Hernia Surgery | Medical Arts Surgical Group

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What Is A Hernia?

A hernia is a hole somewhere in the body that is not a part of our normal anatomy. Common hernias include inguinal hernias (hernia in the groin), umbilical hernias (hernia at the belly button), ventral hernias (refers to hernias in the front of the abdomen), incisional hernias (hernias that are present from prior abdominal incisions), epigastric hernias (hernia in the upper middle of the abdomen), subxiphoid hernia (hernias just below the breast-bone), supra-pubic hernias (hernia just above the pubic bone), and lumbar hernias (hernias on the lateral abdomen, flank, and back).

Symptoms Of A Hernia

Hernias are usually present as either a bulge, pain or both. Patients may notice that the symptoms come and go, and may be associated with straining, coughing, sneezing, or bending over. When a hernia is noticed by a patient, it should be evaluated by a hernia surgeon to determine if the hernia needs to be repaired.

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Surgical Options For Hernia Repair

Open Surgery

Hernias can be repaired with open surgery. In this technique, an incision is made over the hernia, and the hole is repaired with sutures. In some cases, a piece of mesh is used to reinforce the hernia repair. The purpose of this is to prevent a recurrence (return) of the hernia, but is not always needed.

Minimally Invasive Surgery

Robotic-assisted surgery provides another option for repair of hernias. This technique uses small incisions far away from the hernia itself, and repairs the hernia from the inside, without a large incision right over the hernia. Mesh is used to reinforce the repair of these hernias. This is necessary to prevent a hernia from coming back again. Robotic surgery allows for the use of smaller incisions. In addition, patients experience less pain after robotic surgery for repair of hernias. Patients that have robotic surgery for repair of their hernias also often experience less wound healing problems.

Treatment Options For Hernias

Some hernias are safe to watch. Others need to be repaired. In general, if a hernia is not causing any symptoms, it can be safely watched if the patient so desires. When symptoms of bulging or pain do occur, these can sometimes be safely treated with devices that keep pressure on the area to prevent tissue from bulging through the hernia. These include truss support devices for inguinal hernias and abdominal binders for abdominal wall hernias. There is no way to fix a hernia without surgery.

Indications For Repair Of A Hernia

The hernia allows tissue to bulge out of the abdomen. This tissue is not safe if it is trapped in this abnormal location. When hernias begin to cause discomfort or pain, this could be an indication that the tissue is being damaged, and this is an indication for repair of the hernia. When tissue from inside the abdomen becomes trapped in the hernia, it is called an incarcerated hernia. These hernias should be evaluated by a surgeon promptly and usually require repair. An incarcerated hernia typically presents with pain and a bulge that becomes firm secondary to inflammation. If the tissue is not returned to its normal location promptly, the tissue can be damaged and even die (strangulation). This is a surgical emergency and must be tended to immediately through the emergency department at a local hospital.

WHAT IS AN INGUINAL HERNIA

An inguinal hernia is sometimes called a groin hernia (“Inguinal” means “in the groin”). It is the most common type of groin hernia. Inguinal hernias usually affect people assigned to males at birth. A direct inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles in the groin region, while an indirect inguinal hernia moves through the groin. Inguinal hernias typically develop because of a weakening of the muscles in the area between the lower part of your abdomen and your thigh.

SYMPTOMS OF AN INGUINAL HERNIA

Most inguinal hernias aren’t always serious, but complications can develop and can lead to emergency surgery where the hernia bulge needs to be pushed back into the abdomen. Direct inguinal hernias and indirect inguinal hernias tend to worsen over time. As the opening becomes weaker and wider, more tissue can push through the abdominal wall. Not all inguinal hernias have signs and symptoms. Sometimes, symptoms come and go. A hernia may slide in and out of the opening, or you may feel it only during certain activities. The more tissue pushes through, the more likely it is to become trapped.

TREATMENT OPTIONS FOR INGUINAL HERNIA

Inguinal hernias are a very common type of hernia. The surgeons at Medical Arts Surgical Group specialize in both open laparoscopic hernia surgery and robot-assisted inguinal hernia surgery. Because of our expertise in both types of repair, we can discuss treatment options with patients and come up with a treatment plan that is safest and most effective for each patient. If you experience weakness in the abdominal cavity and you think you may have an inguinal hernia, schedule your consultation today. Speak with one of our surgeons about the best treatment plan for you.

