For open hernia repair surgery, a single long incision is made in the groin. If the hernia is bulging out of the abdominal wall a direct hernia , the bulge is pushed back into place.
If the hernia is going down the inguinal canal indirect , the hernia sac is either pushed back or tied off and removed. The weak spot in the muscle wall—where the hernia bulges through—traditionally has been repaired by sewing the edges of healthy muscle tissue together herniorrhaphy. This is appropriate for smaller hernias that have been present since birth indirect hernias and for healthy tissues, where it is possible to use stitches without adding stress on the tissue.
But the surgical approach varies depending on the area of muscle wall to be repaired and the surgeon's preference. Mesh patches of synthetic material are now being widely used to repair hernias hernioplasty. This is especially true for large hernias and for hernias that reoccur. Patches are sewn over the weakened area in the abdominal belly wall after the hernia is pushed back into place. The patch decreases the tension on the weakened belly wall, reducing the risk that a hernia will recur.
Most people who have open hernia repair surgery are able to go home the same day. Recovery time is about 3 weeks. You most likely can return to light activity after 3 weeks. Strenuous exercise should wait until after 6 weeks of recovery.
Don't do anything that causes pain. You'll probably be able to drive again in about 2 weeks or when you have no pain in your groin. You can have sexual intercourse in about 3 weeks. Patients who have a history of prostate issues may have difficulty voiding after surgery, which is also a potential side effect of general anesthesia.
This may prolong hospital stay, as patients must urinate before being discharged from the recovery room. On very rare occasions, a urinary catheter is required to aid in voiding. For the few patients that require general anesthesia, it can take longer to wake up after surgery, and therefore prolong the stay in the hospital by an hour or two. Day surgery for hernia repair The majority of routine hernia surgery in the US is still performed in hospitals as day surgery.
Before closing the incision, the surgeon will inject a local anesthetic to decrease pain after the surgery. This anesthetic will help relieve pain for up to 6 hours after the surgery. He or she then will close the incision with dissolvable sutures. Steri-Strips are adhesive strips that are sometimes used on shallow cuts in the skin instead of stitches to hold the edges of the cut together. They will fall off on their own as the incision heals. Finally, the surgeon will place a small cotton dressing over the area.
This dressing should stay on for 5 days. Risks involved in the surgery include: Infection less than 1 percent. Bleeding very much less than 1 percent, with the average amount less than a teaspoon. Recurrence less than 1 percent. Home Preparation When general anesthesia is needed, there are important rules for eating and drinking that must be followed in the hours before the surgery.
Following are the usual instructions given for eating and drinking. No matter what age your child is, you should follow the specific instructions given to you on the phone by the nurse.
For children older than 12 months: After midnight the night before the surgery, do not give any solid food or non-clear liquids.
That includes milk, formula, juices with pulp, coffee and chewing gum or candy. For infants under 12 months: Up to 6 hours before the scheduled arrival time, formula-fed babies may be given formula. Up to 4 hours before the scheduled arrival time, breastfed babies may nurse. For all children: Up to 2 hours before the scheduled arrival time, give only clear liquids.
Milk is not a clear liquid. In the 2 hours before the scheduled arrival time, give nothing to eat or drink. If your child is very scared or upset, the doctor may give a special medication to help him or her relax. This medication is flavored and takes effect in 10 to 15 minutes. If you wish, you may go with your child to the room where the surgery will be done and stay as the sleep medication is given. Your child may choose a favorite scent to flavor the air flowing through the mask.
There are no shots or needles used while your child is still awake. Older children may choose between getting their medication through the mask or directly into a vein through an intravenous IV line. When your child has fallen asleep, you will be taken to the waiting room. If it has not already been done, an IV will be started so that medication can be given to keep your child sleeping throughout the surgery.
After the IV has been placed, your child will be turned onto his or her side. While Asleep While your child is asleep, his or her heart rate, blood pressure, temperature and blood oxygen level will be checked continuously.
There's also less muscle damage and the small cuts can be closed with glue. But the risk of serious complications, such as the surgeon accidentally damaging the bowel, are higher with keyhole surgery than with open surgery. Discuss the advantages and disadvantages of keyhole and open surgery with your surgeon before deciding on the most appropriate treatment. The British Hernia Society recommends using the open technique to repair most primary single-sided hernias those appearing for the first time on just one side.
Keyhole techniques are usually recommended for recurrent or bilateral hernias. Read more about surgery techniques on the British Hernia Society website. If a GP refers you to a consultant for specialist treatment, such as surgery, you have the right to start treatment within 18 weeks. Read more about NHS waiting times for treatment. Page last reviewed: 15 October Next review due: 15 October Read more about recovering from an inguinal hernia repair Open surgery Open inguinal hernia repair is often carried out under local anaesthetic or a regional anaesthetic injected into the spine.
This is a bigger operation and you may need to stay in hospital longer.
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