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Open Surgery for Hernia


What is Hernia and why is it caused?

Hernia is caused when the inner layers of the abdominal wall have weakened which results in a bulge or a tear. As a fall out of this inner tube pushes through the damaged tire and the inner lining of the abdomen pushes the weakened area of the abdominal wall to form a balloon like sac. This makes the intestine to loop or result in a tear of abdominal tissue. The weakening of the tissue may occur due to natural weakness, heavy lifting, persistent coughing, straining with bowel movements or urination.

Who can get Hernia?

Both men and women are susceptible to this condition, some may have it from birth and some may develop it over a period of time.

What are the different types of hernia's?

The different types of hernia are as follows

  • 1.Inguinal
  • 2.Umbilical
  • 3.Incisional
  • 4.Femoral

What are the treatments available?

There are various avenues of treatment available and depending on the medical history of the patient the surgeon may recommend what’s needed. If surgery is not suitable for the patient the doctor may recommend a ‘Truss’; a ‘truss’ is a belt that holds the hernia allowing the patient to continue with his daily chores. In other cases the doctor might recommend either open or minimally invasive approaches

What is open surgery for hernia repair and how is it carried out to repair different types of hernias?

Open Surgery for Hernia is one of the open surgical approaches that is employed to remove the hernia.
The surgery is carried out under the influence of local or general anesthesia and incisions of 6 to 8cms are made in the groin region. Through the incisions that are made the hernia is removed with the help of surgical equipment; to strengthen the abdominal walls the surgeon might place a synthetic mesh and sew the region. After this the incisions are sealed using surgical glue or staples.

The open surgery for removing different types of hernias is as follows:

  • Inguinal: In the case of an inguinal hernia the surgery is carried out by making incisions in the abdomen region and after the hernia is removed. An inguinal Hernia is caused when the inner layers of abdominal wall have weakened which results in a bulge or a tear. As a fall out of this inner tube pushes through the damaged tire and the inner lining of the abdomen pushes the weakened area of the abdominal wall to form a balloon like sac.

  • Umbilical hernia: Umbilical hernia is a condition where a bulge occurs when a part of the tissues in the intestine or abdominal cavity start pushing through a soft/weak part in the abdominal wall near the belly button. This makes the intestine to loop or result in a tear of abdominal tissue. The weakening of the tissue may occur due to natural weakness, heavy lifting, persistent coughing, straining with bowel movements or urination.

  • Incisional hernia: An incisional hernia occurs due to weakening of abdominal walls due to surgical incisions. Lack of post-operative care, heavy lifting activity, stress on the abdomen, rapid weight gain are the reasons for the occurrence of incisional hernia.

  • Femoral Hernia: A Femoral hernia is caused when a muscle tissue pushes through a weak spot in the muscle wall of the groin region or in the inner thigh region. The surgery for femoral hernia is carried out by making incisions of 4cm to 8cm in the abdomen region (lower tummy to be specific) or over the hernia. The femoral canal is then opened and the doctor places the fatty tissue or the loop of bowel back into the stomach.

Frequently Asked Question's(FAQ's)

1. How Do I Find a Bariatric Surgeon?

Clearly, you want a bariatric surgeon who is very experienced in this specialty area. Research shows that the more experienced the surgeon, the lower the risk of death or complications during or after the surgery. To identify an excellent surgeon, collect a list of names. Ask friends and family members. Ask coworkers. You might be surprised -- lots of people often know others who have had weight loss surgery and want to share their doctor's name.

2. How Will My Physical Appearance Change After Weight Loss Surgery?

As you start losing weight, you will likely be thrilled with your new appearance. However, many people who lose a lot of weight often find their skin looks loose and baggy. You may want plastic surgery to remove this excess skin.

3. Will My Social Life and Relationships Change After Weight Loss Surgery?

Your relationships with friends and family may indeed change after weight loss surgery. For many people, food and drink are the basis for socializing. After weight loss surgery, you must find other ways to socialize -- ways that aren't focused on food.

4. Will I Feel Like Myself After I Lose Weight?

Losing a significant amount of weight is no small matter. In fact, the effects are profound and far-reaching. Life may seem disconcerting at times. You may feel odd, not quite like yourself. You may feel overwhelmed by the lifestyle changes you must make for the rest of your life. You may have reached for food as comfort -- and have difficulty giving it up. A therapist can help you get through this complicated period. A support group can also help. Ask your doctor about support groups for people who have had weight loss surgery. It helps to meet people who are making the same adjustments you're making -- and can help keep you on track with your weight loss program.

5. What Lifestyle Changes Are Necessary After Weight Loss Surgery?

Over time, some people regain weight despite bariatric surgery. Some eat high-calorie or high-fat foods instead of healthy foods -- and eat them too often. Some people rely on "soft meals" such as ice cream and milk shakes. The body itself may change over time, too, leading to weight gain. The digestive tract might begin absorbing more calories. Even the size of your surgical stomach can expand gradually over time.

6. How Much Weight Will I Lose After Surgery?

After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight. Most of this is lost within the first two years. After gastric banding, people lose 40% to 50% of their extra weight, typically within the first two years after the surgery.



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