Our Summary

This research paper discusses the progress in treating abdominal hernias over recent years. Initially, the use of mesh-like structures during the surgery significantly reduced the chances of the hernia returning. Now, there are new types of meshes that can dissolve in the body, but some patients may not need a mesh at all. This allows for a more personalized approach to treatment. As the methods for treating hernias become more advanced, it may be beneficial to have specialized hernia centers to ensure the best care and training for this type of surgery.

FAQs

  1. What is the role of mesh in hernia repair treatment?
  2. What are the potential benefits of resorbable meshes in hernia repair?
  3. Why might some patients not need a mesh for hernia repair?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hernia repair is to follow post-operative care instructions carefully to ensure proper healing and reduce the risk of complications. This may include avoiding heavy lifting, getting plenty of rest, and gradually increasing physical activity as advised by your healthcare provider. It is important to communicate any concerns or changes in symptoms to your doctor to ensure a successful recovery.

Suitable For

Patients who are typically recommended hernia repair include:

  1. Patients with symptomatic hernias: Patients who experience pain, discomfort, or other symptoms related to their hernia are often recommended for repair to improve their quality of life.

  2. Patients with incarcerated or strangulated hernias: These are serious complications of hernias that require immediate surgical intervention to prevent further complications such as bowel obstruction or necrosis.

  3. Patients with large hernias: Large hernias can be more difficult to manage and may have a higher risk of complications such as incarceration or recurrence, making repair a recommended option.

  4. Patients with recurrent hernias: Patients who have had a previous hernia repair that has failed or recurred may be recommended for a repeat repair to prevent further complications.

  5. Patients with physically demanding jobs or activities: Patients who have jobs or engage in activities that put strain on their abdominal muscles may be recommended for hernia repair to prevent worsening of the hernia or development of additional hernias.

Ultimately, the decision to recommend hernia repair is based on the individual patient’s symptoms, risk factors, and overall health, and should be discussed with a healthcare provider to determine the best course of treatment.

Timeline

Before hernia repair:

  • Patient may experience symptoms such as pain, swelling, and bulging in the affected area
  • Consultation with a healthcare provider to determine the best course of treatment
  • Pre-operative tests and evaluations to assess the severity of the hernia and overall health of the patient

After hernia repair:

  • Surgery is performed to repair the hernia using traditional or laparoscopic methods
  • Recovery period where the patient may experience pain, swelling, and limited mobility
  • Follow-up appointments with the healthcare provider to monitor healing and address any complications
  • Gradual return to normal activities and lifestyle, with instructions on how to prevent recurrence of the hernia

What to Ask Your Doctor

  1. What type of hernia do I have and what are the treatment options available to me?
  2. What are the risks and benefits of hernia repair surgery?
  3. Will I need a mesh for my hernia repair? If so, what type of mesh will be used?
  4. What is the success rate of hernia repair surgery for my specific type of hernia?
  5. What is the recovery process like after hernia repair surgery?
  6. Are there any alternative treatments or non-surgical options for my hernia?
  7. How long will I need to take off work or limit physical activity after hernia repair surgery?
  8. Are there any dietary or lifestyle changes I should make before or after hernia repair surgery?
  9. What are the potential complications or side effects of hernia repair surgery?
  10. How often will I need to follow up with you after hernia repair surgery?

Reference

Authors: Andresen K, Rosenberg J. Journal: Ugeskr Laeger. 2016 Jul 25;178(30):V03160189. PMID: 27460577