Hernia surgery

A hernia is an abnormal protrusion of the whole or part of a viscus (bowel, fat, omentum) from its normal place in the abdomen (in the peritoneal cavity), into an abnormal position, with the commonest type being inguinal or groin hernias.

Common sites for hernia are inguinal (Latin for groin) 75%, ventral including incisional (in or through a previous incision) and epigastric (upper part of belly) 10%, femoral (Latin for thigh) 5% and umbilical 3%.

Choosing which surgical repair depends on the site, size of hernia and patient, and whether the hernia is primary (never been repaired) or recurrent (had prior repair). Hernias can be surgically repaired “open” by incising directly over the hernia or region, or laparoscopically (“key-hole”), depending on the type of hernia. Repairs can be done using nylon sutures, or by inserting an absorbable or non-absorbable mesh.

Most groin, epigastric, femoral and umbilical hernia repairs are performed as “day only” procedures. Most ventral incisional hernia repairs involve a short stay in hospital, and many times involve the temporary use of a wound drain.

Please speak with your doctor over what type of hernia you have and what repair is best for you and your circumstances.

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