Doctor insights on:
Hernia Repair Failure
Hernia failure: Hernia recurrence is 1-5% after surgery. Poor tissue, obesity, steroid medications, infections and possibly return to heavy work too soon can be some possible reasons. Many causes are unknown. Symptoms would be the same swelling, bulge & discomfort at the hernia site. Would need a physical examination with your surgeon. ...Read more
A hernia is a hole in the abdominal wall through which the lining of the abdominal cavity protrudes, creating a sac. Hernias are common in the groin, belly button, upper-midline, or associated w/scars. The exact method of repair varies w/the type & size of the hernia as well as patient-factors, however, the basic principle is the same: close the hole, often ...Read more
I had a hiatal hernia repair done approximately 12 months ago. Not long after had c-diff and hospitalized due to nausea diarrhea acute kidney failure.
See description: But the question is missing. Please resubmit with a specific question. ...Read more
Replacement: Mesh is often placed in the repair of groin or abdominal hernias. The mesh is made of plastic material with small holes and looks like a sheet. The holes allow the body's tissue to grow into the mesh and this re-enforces the repair. ...Read more
"thousands": Important variables include the type of repair, surgeon's cost, anesthesiologist's cost, hospital (or ambulatory surgery center's) cost, etc. Some states publish average costs per hospital per procedure (check out healthcarecompare in il). If you ask to meet with a hospital representative, they should be able to get a better estimate. Good luck. ...Read more
Good stuff: Recent trends in inguinal hernia repair include more training for laparoscopic repair which is been shown to have less risk for chronic pain and low recurrence. New prosthetics are also being developed for inguinal hernia for both open and laparoscopic techniques. We are even working on a technique that can be performed endoscopically through the mouth in the laboratory. ...Read more
Surgeon experience: Recurrence rates can be higher in laparoscopic surgery based on the degree of experience and techniques used. Often a "bilateral" or both sided repair can be done via small incisions. If it's only one sided, the "extra" dissection during laparoscopic surgery of the opposite side is unnecessary and may pose potential for additional scarring. ...Read more
You could try to go to a clinic at a university hospital in your area.
Also there are some volunteer organizations that do them for no charge. ...Read more
Close the Hole: A hernia is a hole in the abdominal wall through which the lining of the abdominal cavity protrudes, creating a sac. Hernias are common in the groin, belly button, upper-midline, or associated w/scars. The exact method of repair varies w/the type & size of the hernia as well as patient-factors, however, the basic principle is the same: close the hole, often using mesh (artificial tissue). ...Read more
Pein or laparoscopic:
Open 4 to 6 weeks
laparosxopicic less that one week. ...Read more
Recurrence, infection, mesh infection, bleeding are some to be concerned about.
Inguinal same plus loss of testicle, etc. ...Read more
Pain after hernia: Discomfort occurring beyond the normal healing process in the area of any surgery including hernia surgery, is not uncommon. However chronic discomfort after hernia surgery, regardless of the presence/absence of mesh or technique used is increasingly recognized. Pain occurs in approximately 6-8% of patients. It is more common in younger patients ; if there was significant pain prior to surgery ...Read more
Non-reactive: Mesh used for hernia repair does not cause an immune or allergic reaction. Your body does respond to the mesh by forming scar tissue and sending inflammatory cells to the area. If this normal response is excessive, you may have pain at the site. If there is red skin, may be an infection. Best to have it checked by your surgeon if you're concerned. Hope this helps! ...Read more
I had open hernia repair last thursday--and there so much info out there about when to return to exercise. What is the correct answer?
Take your time: There are many different opinions on how soon a person can resume exercise postop. I like to have patients wait 4 wks and then slowly increase activity based on how they feel. Be smart and don't overdo it and listen to your doctors advice. ...Read more
Is nanotechnolgy used 2 round the edges of the holes which are in artificial mesh used for hernia repair so no problem occur when fibros tissues grow?
It depends!: In order to answer the question, you'd have to know where it was, whether it was the first one, how big it was, and how long you had it before the operation. There are many factors! The good news is that seromas do go away, although sometimes we need to treat them. ...Read more
1-2 weeks: While it varies, return to work is often 1 week, even for moderately active jobs. ...Read more
Not necessarily: Surgeons often perform hiatal hernia repairs on patients your age. Whether you are a candidate depends on your overall health. If you have significant reflux or pain you should consult with a surgeon who performs these repairs to determine whether you are a good candidate. ...Read more
As tolerated: I tell my patients to return to normal activity as tolerated. This includes taking matters in to your own hands. Check with your surgeon if there are any doubts. ...Read more