Hernia Repair |
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DESCRIPTION
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Hernias erupt when a weakened abdominal muscle tears open, permitting the organs inside to push through. Typically, a hernia will pouch out, looking like a balloon beneath the skin. Two areas are especially vulnerable. Inguinal (IN-gwih-null) hernias appear at the point where the leg joins the abdomen. Men feel this type of hernia as a lump in the scrotum. Umbilical (um-BILL-ih-kull) hernias crop up at the navel. Surgical scars present yet another opportunity for hernias---in this case called incisional hernias. A hernia repair is known medically as a herniorrhaphy (HER-nee-OR-uh-fee). Two techniques are in use today: Open Herniorrhaphy: In this approach, the doctor makes a single long incision over the hernia, removes the protruding sac if necessary, and sews the torn muscle closed. Man-made mesh may be applied to the inside of the muscle wall to further strengthen it. The operation typically takes between 1 and 2 hours. Laparoscopic Herniorrhaphy: This version of the procedure is accomplished through two small incisions, one in the abdomen, the other close to the hernia. With the aid of a tiny lighted scope, the surgeon uses miniature, remote-controlled surgical instruments to make the repair from within the abdomen. Like an open herniorrhaphy, the procedure lasts 1 to 2 hours.
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CARE
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Immediately If... You develop chest pain or suddenly have trouble breathing.
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COMPLICATIONS
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s There are always risks with surgery. You might develop internal bleeding or get an infection. Blood clots could form and lodge in the lungs, making it difficult to breath. However, if the hernia isn't repaired, there's a chance that a portion of the intestine will get stuck in it. Starved of adequate circulation, this tissue could eventually die, leading to a life-threatening case of gangrene.
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