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AIM: Several factors having an influence on the quality of life after an inguinal hernia repair have been studied, yet little has been reported on sexual function ... to a recovery of the sexual life in patients with preoperative sexual dysfunction, while, in most cases, it does not affect patients with a preoperative-normal sexual life.
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∙ 6y ago
Wiki User
∙ 13y agoMost first-time hernia repair procedures will be one-day surgeries, in which the patient will go home the same day or in 24 hours. Only the most challenging cases will require an overnight stay. Recovery times will vary.
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What happens during hernia surgery?
It takes about 30 to 50 minutes for a normal abdominal hernia repair. There are a few ways to correct the hernia. One is to push the hernia back into the stomach and repair the weakened tissues.
Is severe pain after hernia repair normal using the mesh in the abdomen?
two days after surgery only pain when getting up from chair or bed. Energy level very low. Is this normal?
What is best method to repair small inguinal hernia in young man?
An inguinal hernia is a defect in the opening of the musculo-tendinous opening of the abdomen. It can be due to a tear ("direct", the less common type), or due to a stretching of a normal orifice (the inguinal ring) through which the scrotal cord naturally passes ("indirect", the more common type).The hole must be closed (in the case of a "direct" hernia), or tightened back to its normal small dimension (in the case of a "indirect" hernia).Older methods of inguinal hernia repair involve mobilizing the tissues that surround the hole and bringing them together under tension, holding them together with sutures. These methods (which include the Bassini (and modified Bassini), McVay, and Shouldice methods), have a high incidence of recurrence (variably between 8 and 20%) due to the tension of tissues pulling at the sutures. Such tension causes the sutures to erode through tissues (much as a wire cheese cutter cuts through cheese), which is the eventual cause for recurrence."Tension-free" methods include patching the holes with a piece of plastic mesh (and, experimentally, with bio-mesh materials), plugging the hole with a piece of plastic, or both.Plastic mesh sheets can be placed from the outside (open Lichtenstein method) or from the inside (laparoscopic method). A single sheet of a plastic patching mesh has a higher risk of recurrence than using a method that involves a combination of both plugging the hole and patching it as well. This is because the sheet of plastic can "wad up" into the hole, can pull loose from the edges, and can shift position (sliding sideways so that the hole is again exposed).Securing a large plastic sheet in an attempt to avoid this is necessary, but placement can involve a wide area of dissection and therefore increased post-operative pain. Furthermore, laparoscopic methods involve securing the mesh with staples close to critical nerves and small blood vessels; the complication rate of laparoscopic methods can be as high as 30% because of this. Experimental methods of securing the mesh using glue instead of staples may reduce these complication rates in the future.Plug-and-patch methods currently include the Per-fix method and the Prolene hernia system. The Prolene hernia system has the lowest demonstrated recurrence rate but requires a greater dissection for placement and therefore carries a higher risk of post-operative pain. The device consists of two disks of mesh connected by a stalk of mesh connecting them, that acts as a plug. When the defect is larger, this system may be preferable.The Perfix plug and patch requires the smallest incision for placement and the least dissection. It is basically a badminton-birdie (shuttlecock) -shaped cone of plastic (avaialble in various sizes) placed nose first into the defect. It is additionally covered by a smaller sheet of plastic (on the outside), placed separately. There is still a risk of post-operative pain with this method, even though dissection is less. This can occur especially if the hole is tightened too much, so that nerves are impinged during repair and/or become entrapped by scar tissue that necessarily occurs around the plastic mesh.Currently the preferred method for initial inguinal hernia repair should either be the Perfix plug/patch mesh method (especially for smaller defects) or the Prolene hernia system (better for larger defects).When an inguinal hernia repair is recurrent, however, there is often scar tissue from the original hernia repair. If the original repair was "open" (i.e. through an external incision) instead of laparoscopic, the scar tissue will be external. In such situations, a laparoscopic method for repair of the recurrence allows an approach through areas (from the "inside", or abdominal side) of the recurrent hernia that presumably are not scarred. This is usually easier to perform. Laparoscopic hernia repair ought to be done by a surgeon experienced not only in laparoscopic surgery, but specifically in laparoscopic hernia repair. Complication rates by non-experienced surgeons is unacceptably high.It is unclear which is the best way to repair a recurrent inguinal hernia that was initially done laparoscopically. Logically, scar tissue from the original repair will in this instance be on the "inside" (or abdominal side) of the hernia defect following laparoscopic repair. Repair of a recurrence is therefore logically easier using an external ("open") approach. Whether a patch only (Lichtenstein) or plug/patch (Perfix Plug or Prolene hernia system) method is preferable in such instances is not clear, but a logical extension of results from other comparisons (of initial hernia repair methods) of the Lictenstein method versus the plug/patch methods likely favors the latter for repair of laparoscopic recurrences as well.
