Q: 8) How is Hernia Surgery performed?

Hernia surgery can be of two types. Open surgery – You will be administered local or general anaesthetic and an incision will be made on your skin near your hernia. The incision will be around 2.5-3 inches in length. Your surgeon will then push your hernia back into your abdomen. The incision is then stitched closed. Generally, a mesh is placed over the hole and fixed using fine stitches. Your own tissue will grow through the mesh to strengthen the weakened area without putting tension on the surrounding tissues. Laparoscopic surgery – You will be administered general anaesthesia. The surgeon will make a number of minute incisions. He/she will then use specialized equipment including a small camera view the inside of the abdominal wall and aid in repairing the hernia. A mesh may then be placed to reinforce the abdominal wall and help prevent reoccurrences.

Question 1

1)  What is Hernia Surgery?

Accepted Answer

Hernia Surgery is surgery undertaken to push back hernia of any type. It involves repairing the hernia to relieve the patient of the pain and help them get back to their maximum physical level.

It typically involves making an incision to repair a hernia and using a mesh to strengthen the abdominal wall while it heals.

Question 2

2) Why does one need to undergo Hernia Surgery?

Accepted Answer

You have to undergo hernia surgery because there is no other way to cure a hernia. If nothing is done, the hernia might grow and become more painful. It can put pressure on the nearby tissues and cause swelling and pain. A portion of your intestine might get trapped in the abdominal wall and obstruct the bowel movement along with considerable pain. If the blood flow gets blocked, the intestinal tissues might get strangulated, get infected and die. This will lead to nausea, vomiting, and fever. In some cases, these might even become life-threatening.

Question 3

3) What are the risk factors of a Hernia Surgery?

Accepted Answer

Risks factors of a hernia surgery include –

Difficulty in urinating
Fluid and subsequent pain in the abdomen
Bleeding or some other drainage from the incisions
Difficulty in breathing
Allergic reaction to anesthesia and medications used during and after the surgery
Infection at the site of surgery
Abdominal pain or pain in the groin
Injury to the bladder by the mesh

The body might reject the mesh which is used in the surgery whose symptoms are as follows

Bloating at the site
A lump in and around the area of the surgery
Fever
Nausea
Vomiting

These risk factors can be avoided if the surgery is done properly by a qualified surgeon using proper equipment and taking care so as not to strain yourself for at least six weeks. If you see any symptoms, contact your doctor immediately. Hernia recurrence can be minimized by not putting any strain on the operated area.

Question 4

4) How effective is Hernia Surgery?

Accepted Answer

Hernia surgery is 100% effective if a good quality mesh is used in the operation and proper care is taken to not put too much pressure on the affected area.

Question 5

5) When is the right time to undergo Hernia Surgery?

Accepted Answer

Hernia surgery is usually conducted as soon as possible from the time the hernia is diagnosed.

Delay in conducting the surgery may increase the risk of serious infection.

Question 6

6) Can I avoid Hernia Surgery?

Accepted Answer

No, a hernia cannot be healed without surgery. No external processes will help neither will it heal on its own.

Question 7

7) What are pre-diagnostic measures in Hernia Surgery?

Accepted Answer

The analysis before the surgery would include the following.

Physical Examination
Total Erythrocyte Count, to rule Anemia and Hypoxia
Urinalysis testing
Coagulation testing, to determine whether any clotting factor is absent or not.
Metabolic analysis of your organs
Electrolyte status
ECG/EKG to check the status of your heart
An imaging test (Ultrasound, CT scan or MRI) to know the correct placement of a hernia.

Question 8

8) How is Hernia Surgery performed?

Accepted Answer

Hernia surgery can be of two types.

Open surgery – You will be administered local or general anaesthetic and an incision will be made on your skin near your hernia. The incision will be around 2.5-3 inches in length. Your surgeon will then push your hernia back into your abdomen. The incision is then stitched closed. Generally, a mesh is placed over the hole and fixed using fine stitches. Your own tissue will grow through the mesh to strengthen the weakened area without putting tension on the surrounding tissues.
Laparoscopic surgery – You will be administered general anaesthesia. The surgeon will make a number of minute incisions. He/she will then use specialized equipment including a small camera view the inside of the abdominal wall and aid in repairing the hernia. A mesh may then be placed to reinforce the abdominal wall and help prevent reoccurrences.

Question 9

9) How long will Hernia Surgery operation take?

Accepted Answer

The surgery will last around one hour. Most of this time is taken in preparing the patient for the surgery.

Question 10

10) What components are used in Hernia Surgery?

Accepted Answer

In both open and laparoscopic surgery, a mesh made of synthetic material or animal skin is used to provide support to the abdominal wall. The synthetic mesh is a permanent implant while the mesh derived from animal skin will dissolve over time.

Question 11

11) Will I experience pain?

Accepted Answer

The procedure is invasive and will cause some degree of pain after the surgery when the anaesthesia wears off. However, the pain will subside over a few days and recovery will often be uneventful and smooth.

Question 12

12) What is the duration of recovery?

Accepted Answer

Recovery time heavily depends both on the type of a hernia and the type of surgery performed. Laparoscopic surgery patients take less time than open surgery patients to recover. Generally, you should be able to do light activities like walking by four days. After 1-2 weeks, you can continue normal work. However, lifting heavy objects or activities which put considerable strain on your abdomen should be avoided. You will be at 100% of your capacity by 5-6 weeks post which you can resume your usual activities.

Question 13

13)  What activities can be performed after Hernia Surgery?

Accepted Answer

Normal activities can be resumed within 4 days but heavy lifting or strenuous activities should be avoided. On the same day as the surgery,you should be able to walk. If you were under anaesthesia during the operation, refrain from doing complex activities like driving, operating machines, etc until 48 hours.

Question 14

14) What is the cost of Hernia Surgery in India?

Accepted Answer

The cost of hernia surgery in India varies across different hospitals and cities-

Cost of Hernia Surgery in India
CITY	COST
Cost of Hernia Surgery in Mumbai	INR 150000- INR 350000
Cost of Hernia Surgery in Banglore	INR 130000- INR 330000
Cost of Hernia Surgery in Delhi	INR 130000- INR 330000
Cost of Hernia Surgery in Chennai	INR 110000- INR 310000

Question 15

15) Do people come from abroad for Hernia Surgery in India?

Accepted Answer

Yes, people from countries with scarce medical facilities do come to India to undergo surgery. Also, since surgeries tend to cost lesser in India as compared to developed countries, some people from these countries might also come for surgery.

Question 16

16) How do I choose the best doctor and hospital for a Hernia Surgery?

Accepted Answer

While choosing a hospital for the surgery, any hospital with proper infrastructure for surgeries and qualified surgeons will do. Make sure that the components used (mesh) is of high quality. Most surgeons will be able to perform a hernia surgery but make sure that the surgeon is properly qualified and has a good track record.

Hernia Surgery

Symptoms

Hernia may present with the following symptoms:

Diagnosis

Treatment

There are two types of surgeries that can be performed to treat hernia:

Risks

The risks involved in a surgery for the treatment of Hernia are:

After Procedure