical hernia, and incisional hernia. 

 

2. Hernioplasty: During a hernioplasty, the surgeon covers the muscle opening with a flat, sterile mesh, which is typically composed of animal tissue or flexible polymers like polypropylene—instead of sewing it shut. The patch is sewn into the surrounding healthy tissues after the surgeon makes tiny incisions around the mesh hole. The mesh will serve as a reinforcing framework for the healing process of damaged or weak tissues surrounding the hernia. The more popular term for hernioplasty is tension-free hernia repair.

 

This surgical procedure is done for patients with large, recurrent, or high-risk hernias, where simple suturing won’t suffice. 

Types Of Hernia Surgery

Why Is It Done?

The majority of hernias occur in the abdominal wall. These hernias cause the outer abdominal muscles to weaken or tear. These muscles are responsible for keeping tissues or organs like the intestines inside. The intestines or adipose tissue protrudes through the abdominal muscles in the groin region when there is an inguinal hernia. Inguinal hernias account for about 75% of all hernias. Biological males are most likely to have them.

 

Femoral hernias are another kind of abdominal wall hernia. Compared to inguinal hernias, these occur slightly lower in the groin. They are more prevalent in biological females and, if left unchecked, may pose more dangers.

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Preparation Of Hernia Surgery

Before recommending the surgery, the healthcare practitioner will decide whether the patient is a right fit for hernia surgery. If so, they will decide on the best kind of surgery. Getting ready includes - 

 

  • Evaluating the medical history, especially any pregnancy-related issues.
  • Examine all of the prescriptions, including any vitamins and herbal remedies the patient may be taking.
  • Requesting imaging or blood tests to make sure they are healthy enough for surgery.
  • Providing preparation directions. For instance, the patient might be urged to cease using aspirin or other blood thinners. Prior to surgery, they might also need to fast.
  • After surgery, the patient may also need to make arrangements for a driver to take you home.

Hernia Surgery Procedure

On the day of surgery, the patient is asked to reach the hospital a few hours before the procedure. This is because there are several paperwork required in addition to testing blood pressure, heart rate, oxygen levels, and overall health. Also, the medical team may review the medical history of the patient to ensure there are no last-minute concerns. Once done, they administer an intravenous line, also known as IV, to administer fluids and medications.

 

Before the surgery begins, the anesthesiologist determines the most appropriate anaesthesia type. Patients may receive - 

 

  • General anaesthesia puts people into a deep sleep, and they feel no pain during the procedure.
  • Local anaesthesia is used to numb the surgical site, and the patient remains awake.

 

Now, depending on the surgical method, here’s the procedure the doctor follows - 

 

1. Open Surgery

 

  • During this time, a small opening will be made near the hernia site.
  • The protruding organ or tissue is pushed back in gently in its place.
  • The weakened muscle is strengthened using stitches or a surgical mesh.
  • Lastly, the incision is closed with sutures or staples, and a dressing is applied. 

 

2. Laparoscopic Surgery

 

  • During this surgery, several small incisions are made.
  • A laparoscope (thin tube with a camera) is inserted for visualisation.
  • Specialised instruments are used to repair the hernia and place the mesh reinforcement.
  • The incision is then closed with sutures or surgical glue. 

Aftercare And Recovery

Most hernia surgery is outpatient, which means - you get to go home the same day of the surgery. However, doctors may ask them to stay in the hospital for at least one night to monitor the condition of the patient.

 

Recovery time depends on several factors, such as - the type of hernia, the type of procedure done, the overall health of the patient, etc. Most people can return to work without concerns. However, they may be asked to wait for a few days before resuming any strenuous activity. Doctors may ask you to take small steps, short walks after 1-2 days of the surgery and advise you not to lift weights, run, etc.

 

Also, it is advisable to get in touch with the doctor if the patient feels any of the following - 

 

  • Fever and chills
  • Pus draining from the surgical site
  • Blood seeping through the bandage
  • Pain, warmth, redness, or swelling in the incision area

Risks And Complications

Hernia repair procedures have some side effects, in addition to risks and complications involved, just like any other surgery. The wound or incision site will most likely look significantly red and swollen. Also, it may hurt, particularly when touched.

 

Doctors may prescribe anti-inflammatories or painkillers to help lessen inflammation and the symptoms. It is also advisable to apply ice to the area once an hour for ten minutes at a time, which may also help reduce inflammation. Here are certain risks and complications possible with hernia repair surgeries - 

 

  • Infection
  • Mesh pain
  • Renal failure
  • Infection of the urinary tract
  • Damage to an organ or tissue
  • Having sluggish bowel movements or constipation
  • Respiratory problems, in addition to lung infection or blood clot pneumonia
  • An irregular opening between two organs or a surgical cut fistula can cause an incisional hernia.
  • Difficulty or inability to urinate or pee leakage or incontinence
  • Hernia seroma recurrence or return, or a fluid-filled sac beneath the skin's surface, nerve injury, neuralgia, or nerve discomfort that results in tingling or numbness

 

In addition to these, some may also face internal bleeding, hematoma, or blood collecting at the site. The surgery may also leave severe scarring. 

Why Choose Gleneagles Hospitals For Hernia Surgery?

Gleneagles Hospital is known as the best hospital for hernia surgery in Hyderabad because of its world-class healthcare, advanced surgical techniques, and highly experienced specialists. The hospital is equipped with cutting-edge surgical technology, modern operating theatres, and advanced diagnostic tools - which allow effective hernia treatment.

 

We also offer comprehensive patient care, which includes pre and post-surgical consultations and rehabilitation to ensure better recovery. Also, our hernia doctors in Hyderabad are highly skilled and specialise in open and laparoscopic surgical procedures, ensuring fast recovery, minimal pain, and reduced recurrence of the condition. 

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Frequently Asked Questions

Can you live with a hernia without surgery?

If the hernia does not bother you or make a difference in performing daily activities, it might not be necessary to undergo surgery. However, hernias tend to get worse, so it is advisable to get the surgery done as soon as possible.

Is hernia surgery painful?

There might be slight discomfort and pain after the surgery, but it is usually manageable. Also, the patient may feel tired and have less energy than usual. However, you should always choose the best hospital for hernia surgery in Hyderabad to lower possible complications and improve management.

Can I sit after hernia surgery?

After surgery, it might be difficult to sit for a few days. The patient may be required to walk and change position periodically. 

Is hernia 100% curable?

A hernia is considered curable only after surgery. Though it can be managed with lifestyle changes or a hernia belt, surgery is the best way to get rid of it. 

Can a hernia grow back?

Yes. A hernia may grow back after surgery. This is called a recurrent hernia. This means the hernia may reappear at or near the surgical site. This happens mostly due to improper treatment, excessive strain on the abdominal muscles, etc. 

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