Hernia Treatment

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 Treatment

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.

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Prof. Dr. Tarık Zafer Nursal

  Reşatbey Mahallesi, Gen iş merkezi, Reşatbey Mah. Atatürk Cad, Arıplex sineması yanı No:22/7, 01120 Seyhan/Adana

  0 (534) 892 99 59    Mon-Fri: 10:00 – 18:00 Sat: 11:00 – 16:00

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