Doctor insights on:
What Is The Best Treatment For Inguinal Hernia
Hernia Surgery: Repair with permanent mesh has become the gold standard for inguinal hernia repair in adult males. Debate continues whether the traditional or laparoscopic approach is best: the bottom line is which technique your surgeon performs with the lowest complication & recurrence rates. I favor the laparoscopic approach because, in my hands, the recovery is shorter; this is most evident for double hernias. ...Read moreSee 1 more doctor answer
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
Primary repair: Young children will benefit from primary repair, which means high ligation and excision of the hernia sac. If the musculature of the inguinal canal is lax, then she may benefit from reinforcement of the musculature using her tissues. Would not recommend any mesh repair. ...Read moreSee 1 more doctor answer
Anyone know the best method to date for inguinal hernia repair;the best I found is: lichtenstein tension-free?
Define "best": Important measures of success include the recurrence rate, recovery, and complication rate. The lichtenstein method (open repair with mesh) is an excellent option but i often prefer laparoscopic repair, especially for "double" (bilateral) and recurrent hernias, due to the shorter recovery time. ...Read more
Walking: After inguinal hernia surgery, strenuous exercise is contraindicated for a period of time, depending on the type and complexity of repair. A period of rest (1-2 days) followed by walking as tolerated is best. You cannot strengthen the tissues with exercise before or after this type of surgery but you can cause failure or chronic problems by over stressing the repair. ...Read moreSee 2 more doctor answers
Neither will cure: Umbilical hernias in babies ; very young children mostly resolve on their own. Otherwise surgery is required to cure a hernia. Hernias are due to protrusion of tissue through a defect in muscle or fascia. Indirect inguinal hernias are due to failure of peritoneal protrusion to close spontaneously after birth. Trusses may temporize. Neither manipulation or any medication can correct hernial defects. ...Read more
WhateversComfortable: There is no specific position that i would recommend if one has a hernia. However, following hernia repair, many patients have told me that getting out of bed is quite difficult the first few days after surgery; this is made much easier by sleeping in a reclining chair. ...Read moreSee 1 more doctor answer
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