Saturday, April 6, 2024

Surgery For Hernia In Stomach

Days Before Your Surgery

Inguinal Hernia Repair

Follow Your Healthcare Providers Instructions for Taking Aspirin

If you take aspirin or a medication that contains aspirin, you may need to change your dose or stop taking it 7 days before your surgery. Aspirin can cause bleeding.

Follow your healthcare providers instructions. Do not stop taking aspirin unless they tell you to.

For more information, read Common Medications Containing Aspirin, Other Nonsteroidal Anti-inflammatory Drugs , or Vitamin E.

Stop Taking Vitamin E, Multivitamins, Herbal Remedies, and Other Dietary Supplements

Stop taking vitamin E, multivitamins, herbal remedies, and other dietary supplements 7 days before your surgery. These things can cause bleeding.

If your healthcare provider gives you other instructions, follow those instead.

For more information, read Herbal Remedies and Cancer Treatment.

Can I Have A Minimally Invasive Ventral Hernia Repair

Minimally invasive hernia repair is not the best option for some people, and other times the surgeon may need to switch to an open surgery in the operating room. Some reasons for having or switching to open surgery are:

  • You have obesity This means being very overweight.
  • You have too much scar tissue in your abdomen from prior surgery.
  • The surgeon cannot see very well inside your body through the laparoscope.
  • You have bleeding problems during surgery.
  • There is an injury to the bowel/intestines or another organ during surgery.
  • Your hernia may be too small or too large for minimally invasive surgery this will be a decision between you and your surgeon prior to surgery.

The surgeon will switch to open surgery if it is the safest option for you. They might not know this until after the operation starts. They will use their best judgment about the safest surgery for you.

What Are The Complications Of An Abdominal Hernia

The complications of an abdominal hernia can include incarceration and strangulation.

An incarcerated hernia occurs when the hernia blocks the intestines.

In rare cases, the hernia can stop the blood supply, which is known as strangulation. Gangrenecan develop in the trapped part of the intestines, potentially leading to:

It is important to contact a doctor as soon as you have concerns about an abdominal hernia. They will be able to offer advice on the right treatments to reduce the risk of complications.

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Minimizing Hernia Swelling After Surgery

While some swelling is expected and unavoidable, there are some things a patient can do to minimize the discomfort of a bloated stomach after hernia surgery.

To learn more about hernia repair surgery, contact IBI Healthcare Institute. The knowledgeable professionals at our Advanced Hernia Center are available to answer your questions and address your concerns. Set up an appointment today to find out how hernia repair surgery can help you.

What Are The Risks And Outcomes Of Hernia Surgery


A small number of inguinal hernias that are repaired with open surgery or laparoscopically recur. Also, about half of patients who undergo hernia surgery develop a seroma, or an accumulation of fluid at the site of the hernia that appears like a bulge. The seroma might stay for two to three months before disappearing.

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In Your Hospital Room

Most people are in the hospital for 2 days after a laparoscopic surgery and 5 days after an open surgery. This will depend on the exact surgery you had.

In your hospital room, youll meet one of the nurses who will care for you during your stay. Soon after you get there, a nurse will help you out of bed and into your chair.

Your healthcare providers will teach you how to care for yourself while youre healing from your surgery. You can help yourself recover more quickly by:

  • Starting to move around as soon as you can. The sooner you get out of bed and walk, the quicker you can get back to your normal activities. Walking every 2 hours is a good goal. This will help prevent blood clots in your legs.
  • Using your incentive spirometer. This will help your lungs expand, which prevents pneumonia.

Managing your pain

Youll have some pain after your surgery. At first, youll get your pain medication through your epidural catheter or IV line. Youll be able to control your pain medication using a PCA device. Once youre able to eat, youll get oral pain medication .

Your healthcare providers will ask you about your pain often and give you medication as needed. If your pain is not better, tell one of your healthcare providers. Its important to control your pain so you can use your incentive spirometer and move around. Controlling your pain will help you recover better.

Moving around and walking

Exercising your lungs

Eating and drinking

Caring for your tubes and drains

How Do I Know If I Have A Ventral Hernia

It is usually easy to recognize a hernia. You may notice a bulge under your skin. You may also feel pain or discomfort when you:

  • Lift heavy objects
  • Urinate or have a bowel movement
  • Stand or sit for a long time

The pain may be sharp and sudden or it may be a dull ache that gets worse towards the end of the day. Sometimes, a doctor finds a hernia during an examination.

  • Tissue can get trapped in the hernia. This can be dangerous. Call your doctors office immediately if you have the following symptoms.
  • Severe, continuous pain
  • A bulge that is red, tender, or painful to touch
  • Nausea or vomiting

Hernias can be reducible, meaning that the tissue or organs are able to fall back or be pushed back into the abdomen. Hernias can also be incarcerated, meaning the tissue stays stuck, or trapped through the hernia defect. If this happens gradually, there may not be any problems. If this happens suddenly, and bowel is trapped, this can cause a blockage . The hernia can even become strangulated, which means the blood supply to the bowel is cut off and can lead to the bowel dying. This is an emergency.

