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Doctor insights on: New Developments In Hernia Surgery

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Dr. Ed Friedlander
6 doctors shared insights

Hernia Surgery (Definition)

There are a variety or several types of hernias, and many are repaired differently. A hernia is a weakness in the abdominal wall (such as inguinal, umbilical, incisional) or diaphragm (hiatal hernia). Surgery to repair the hernia can involve use of sutures, and possible use of mesh. Open or laparoscopic surgery can be a means to repair hernias, with laparoscopic ...Read more


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Could small recurrence of inguinal hernia be detected with ultrasound. (note repair done with mesh in open style)?

Could small recurrence of inguinal hernia be detected with ultrasound. (note repair done with mesh in open style)?

It could.: Beside physical exam, ct is the "gold standard" for detecting recurrent hernia. However, since the hernia may be transiet (comes and goes) it might not be "seen with any imaging study. ...Read more

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Could small recurrence of inguinal hernia be detected by ultrasound. (note surgery was done with mesh in open style)?

Hernia: A small recurrence could be detected by ultrasound, ct scan and/or physical exam. The lack of visualized hernia, though, doesn't necessarily mean that there is no recurrent hernia. These can be difficult to detect, even by experienced surgeon examiners. Discuss with a surgeon. ...Read more

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Can MRI detect early develepment of hernia in the inguinal canal?Persons who have improper inguinal canal attachment be diagnosed in advance by mri?

Can MRI detect early develepment of hernia in the inguinal canal?Persons who have  improper inguinal canal  attachment be diagnosed in advance by mri?

Both MRI and CTs: May pick up small asymptomatic hernias but no surgical intervention is required for those. Hernia is best examined on a physical exam. There is no such thing as improper inguinal canal attachments. Inguinal hernias happen either because of weakness of the inguinal floor or dilation of the ring through which important structures pass. Mri may pick up muscle strains which can cause groin discomfort. ...Read more

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M28, could sneezing and coughing 50 days after surgery cause to recur hernia(note it was large inguinal hernia, repaired with mesh in open style)?

Yes, it's possible: Anything that will raise the pressure in the abdomen can exert the same pressure on a hernia and cause it to recur, despite having just had a repair. While 50 days is right within the threshold of regaining maximal tissue strength, hernia repairs can fail at anytime. Even months or years later. Have your surgeon re-evaluate. ...Read more

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Breast enlargement surgery in the teens ok?

Breast enlargement surgery in the teens ok?

Done growing?: There are two types of maturity that are important to achieve before breast enlargement surgery: breast maturity and emotional maturity. Plastic surgeons need a stable platform on which to build. If the breast grow after augmentation, then the outcome may be unsatifying. Breast augmentation for cosmetic purposes should be delayed until at least ag 18, and the decision needs to be individualized. ...Read more

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Upcoming op for recurrent sport hernia. Prev. op was open suture without mesh. New surgeon will use open anterior w/mesh. Risk of testicular damage?

Upcoming op for recurrent sport hernia. Prev. op was open suture without mesh. New surgeon will use open anterior w/mesh. Risk of testicular damage?

Caution: Not a simple problem. If you have had a previous open repair, and you're still having pain, I would strongly recommend a laparoscopic repair IF you need one. Only about 20% of inguinal repairs are done this way, so you'll have to find a surgeon w/ enough training/experience. Try the Americas Hernia Society website to find one near you. Hope this helps! ...Read more

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Has high riskt to damage cord spermatic during the communication hydrocele surgery in children??

Has high riskt to damage cord spermatic during the communication hydrocele surgery in children??

No: In the hands of a skilled pediatric surgeon, there is extremely little risk of damage to the cord. Make sure your surgeon is comfortable with operating on children and trained to do it. ...Read more

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Does the presence of congenital hernias in children predispose to hernias in adulthood especially since the repair is only a herniotomy but no repair of the posterior wall of the inguinal canal?

Does the presence of congenital hernias in children predispose to hernias in adulthood especially since the repair is only a herniotomy but no repair of the posterior wall of the inguinal canal?

Unknown: As you said there is no repair of the posterior (floor) of the inguinal canal. However they are separate entities with different causes and one should not lead to the other or preclude it. Finally on occasion wih long standing child type hernias can lead to weak floors and this is usually reinforced if discovered at the first operation. ...Read more

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In case of surgery for correct communicating hydrocele in 4 years old boy is possibility to come back again hydrocele? Has risk this type of surgery?

In case of surgery for correct communicating hydrocele in 4 years old boy is possibility to come back again hydrocele? Has risk this type of surgery?

Yes: There is a chance the hydrocele can return after surgery. Talk to the surgeon about what percentage he/she has seen in his/her practice. There are statistics but some surgeons may have lower return rates than others. ...Read more

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Hernia repair 2/13 for lg.Ventral henias. New one developed recently outside 1 st repair of 8" by 13" mesh. Not inclined to fix this time. Advice?

Hernia repair 2/13 for lg.Ventral henias. New one developed recently outside 1 st repair of 8" by 13" mesh. Not inclined to fix this time. Advice?

Consequences: That's the biggest thing to consider. Small hernias are much easier to repair than large ones .... And especially if you've just had a major hernia repair with a new weakness, it's been 6 months, and an ideal time to repair this small area before it becomes a bigger problem (pun intended!). Good luck! ...Read more

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New swelling 3 months after inguinal hernia repair. 5 doctors and an ultrasound confirm no recurrence or new hernia. What is causing the swelling?

Seroma?: Could be a fluid collection under the skin (seroma), but that usually develops within about 3 weeks post-op, and subsides in 3-6 months. If the hernia was in the scrotum, fluid could be collecting there, mimicking hydrocele. Make sure to see the original surgeon, and consider a second opinion by a surgeon interested in inguinal hernia repair - check the americas hernia society website to find one. ...Read more

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Can you have stomach fat or lipo done at the time of hernia repair surgeries? Port site and incisional umbilical hernia?

Can you have stomach fat or lipo done at the time of hernia repair surgeries?  Port site and incisional umbilical hernia?

Bad Idea: Incisional hernia repair is almost-always done with mesh. Mesh infections can be devastating complications. Increasing the incisions in the abdominal wall by liposuction could increase the risk of mesh infection. In contrast, an andominoplasty ("tummy tuck") can sometimes be combined with hernia repair. ...Read more

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I have no incurance having a tummy tuck with a groin hernia repair. A general surgeon is assisting in hernia repair. Average cost of general surgeon?

I have no incurance having a tummy tuck with a groin hernia repair. A general surgeon is assisting in hernia repair. Average cost of general  surgeon?

Speak with surgeon: A surgeon may be willing to adjust the fee for a full prepay and will be willing to discuss this with you. However there is more than just the surgeon's fee which includes operating room, special equipment, as well as implants such as mesh. ...Read more

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Dr. David Earle
591 doctors shared insights

Hernia Repair (Definition)

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


Dr. David Earle
1,494 doctors shared insights

Hernia (Definition)

A condition that occurs when part of the stomach bulges into the chest. It can cause severe ...Read more