repair is surgery to correct
a hernia. A hernia is an abnormal
bulging of internal organs, often
the intestine, through a weakness
in a muscular wall.
This article focuses
on surgery to repair a hernia. For information
on a specific type of hernia see:
hernia is the result of an organ, usually
bowel, protruding through a weak point
or tear in the thin muscular abdominal
wall. Inguinal hernias can restrict blood
supply to the bowel herniated through
the defect, creating a medical emergency.
A femoral hernia
is a protrusion of a loop of the intestine
through a weakened abdominal wall, located
in the lower abdomen near the thigh.
esophagus runs through the diaphragm to
the stomach. It functions to carry food
from the mouth to the stomach.The esophagus
passes through the diaphragm just before
it meets the stomach, through an opening
called the esophageal hiatus.
umbilicus ("belly button") is
in the center of the lower abdomen. It
is the site through which vessels which
provide nutrients to the fetus from the
mother during development penetrate the
fetal abdominal wall.
you will be given a sedative to make you
drowsy. A local or spinal numbing medicine
(anesthesia) will be used so you do not
feel pain during the procedure. In some
cases, the procedure is done while you are
under general anesthesia (unconscious and
surgeon makes a cut over the area of the
hernia. The bulging tissue or organ is placed
back inside the muscle wall, the muscle
tissue is repaired, and the skin is closed.
In many inguinal hernia repairs, a small
piece of plastic mesh is used to repair
the defect in the muscle tissue. Laparoscopic
hernia repair is becoming more popular.
This approach uses a minimally invasive
repair may be recommended when a hernia
is painful or symptoms interfere with daily
activities. It may also be done when there
are large bulges through a small hole, which
interferes with blood flow or causes a blocked
hernias should be repaired to prevent the
possible complications of restricted blood
flow or blocked intestine.
any anesthesia include:
- Reactions to medications
- Problems breathing
any surgery include:
of hernia repair include:
- Injury to nearby
- Hernia returns
Most hernias can
be repaired with a simple operation with
minimal risks to the patient.
children have no activity restrictions following
routine hernia repair. Older children should
avoid contact sports for at least 3 weeks.
Getting hit where the wound is could cause
the skin to open or it may disrupt the repair
(less common). Adults
should avoid heavy lifting or straining
for about 6 - 8 weeks after surgery. Such
activity can disrupt the hernia repair.
Do not take
a bath for at least 5 days after the operation.
Soaking may separate the skin tapes and
the wound could break open. Sponge bathing
for infants and showering for older children
are permitted the day after surgery. The
wound tapes should be carefully patted dry
Expect complete recovery
from surgery in about 2 - 4 weeks.
to "General & Endoscopy Surgery"