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How Should I Prepare For My Ventral Hernia Repair

You will need a full physical examination. You might need some tests to make sure you are healthy enough for surgery. These may include an EKG, blood tests, and X-rays.

The doctor who will do your laparoscopic hernia repair will talk with you about the risks and benefits of surgery. Your doctors office will tell you what to do before surgery and what to avoid. The exact instructions depend on your doctor, but here are some common things to do.

  • Quit smoking. Smoking may raise the risk that the hernia will come back after surgery. It may also raise your risk of getting an infection. Your doctor might require you to quit smoking at least 4 to 6 weeks before surgery.
  • You might need to stop taking certain medicines before surgery. These include aspirin, blood thinners, and supplements such as Vitamin E. Do not take diet medications or St. Johns wort for the two weeks before surgery. Talk to your surgeon about what to stop taking before surgery.
  • Take a shower the night before surgery or the same morning. Your surgeon might ask you to use an antibiotic soap.
  • Stop eating and drinking at the time your doctor tells you before surgery. Your intestines might need to be empty and clean before surgery. If so, you might need to drink a special cleansing solution or only clear liquids for a certain time before the operation.
  • The morning of your surgery, you may take medications your doctor told you are allowed. Take them with just a sip of water.

What Is Surgery Like For Hiatal Hernias

Heather Wheeler, MD, FACS – Hernia Robotic Surgery Demonstration

Laparoscopic Surgery. Most hiatal hernias can be repaired laparoscopically with small incisions. Surgeons push the stomach back down from the chest and repair the hole. The stomach is then wrapped around the esophagus to create a valve that allows food to go down, but stops acid from coming back up.

Patients can expect to stay in the hospital overnight and require pain medications for three to four days. They are restricted to a soft-food diet for two weeks. Depending on the patient’s job, he or she may return to work after a week or two.

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How Do Incisional Hernias Develop

Most surgical wounds heal well, leaving the abdominal wall just as strong as it was before the operation. But if the cut that was made in the abdominal wall doesnt grow back together tightly enough, the abdominal wall may be weakened in that area. If the scarred area can then no longer withstand the pressure in the abdomen, tissue or parts of organs might push through the gap that arises and bulge out.

The risk of incisional hernias is influenced by the following factors:

  • The type of scar and the sewing technique used: Most incisional hernias occur after open abdominal surgery, where a large incision was made across the middle of the abdomen.
  • Older age, other illnesses and wound healing problems: These can increase the risk too.
  • Being very overweight: Very overweight people are also more likely to develop incisional hernias because the pressure and strain on the scar tissue is greater.

Depending on what kind of operation was done, about 5 to 15 out of 100 people develop an incisional hernia after having abdominal surgery. Most incisional hernias occur in the first year after the surgery.

About Your Hernia Surgery

Surgery is the treatment for a hernia. There are different types of hernia surgeries, such as an open surgery and a laparoscopic surgery. Your surgeon will talk with you about the type of hernia surgery best for you.

Laparoscopic surgery

Your surgeon will make a few small incisions in your abdomen. They will inflate your abdomen with air so they can see your organs. Your surgeon will put a thin, lighted scope called a laparoscope through the incision. They will put tools to fix the hernia through the other incisions.

Open surgery

Your surgeon will make an incision big enough to remove scar tissue and fat from your abdominal wall near the hernia. They also may put in a mesh patch to hold the weak part of your abdominal wall. The mesh patch will attach to your abdominal wall and cover the hole or weak area under it. Over time, this patch will be absorbed by your inner abdominal wall.

Your surgery will take about 3 hours.

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Hernias And Hernia Repair Surgery: Frequently Asked Questions

What is a hernia?

A hernia occurs when part of an internal organ or soft tissue pushes through a weakened area or rupture in the surrounding muscle, intruding into a place where it should not be. Hernias are a very common problem often caused by a combination of muscle weakness and straining. They can affect adults, children and newborns for different reasons, and they can have varying symptoms or levels of severity.

What can cause a hernia?

A hernia is caused by the intrusion of intestines or other soft tissue through weakened or over-strained muscles, usually in the abdominal wall. Certain factors can make muscles more vulnerable to hernias, and these elements may compound to increase the likelihood a hernia will occur.

Common contributing factors to hernias include:

  • Straining from constipation

What types of hernias exist?

Most hernias occur in the abdominal wall and involve intestines pushing through from the abdominal cavity, causing a visible lump and pain in the affected area. While this is the most common form of a hernia, other types exist and may involve non-intestinal tissue or different muscle regions in the body. The main types of hernias are:

What are the symptoms of a hernia?

Why do you need hernia surgery? Do all hernias need surgery?

What types of surgery are available for hernia repair?

Three major types of surgery are available for repairing hernias:

How long does hernia surgery take?

How long does it take to heal from hernia surgery?

