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Hernia Surgery: Indications, Preparations, Procedures and Complications

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What is Hernia Surgery?

Windowofworld.com – Hernia surgery is an operation to treat a hernia, by strengthening the abdominal wall. Hernia surgery can be done by open surgery or laparoscopy, with precedence of giving local anesthesia or general anesthesia to the patient.

Inguinal hernia or better known as hernia is a condition when an organ in the stomach pushes the muscles or weak tissue around it, so that it protrudes out. Hernias generally occur in the stomach, but can also occur in the upper thighs or groin.

Internal organs that are protruding and can be pushed back from the outside with fingers, are generally not life-threatening. However, hernias cannot heal by themselves. Surgery is often needed to overcome it. In this article, we will discuss hernia surgery with open surgery, not with laparoscopy.

Indications for Hernia Surgery

Hernia surgery is performed on patients who experience hernia. However, not all hernias need to be operated on. Some conditions that require hernias to undergo surgery include:

  • Hernias get enlarged or cause pain and discomfort.
  • The protruding intestine cannot be pushed back with a finger (ireponible hernia), so there is a risk of being squeezed in the stomach wall (incarcerated hernia).

If not treated immediately, this condition can cause interruption of blood supply to the intestine and cause tissue death (hernia strangulata) and permanent damage.

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Warning for Hernia Surgery

Hernias are a condition that cannot heal by itself. Although hernias are small, cause no symptoms, and the intestines that protrude into the abdominal wall can still be pushed with a finger (hernia reponible), and there is no need to undergo a hernia operation, but this hernia reponibel has the possibility to increase. In rare cases, reponible hernias can develop into life-threatening strangulate hernias.

Before undergoing hernia surgery, patients with the following conditions are expected to be more careful and discuss with doctors about the benefits and risks of undergoing hernia surgery:

  • Skin infection
  • Upper respiratory tract infection
  • Type 2 diabetes
  • Chronic constipation
  • Urinary disorders
  • Allergy to anesthesia
  • Have a history of blood clotting disorders

The following conditions can also cause hernias to recur, even though they have undergone surgery:

1. Cirrhosis

Patients with cirrhosis generally experience fluid retention in the stomach (ascites). These conditions can increase pressure in the stomach and make the hernia recur even if the patient has undergone surgery. Some doctors recommend that people with cirrhosis do not undergo hernia surgery.

2. Prostate enlargement

Men who experience difficulty urinating due to prostate enlargement are advised not to undergo hernia surgery before prostate problems are resolved.

3. Radiotherapy

High-risk hernias recur in patients who have undergone radiotherapy in the lower abdomen or groin area.

Preparations Before Hernia Surgery

Some things that need to be done before undergoing a hernia operation are:

  1. Stop smoking a few days before the action.
  2. Stopping blood-thinning drugs, such as aspirin or warfarin, according to doctor’s recommendations.
  3. The patient will undergo screening tests, such as blood, urine, ECG, and X-ray tests in preparation for surgery.
  4. Invite family or friends to accompany you to the operation.

Hernia Surgery Procedure

Hernia surgery with open surgery is divided into herniotomy, herniorafi, and hernioplasti. Before the operation begins, the doctor will give general anesthesia or only half the body by giving an injection in the spine, so that the patient’s lower body becomes numb. Furthermore, the procedure to be carried out is as follows:

  1. After the patient is anesthetized, the surgeon will make an incision in the abdominal wall above the hernia area about 6-8 cm long, then push the hernia back into the abdominal cavity, and remove the hernia sac. This procedure is called a herniotomy.
  2. In herniorafi, the procedure performed is the same as a herniotomy. It’s just that the doctor will strengthen the inner abdominal wall where the hernia comes out by sewing it.
  3. If the hole where the hernia exits is large enough, the doctor will use a synthetic mesh (mesh) to close and strengthen the hole, so that the hernia does not recur. This procedure is called hernioplasti.
  4. After the above stages are completed, the doctor will cover the area of ​​the incision in the patient’s abdomen with surgical sutures or special adhesive.

After Hernia Surgery

Generally, patients are allowed to go home after surgery, without having to undergo hospitalization. However, patients are recommended to rest for 3 weeks. Patients are not advised to have sex during this time.

Avoid excessive activity, such as lifting heavy objects, up to 6 weeks postoperatively.

Swelling generally appears in the area of ​​the post-surgical incision. To reduce pain and swelling, patients can compress swollen areas with ice bags for 20 minutes. Do it every few hours.

Perform surgical treatment after the doctor’s recommendation. Tell your doctor if fever and bleeding appear on the incision.

Complications of Hernia Surgery

Hernia surgery is generally safe. Nonetheless, the following complications may arise after surgery:

  1. Bleeding or surgical wound infection.
  2. Infections in synthetic webs.
  3. Blood clots form as a result of the patient not moving while under the influence of the anesthetic.
  4. Pain that does not go away due to nerve injury or numbness.
  5. Damage to internal organs or male genital organs, such as testes or sperm ducts.
  6. Hernias recur again. However, synthetic mesh installation minimizes these complications.
  7. Drug allergic reaction.

That is the explanation of hernia surgery that we can convey to you. Hopefully this article can be useful for you. Don’t forget to share this article on social media so your friends can also read this hernia surgery article.

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