INDICATIONS FOR REPAIR OF AN INGUINAL HERNIA

Hernia repair is recommended when there are large bulges through a small hole (increased risk of incarcerated hernia and strangulated hernia), severe pain or persistent symptoms, or if any serious complications develop. Abdominal surgery is recommended because it can prevent a rare but serious problem called strangulation. This occurs when a loop of the intestine or a piece of fatty connective tissue is trapped in a hernia and the blood supply is cut off, which kills the tissue. Inguinal hernia repair is indicated when the bulge through the inguinal canal is large or painful.

SURGICAL OPTIONS FOR INGUINAL HERNIA REPAIR

TYPES OF INGUINAL SURGERIES

Repair of groin hernias can be done through the open surgical approach or minimally invasive robot-assisted laparoscopic surgery. The type of operation depends on the severity of the repair. However, the highly skilled team at the Medical Arts Surgical Center specializes in robotic-assisted inguinal hernia repairs.

HIGHLY SKILLED HERNIA SURGEONS ARE IN MERIDIAN

WHAT IS A VENTRAL HERNIA

A ventral hernia occurs anywhere on the abdominal muscles. These can include umbilical (belly button) hernias, incisional (at a prior incision) hernias, epigastric (upper abdominal) hernias, a supra-pubic (above the pubic bone) hernias. There are many causes for ventral hernias including weakness at the incision site of previous abdominal surgery, weakness in an area of the abdominal wall that was present at birth, or weakness in the abdominal wall caused by conditions that put a strain on the abdominal wall.

SYMPTOMS OF A VENTRAL HERNIA

Some patients don’t feel any discomfort in the early stages of a ventral hernia. Often, the first sign is a visible bulge under the skin in the abdomen or an area that is tender to the touch. The bulge may flatten when lying down or pushing against it. Symptoms of a ventral hernia include a lump or protrusion in the abdomen; especially when lifting, straining, standing, or coughing, which increases abdominal pressure and makes the hernia more pronounced and easier to diagnose. Nausea, vomiting, fever, or rapid heart rate. Pain in the abdomen, especially around the protrusion.

TREATMENT OPTIONS FOR VENTRAL HERNIA

Hernia surgery can vary in complexity depending on the size and position of the hernia. Hernia surgery is the only long-term solution to treating a hernia completely. This is because a hernia will only grow larger if it is left untreated. Even small hernias require prompt surgical attention. Options for surgical treatment include open ventral hernia repair and robot-assisted laparoscopic surgery.

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INDICATIONS FOR REPAIR OF A VENTRAL HERNIA

A hernia allows abdominal tissue to bulge out. This tissue is not safe if it is trapped in this abnormal location. When hernias begin to cause discomfort or pain, this could be an indication that the tissue is being damaged, and this calls for a hernia repair. When tissue from inside the abdomen becomes trapped in the hernia, it is called an incarcerated hernia. An incarcerated hernia typically presents with pain and a bulge that becomes firm secondary to inflammation. If the abdominal tissue is not returned to its normal location promptly, it can be damaged and even die (strangulation) which can compromise the blood supply. This is a surgical emergency that has tons of risk factors and must be tended to immediately.

SURGICAL OPTIONS FOR VENTRAL HERNIA REPAIR

VENTRAL HERNIA REPAIR

Ventral hernia diagnosed by a physician can be treated with open ventral hernia repair or robotic-assisted laparoscopic surgery.

In open hernia repairs, an incision is made over the hernia, and the hole is repaired with sutures. Robot-assisted laparoscopic ventral hernia repairs are a minimally invasive technique that uses small incisions far away from the hernia itself, and repairs the hernia from inside the abdominal cavity, avoiding a large incision.

The Best Robotic Hernia Surgery Center In Meridian

The surgeons at Medical Arts Surgical Group are able to offer patients both open surgery and robotic-assisted hernia surgery for the treatment of hernias. Because we are able to provide both treatment options, we can discuss each approach with patients and come up with a treatment plan that is individualized. This approach provides the most benefit for each patient, avoiding a “one-size fits all” methodology that can prevent patients from reaching their goals and getting back to the life they want to live. If you have symptoms of a hernia, schedule an appointment with us today and let us help you come up with a treatment plan that is best for you!

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