Why A Laparoscopic Hernia Repair

Incisional hernia

A laparosopic hernia repair is a less invasive approach than conventional or open hernia repair. There is no cutting of tissue and no suturing of tissue. It is a blunt surgery meaning no structures are cut or divided. The mesh is not held in by stitches but is anchored by three small dissolvable tacks.

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Complications And Abnormal Swelling After Hernia Surgery

Patients should follow their aftercare instructions closely and monitor their repair site for abnormal symptoms or any of the following issues:

  • Lethargy or chronic fatigue
  • Sexual dysfunction.

The listed symptoms are not always a cause for concern but a quick exam can ensure they are not related to a serious issue. Swelling or bulges in the stomach that become bigger or more pronounced should be examined by your doctor.

Very Large Hiatus Hernia Are Becoming More Common And Can Be Corrected Using Laparoscopic Hiatus Hernia Repair In Addition To A Fundoplication

A hiatus hernia, or hiatal hernia, is when part of the stomach squeezes into the chest through an opening in the diaphragm called the hiatus.

There are two main types of hiatus hernia:

  • sliding hiatus hernias hernias that move up and down, in and out of the chest area
  • para-oesophageal hiatus hernias also called rolling hiatus hernias, this is where part of the stomach pushes up through the hole in the diaphragm next to the oesophagus

Patients with no symptoms and small sliding hernias dont require surgery. Likewise asymptomatic or minimally symptomatic patients with large sliding hernias dont always require surgery.

Most symptomatic rolling hernias require surgery, to prevent severe twisting and the need for emergency surgery. Even patients with no symptoms who have rolling type hernia should be considered for surgery, as there is a risk of twisting and strangulation. However, there age and general fitness should be evaluated carefully.

Patients with hiatus hernias are offered surgery if they:

  • Suffer from severe symptoms of GORD and are suitable for surgery
  • Have symptoms which dont improve on medical therapy. These are typically regurgitation, volume reflux or dysphagia.
  • Have a hernia which twists or is a risk of twists . This can happen with a para-oesophageal type hernia.
  • Surgery for hiatus hernia

    The operation involves:

  • Carefully removing the sac of the hernia. This is important to avoid the risk of the hernia coming back.
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    Recovery Time After Hernia Surgery

    Recovery time after surgery depends on the type of hernia you have and the type of procedure required. Patients who undergo minimally invasive surgery are usually able to go home the same day and are able to walk the night of the surgery. Some patients, especially those who have had abdominal wall reconstructions or component separations, may have to stay in the hospital for a few days.

    What Can You Do To Prevent Them

    Robotic Hernia Repair Surgery

    To lower the risk of incisional hernias, people are advised to do the following:

    • Avoid straining your abdominal muscles too much in the first few months after surgery. But there is very little research on which kinds of strain are potentially harmful and which are not.
    • Lose weight. The pressure inside the abdomen goes down as a result.
    • Wounds are able to heal better in people who dont smoke and who manage medical conditions like diabetes properly, so this also lowers the risk of incisional hernias.

    Some people who have a major abdominal operation or incisional hernia surgery wear a special abdominal belt for a while afterwards, in order to help support their abdominal wall. But it isnt clear whether abdominal belts actually help to prevent incisional hernias.

    People who have a higher risk of incisional hernias can have a synthetic mesh put in their abdomen during abdominal surgery, as a preventive measure. The mesh strengthens the abdominal wall and can greatly reduce the risk of incisional hernias. But it can also cause problems such as chronic pain.

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    What To Expect On The Day Of Surgery

    What happens the day of your surgery will depend on certain factors. The steps will vary depending on the type of surgery you will have and which anesthesia you will receive.

    If you are having laparoscopic surgery, you can expect the following steps:

    • After you arrive you will change into a gown. Members of your surgical team will meet with you to briefly review the surgery.
    • You will be taken into the operating room. You will be given medication to put you into a sleep-like state.
    • While asleep, the surgeon will inflate your abdomen with air. This makes it easier for the surgeon to see your internal organs and tissues.
    • A small incision will be made at your navel. The surgeon will insert a laparoscope, a long, thin surgical tool with a camera attached to it.
    • The camera will project images onto a TV screen. This lets the surgeon see what is happening inside your body.
    • Additional small incisions will then be made. Other surgical tools will be inserted through these incisions.
    • The surgeon will use the surgical tools to return the bulging tissue back into its place.
    • The surgeon will then stitch or patch the weakness in the abdominal wall.
    • The surgeon will then deflate your abdomen. The small incision sites will be closed with stitches or surgical tape.

    After the surgery, you will be moved to a recovery room. You will spend a few hours there while the anesthesia wears off. When symptoms like pain are under control, you will be able to go home.

    About Ventral Hernia Repair

    Your doctor can repair a hernia with surgery to bring the tissue together and close the gap. They may use mesh to provide further strength. This can be done through a single large incision, or cut. Doctors call this open surgery), or through several small incisions . The operation is called laparoscopic or robotic ventral hernia repair. It is a type of minimally invasive surgery. You may recover faster from minimally invasive surgery and have less pain.

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