Why is there increased bowel sounds with an inguinal hernia?
The increase in bowel sounds is because the normal pathway of the intestinal tract has been altered due to the hernia. Not only does the herniation cause increased bowel sounds but also pain associated with the movement of intestinal contents. If it is painful you should get medical attention.
Is it normal to have groin pain 3 months after hernia operation?
i had mine 3 weeks ago today and it still hurts
Inguinal hernia repair - series?
Normal anatomyA hernia occurs when part of an organ protrudes through a weak point or tear in the thin muscular wall that holds the abdominal organs in place.IndicationsHernia repair may be recommended for:large bulges through a small hole (increased risk of incarceration and strangulation)painful hernia Inguinal hernia repair is indicated when the bulge through the inguinal canal is large or painful.ProcedureWhile the patient is sleepy (sedated) and pain-free (local anesthesia or spinal anesthesia) or deep asleep and pain-free (general anesthesia), an incision is made over the hernia. The bulging tissue or organ is replaced inside the muscle wall, the muscle tissue is repaired, and the skin is closed.AftercareMoving and walking are recommended the day of surgery. Small children require no restrictions following routine hernia repair. Older children should avoid body contact sports for at least 3 weeks. The hernia repair is not at risk, but a blow to the incision could burst the skin closure. Expect complete recovery from surgery in about 2 to 4 weeks. Avoid heavy lifting or straining for several weeks after surgery. Avoid tub baths for at least 5 days after the operation, because soaking will 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 after showering.Reviewed ByReview Date: 11/21/2011Shabir Bhimji MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Can you have a normal labor with an umbilical hernia that has not been repaired?
In most cases, a woman can have normal labor with an umbilical hernia. However, it will be up to the doctor in charge.
Is it normal to have swelling around the waist after hernia operation?
It is normal to have swelling soon after a hernia operation or any other surgery. It's also normal to experience pain and bruising after surgery.
What is it called when the diaphragm is out of normal position and has moved up farther inot the thoracic cavity?
thoracoabdominal hernia
Is sharp pain normal 6 months after an incisional hernia repair?
I had a large ventral hernia repaired with Alloderm in February of 2009. It has now been one year & I am still having significant issues with ongoing abdominal pain. Doctors are not willing to say if this is "normal", but I'm beginning to believe it is more common than the doctors would have you believe prior to the surgery.
Will my outtie belly button return to it's original innie position after umbilical hernia repair?
Yes it will return to normal. My husband had the surgery and his was back as a innie immediately after the swelling went down. Good as new.
What causes lump in scrotum area after inguinal hernia surgery?
HEALING RIDGE The HEALING RIDGE, which is a normal occurring event, is a term we use to describe the area of swelling and hardness beneath the incision after hernia repair surgery. This area of temporary swelling normally occurs and is progressive in extent for about 2-3 days after surgery. It may harden somewhat, feeling like a roll of quarters or even a small 'cucumber' beneath the skin in the region. It remains virtually unchanged for 2-3 weeks after which it gradually softens and flattens (taking an additional 2-3 weeks to complete on average). The size and duration of the 'ridge' is related to the size and complexity of the hernia itself. The ridge is caused by local tissue swelling and inflammation around the implanted mesh as it 'heals' into the surrounding muscle. It is not, per se, a complication, but is part of the normal process. We allow our patients to resume normal activity rapidly despite the presence of the healing ridge feeling that such activity maintains flexibility of the region and inhibits overly dense scar tissue formation.(From North Penn Hernia Institute)
