Laparoscopic Hernia Repair  ::  Modern Hernia Repair

Modern Hernia Repairs

What is a hernia?
Hernias are weak areas where a defect, usually in muscles, allows the insides to bulge through the defect. Commonly this occurs in the groin, or through a previous surgical incision. The contents can get stuck or twist within the bulging hernia. Whenever the pressure rises, the insides tend to bulge through the hernia.

Are hernias dangerous?
Fortunately, it is uncommon for hernias to strangle their contents. If the hernia contains an organ such as bowel, then strangulation is obviously a serious problem and requires prompt attention.

What about truss?
These are special belts and pads worn to place pressure over the weak area. The idea is that the pressure keeps the hernia from popping out. This can keep you comfortable for a while, but do not allow the hernia to heal. In fact, the rubbing action can induce more scar tissue and actually create problems. Generally speaking, a truss is seldom recommended.

Will the hernia ever heal by itself?
Unfortunately, no. If left alone, they tend to become more bothersome. Exercising and strengthening the muscles increases the pressures which were a cause of the hernia in the first place.

What is involved in the repair?
Standard repairs usually involve strengthening the area by sewing the tissue in this area to a ligament. The problem is that in many cases, this tissue is weak in the first place. Modern repairs involve placing a piece of nylon mesh over the weak area. This allows the scar tissue to grow into the mesh. Much the same principle as placing reinforcing steel into concrete. This can be done using the laparoscopic technique, using small incisions. Some repairs can be done under local anaesthetic. You will be advised as to your options, and which repair might best suit you.

Any possible problems with hernia repairs?
Your health may indicate which repair is used, as a full anaesthetic may have some risk.. Local nerve damage leaving a numb area occasionally occurs. Sometimes, this can lead to a painful condition but usually responds to treatment if dealt with promptly. Bruising and heaviness is common, but both are minor and quickly resolve. Infection is rare. Reoccurrence is a possibility with any hernia. The long term success rate is unknown as yet, as these repairs have only been done since 1991.

After the operation?
For the first week after the surgery follow these simple instructions:

• Just potter around and take it easy one week
• If it hurts, don't do it
  
• Shower as usual, it will not harm your dressing
  
• Remove dressings in one week

Things you can expect to happen:

• Bruising may track down into the genitals; don't worry, it will disappear in time
• Males may experience heaviness in the testicle when standing

If any of the following happen, please contact us:

• Increasing pain
• Increasing redness around the wound

After one week come and see us for a check up, and remember with laparoscopic surgery, there are no sutures to be removed.