Hernias are caused by weak spots of the abdominal wall allowing different abdominal contents to protrude through anatomical abdominal canals. The most appropriate procedure to repair hernias and prevent reoccurrence is the surgical implantation of a synthetic material to sustain the internal abdominal wall.
Five to 10 days before the scheduled surgery you must assure your insurance covers for this type of intervention and inform the insuring company of date and place of the operation. After the nurse in the pre-operative unit will have checked all your papers, an anesthesiologist will administrate you an intravenous medicine to induce you the required anesthesia. In order to choose the most appropriate anesthesia type for your case, the anesthesiologist will ask you about medical history. Most common, hernias are operated under general anesthesia.
During the modern laparoscopic procedure, the surgeon will make 3-4 small incisions on your abdomen and insert a small camera and surgical instruments inside the abdomen. The abdominal cavity will be filled with gas to ensure the visibility through the camera. This modern intervention is safer as it requires no large incision that might expose you to infection.
During the classical intervention the surgeon will repair the hernia by a larger incision from the inside of the abdomen. After reducing the hernia, the surgeon will place a sterile synthetic mesh and suture it on the outer abdominal layer to strengthen the weak abdominal wall. A drainage tube will be left inside the abdominal cavity for a few days to allow the fluids from the procedure to drain out of the body.
After surgery you will be amen to a post-operative unit where you will be monitored and the bandages will be kept dry and clean. While being discharged the doctor will prescribe you painkillers and you will be thought how to manage with the drainage tube; you will be scheduled for an appointment in two weeks after the discharge.
After classical interventions you must stay in the hospital for about 7-10 days while patients operated laparoscopically will be discharged in 4-5 days. Possible complications after the surgery can result in bleedings, side-effects to anesthetics, pain and infection. A potential risk is an injury to the intestines possibly leading to a hernia reoccurrence. You must contact a doctor immediately if you experience fever, chills, nausea or vomiting, drainage from an incision, inability to urinate or long-lasting inflammation in the area.
In the case of a classical incision the scars will be a bit larger than after the more but smaller laparoscopic incisions. You may return to normal activities like showering, driving or lifting light objects immediately as if feel up to it. The ability to do so varies from one person to another.
Surgical Repair Of Hernia
The classic method is the open herniorraphy when the surgeon makes a unique incision, cuts the hernial sack out or pushes herniated organs back into the cavities and sews the muscle layers together. Sometimes a synthetic mesh is required to strengthen the weakened wall. The second surgical option is the laparoscopic intervention while two small incisions are made to allow a small camera and surgical instruments to get into the abdomen. The hernia is repaired from the inside and the intervention lasts about 1-2 hours just like a classical herniorraphy.
Hernias are not surgical emergencies but must be cured to prevent the apparition of complications like the numb of an intestinal part inside the hernial sack with interrupted blood supply that might cause gangrene. Still, some surgical risk is also possible as eventual complications like internal bleeding, infection or blood cloths may occur.
The week before surgery you must stop taking anti-inflammatory medication unless you suffer from a heart disease and take aspirin. You might need to have blood drawn for analysis; the night before you should take a sleeping pill and stop eating or drinking. You may not wear contact lenses in the hospital and you need to ask the doctor before taking heart pills, blood pressure or diabetes medication.
A series of medical examinations will be performed during your hospitalization before the surgical intervention: vital signs care, blood tests, chest X-ray, an electrocardiogram, intravenous medication, pulse oxymeter to measure the oxygen level in your blood, general, spinal or epidural anesthesia. You will be monitored continuously during the intervention and a few days after to check the post-surgical recovery.
After surgery you will be bandaged and a nurse will check the bandage estate to prevent an eventual infection occurrence. When you begin recovery you will receive extra oxygen, you must exercise deep breathing and coughing to open the air tubes and keep them clear, you will keep a pillow tight to your abdomen to decrease pain from surgery. Drain tubes will remain inside the abdominal cavity a few days after intervention to allow draining to clear from the body,; in men, swallowing of the scrotum is frequent after surgery and will be deled with by keeping ice-cubes in the area.
For a while you will need to stay in bed and not force the surgical incision; then you will be asked to begin step by step a physical recovery. You will receive anti vomiting medication, antibiotics to prevent infection and pain medicine to relieve post-surgical symptoms.