hernia   Dr Warrier, Surgery, Laparoscopy, Colonoscopy,  Endoscopy


What is a Hernia?

A Hernia is a protrusion/bulge through the layers of the abdominal muscles due to weakening.

It is similar to an inner tube pushing through a damaged tyre.

The inner lining of the abdomen (peritoneum) pushes through the weakened area of the body wall to form a small balloon like sac.

This can allow a loop of bowel or other tissue to push into the sac.


A hernia may be asymptomatic or may cause aching or pain particularly when you lift heavy objects, cough or strain during urination or bowel movements or during prolonged standing or sitting.

The common areas where hernias occur are the groin, at the umbilicus and at the site of previous operation scars.

When the contents of a hernia do not reduce, it can cause serious problems such as obstruction/strangulation that may require emergency surgery.

A hernia does not get better over time. Nor will it go away by itself.

Treatment Options

Open Approach
The traditional open approach is done from the outside through an incision at the site of the hernia.

The tissue is cut in layers until the hernia sac is approached and this is dealt with by excising it.

This is followed by repair of the layers of muscles by suture and/or using a synthetic mesh to cover the defect.


Laparoscopic Approach
In the Laparoscopic approach, through a camera system inserted through a small incision, usually around the umbilicus and the weakness in the abdominal is approached from behind the abdominal wall.

Using this technique the hernia is pulled back inside and the weakness is covered by a large piece of synthetic mesh, which is then held in place using small titanium tackers.

This is similar to putting a patch on the inside of a tyre.

By using a large piece of mesh to cover all the potential hernia sites in the groin the chances of recurrence or development of a new hernia in this region is reduced to a minimum.

Not everyone is a candidate for laparoscopic hernia repair and your Surgeon will decide the feasibility of this after a thorough examination and taking into consideration the history of previous surgery in the region.

Advantages of Laparoscopic Hernia

  1. Smaller incision means usually less pain associated  post operatively
  2. May allow earlier for return to work or normal activities
  3. Less chance of recurrent herniation

As with any operation complications can occur. The main problems are bleeding and infection. There is some slight risk of injury to the bladder, the intestine blood vessels, nerves or the sperm tube. Sometime patients may develop difficulty in urinating that may require a catheter to be put in for a short while.

Occasionally the procedure may have to be converted to an open operation due to technical problems such as dense scar tissue or bleeding during the operation. The decision to convert to an open procedure is strictly based on patient safety.

After Surgery

After the operation you will be recovered in the recovery room until you are awake to go back to your bed in the ward.

Usually you will be able to go home the following day after surgery with pain relief and/or anti-inflammatory tablets.

You may have some difficulty with urination and opening your bowels for the first few days.

Some mild pain and soreness may be present for about a week or so and it will be necessary to take things easy during this time.

If you develop high fever, chills, vomiting or discharge from your wounds you should contact the surgery.

With Laparoscopic repair you will probably be able to get back to your normal duties within a much shorter period of time and be able to do walking up the stairs and driving and sedentary work almost straightaway.

Your should make an appointment to see your Doctor within two weeks after discharge.

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Dr Warrier, Surgery, Laparoscopy, Colonoscopy,  Endoscopy   Dr Warrier, Surgery, Laparoscopy, Colonoscopy,  Endoscopy