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Doctor insights on: Rectus Abdominis Hernia

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I had 2 "vertical" c-sections 39 & 40 yrs ago. Now i'm told I have a large hernia in my rectus abdominis: surgery to repair? Recovery time?

I had 2 "vertical" c-sections 39 & 40 yrs ago. Now i'm told I have a large hernia in my rectus abdominis: surgery to repair? Recovery time?

Yes: Surgery is required to repair any hernia. This can be done by opening your previous incision or laparoscopically. Recovery time varies depending on size of the hernia, technique of repair, and individual patient recovery process. I would plan on at least one night in hospital for bigger hernias and anywhere from 2-6 weeks of limited activity. ...Read more

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Dr. Jonathan Jassey
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Dr. Barry Rosen
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Hernia (Definition)

A hernia is a hole in the abdominal wall thru which the inner lining protrudes thru, creating a sac. Organs from within the abdominal cavity, such as the intestine, can protrude thru the hole and get stuck in the sac. Many hernias develop during fetal life and become evident in childhood or as an adult. Some develop following a prior abdominal operation. The cornerstone ...Read more


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What do the following symptoms mean: ventral hernia, a tumor and a rectus diastasis?

What do the following symptoms mean: ventral hernia, a tumor and a rectus diastasis?

Alphabet Soup: Ventral hernia: a bulge in the abdominal wall; most common site is the umbilicus. Diastasis rectii: separation of the normally-fused "6-pack" rectus muscles; it may look like a hernia but the fascia that covers the muscle is intact; tumor: is simply a growth; it can be benign or malignant (cancer). Hope this helps. ...Read more

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Dr. Jonathan Jassey
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Could an injured/strained rectus abdominal include symptoms related to upset stomach, stomach pressure & hernia?

Could an injured/strained rectus abdominal include symptoms related to upset stomach, stomach pressure & hernia?

Depends: On the severity of the injury.If complete rupture or tear of the muscle there may be bleeding & abdominal hernia & stomach pressure.If your symptoms are this severe please see a doctor soon. Minor strain would not cause any of this. Best wishes. ...Read more

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Surgeon ordered CT of hernia repair site bc of pain said I have right side thickening of rectus by my mesh. Left side loss of muscle. site is under belly button. More surgery he said poss. granuloma.

Surgeon ordered CT of hernia repair site bc of pain said I have right side thickening of rectus by my mesh. Left side loss of muscle. site is under belly button. More surgery he said poss. granuloma.

Possible surgery: When a hernia of abdominal wall repaired, it is essentail to have the wall intact. This is accomplised by inserting a mesh to cover the defect so the newly constructed wall is complete. The mesh is sutured into place with strong unually non absorbable sutures. It is possible that at one of the suture sites there is a hematoma or granuloma developing. Surgery may be needed. ...Read more

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Can a tummy tuck fixed a ventral hernia?

Can a tummy tuck fixed a ventral hernia?

Not always: If you have a true ventral hernia this is sometimes best corrected laparoscopically. This can be done at the same time as a tummy tuck. Hernias can always be repaired when doing a tummy tuck, however some repairs hold up better if done from the inside (internally). ...Read more

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When I do a crunch my abdominal wall axis protrudes up like a pup tent. Is this a lateral hernia or a diastis recti? No protruding lumps when relaxed.

Diastasis: Is likely from what you describe, if what you are seeing is located in the upper middle of the abdominal wall. Diastasis can be quite common ; nothing of concern. See your doctor if it is uncomfortable or bothersome to you to be sure it is nothing else. ...Read more

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Dr. Jonathan Jassey
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What can be done about a moderate size fixed hatial hernia?

Moderate size hiatus: Small to moderate hiatus hernia and do not need any surgical intervention, if you have symptoms, treatment is recommended 1 if you are overweight try to lose weight 2 avoid strees 3 you can use antisecretory drugs like pump inhibitors or h2 blockers if the reflux symptoms are severe and do not respond to meds may need nissen funoplication you need treatment for symptoms and prevent stricture esoph. ...Read more

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What are the symptoms of a hernia in women usually?

Pain and/or lump: Usually pain or discomfort, often associate with a lump felt under the skin. Chronic pelvic pain is also a possibility, but very difficult to tell for sure, as there are many causes i pelvic pain in women. ...Read more

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What is the cause of a hernia?

Nature/Nurture: Most hernias develop due to a "birth defect" of sorts, where natural holes in the abdominal wall present in fetal life fail to close. This may manifest itself at birth or require years of "exertion" before the hole reaches a size large enough to be evident. Other hernias are strictly "wear-and-tear" phenomena, although it is believed that they occur in-part due to inherently weak tissue. ...Read more

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