Hernia is a protrusion abdominal content into the inguinal or groin region, it could be either in terminal fat or intestine that actually protrudes into the groin.
It’s most commonly seen in men about ten times more commonly than women. This is largely because of the growing anatomy during development when the testicles descend from the abdomen into the scrotum.
When someone has a hernia, they notice a bulge in their groin area sometimes this could be associated with pain. They might also have a experience of fullness in that area when they do heavy lifting. Sometimes when they lay down they notice that the bulge goes down and then they get up and they start taking part in physical activity they notice that the bulge gets bigger most of the time people will experience symptoms and that’s the most common reason someone will come in for treatment of a hernia. It is advised to seek immediate medical attention when you experience the symptoms.
In any surgery of any kind of risk you require an experienced surgeon and in Pune, its Dr. Samrat Jankar. He is a practicing laparoscopic surgeon and gastroenterologist in Pune. Dr. Jankar can do both open and laparoscopic gastrointestinal surgeries. In this article Dr. Samrat will tell us about hernia, its treatment and recovery post-surgery.
If this is something that’s detected on physical exam there is any increase bulge or pressure or any incidence of a bowel obstruction, then there’s the situation is where it needs to be a repaired the surgery.
There are two different options when surgically removing hernia that Dr. Samrat Jankar can perform:
- Open Hernia Surgery: An open Hernia approach entails incision about four or five centimeters in the groin area and essentially you identify the area of the hernia. We find the the hernia sac and put the abdominal contents back where they’re supposed to be and with the use a piece of mesh to reinforce the repair and then close the defect.
- Laparoscopic Hernia Surgery: In the laparoscopic approach, the doctor uses very small incisions and use a laparoscopic camera to go through the incisions for the surgeon to view the inside without opening the groin area.
The biggest incision probably be about as wide as a thumbnail. The doctor will go in through that incision and then use very tiny instruments through two other incisions those would be about the size of an eraser head and find the area of the defect. Then a piece of mesh is placed over that area where the defect was to stop the abdominal contents from going back into the organ. Immediately after surgery the patient will recover in the post-operative recovery room.
With the use of laparoscopy, the surgeon will be done in the same-day and you will be able to go home that day too.
After the surgery, someone will have to escort you home, typically we require some family member to be there because you will be recovering for anesthesia. You usually don’t have a whole lot of pain right after surgery because we use some local numbing medication most of the pain happens the following day. We will give you pain medication to help take care of that.
It is also recommended that people don’t take part in a heavy lifting for about six weeks because the risk of recurrence is higher if you try doing heavy lifting or puts strain on the repair. But typically, people are able to go back to work within the next couple of days usually they after until they’re off of pain medications. Before they know, they can drive and typically back to complete normal daily routine in about six weeks
These hernias can recur certain people tend to be more prone to recurrence in people who are: obese, smoke, they have lung disease; they have any kind of connective tissue disease, if they take some steroids. If they take part in heavy lifting, you know if their weightlifters, these are things can cause increased abdominal pressure it could cause more strain on the repair and lead to a recurrence.