Groin and abdominal hernia are very common illnesses.1 in 100 people have groin or abdominal wall hernia. However, unless the hernia grows or aches, doctors are not visited and it might even be unnoticed.
Hernia is a mechanical illness. It will continually grow as the abdominal pressure is always greater than the outside pressure. As the hernia grows, the internal organs will be pushed outwards with possible obstruction and necrosis of the bowels. In severe cases most of the internal organs may be displaced in the hernial sac. In advanced cases treatment with surgical operation will become more and more difficult.
The only treatment for hernia is surgery. However, in some very rare special cases; when the patient has no complaints, possibility of an internal organ to be obstructed in the hernia sac is low, hernia is not growing, or the operation is too risky, the patient can be closely monitored in appointments without surgery.
Today, hernia is treated with either open or closed (laparoscopic) surgery. Synthetic patches (meshes) are almost always used in the latter for support, and usage of them in open surgery is becoming more and more common. In incisional hernia treatments, synthetic patches are used along with tissue shifting method.
Groin Hernia Treatment
With at least 2 million operations a year worldwide, groin hernia surgery is the most common type of surgical operation. Most of these operations are open and done through an incision in the groin area, again using synthetic patches. Open surgery can be done with spinal or local anesthesia.
Laparoscopic surgery is an operation that is done inside the abdomen through 3 small incisions (key holes). Unlike open surgery, laparoscopic surgery always requires general anesthesia and usage of synthetic patches. Despite these disadvantage, it is superior, both short and long-term, to open surgery for causing less pain, creating less scarring and allowing the patient to return to daily routine in a shorter time. Though significantly less, there is always a risk of injury to other abdominal internal organs. Also, a greater level of expertise is necessary for laparoscopic surgery. I operate most of my patients with this method.
Umbilical Hernia Treatment
As most umbilical hernias are small, open surgery without using synthetic patches is more appropriate. According to scientific reports, in abdominal hernias (including umbilical, epigastric and incision, except groin hernia) of width smaller than 3 cm, primary closure with sutures is sufficient. Larger hernias require the usage of synthetic patches.
Depending on patient’s or doctor’s choice, laparoscopic operation is also possible in umbilical hernias.
Epigastric, Incisional and Parastomal Hernia Treatment
Both open and laparoscopic operations can be performed to treat these types of hernia. A synthetic patch placed at deep Retro-muscle area is usually preferred in treatment.
Some new reports show that using both synthetic patches and tissue shifting gives better results. I also treat my patients with this combination, primarily using TAR (transversus abdominis release) method.
Flank and Other Rare Hernia Treatments
Although laparoscopic operations can be done, I prefer to perform open surgery to treat these types of hernia. Using synthetic patches is always necessary for these hernias.
I was shocked when I first learned about my illness. After my diagnosis and some doctor appointments, I’ve found Dr Tarık to be the most trustworthy and transparent about the treatment. It was a very pleasing journey both physically and psychologically after the operation. I am glad to have chosen Dr Tarık and would recommend him to everyone without hesitation.
I trust him, he operated on my umbilical hernia. I am very healthy, thank you.
Dr Tarık is an angel who saved my mother from unbearable pain, doing what other surgeons couldn’t dare to do. You will always be very dear to us, I wish you good health and a long life to help patients like us, to touch their lives. You are very precious to us doctor, and I repeat and repeat, we are very glad to have you.
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You very professionally calmed and assisted us, told us about every step we were about to take. We are glad to chose you. We thank you for your concern and efforts