HERNIA SURGERY
Inguinal Hernia – Surgery in india
Surgery has generally been recommended for all inguinal hernias to avoid complications such as strangulation, in which a loop of intestine becomes tightly trapped in a hernia, cutting off the blood supply to that part of the intestine. But surgery may not be needed if the hernia is small and you do not have symptoms.
If a hernia in an adult can be pushed back (reduced), surgery can be done at the person’s convenience. If it cannot be pushed back, surgery must be done sooner.
- During surgery, the hernia sac is removed and occasionally a couple of stitches are used to close the opening of the inguinal canal nearest the abdominal cavity (internal ring).
- Most hernia repairs are done as outpatient surgery. Anesthesia can be local, spinal, or general.
- The use of synthetic patches or mesh for hernia repair is becoming standard for adult surgery. The mesh or patch is used to strengthen the abdominal wall and prevent hernias from recurring. Previously, these were used mostly for hernias that were large or hard to repair.
Laparoscopic hernia surgery may have some advantages over open surgery in certain situations. Studies show that people have less pain after this type of surgery and return to work and other activities more quickly than after open repair. But laparoscopic surgery is more expensive than open repair. And laparoscopic surgery has a higher risk for serious complications.
The risk of a hernia coming back after surgery varies depending on a surgeon’s experience, the type of hernia, if mesh is used, and the person’s age and overall health.
- Recurrence rates after hernia repair are lower when experienced surgeons perform the procedure, especially for laparoscopic techniques.
- The chance of a hernia coming back after surgery ranges from 1 to 10 out of 100 surgeries done.
- Using mesh to repair the weak muscle in the stomach wall makes it up to half as likely that the hernia will come back.
Surgery in children in india
In most cases, a child with an inguinal hernia will need surgery to correct it. Infants 6 months of age and younger who have inguinal hernias have a much higher risk of strangulation than older children and adults. So surgery for inguinal hernias in infants is not delayed like it can be for adults.
- Synthetic patches are not needed to repair an inguinal hernia in an infant.
- Some infants with an inguinal hernia may need to be hospitalized for surgery rather than have it in an outpatient setting. These include infants with lung problems, seizure disorders, or heart diseases from birth or those who were born prematurely.
