Hernia. emoryhealthcare.org

Similar documents
Hernias Umbilical Hernia When to See a Surgeon? What Are Symptoms of an Umbilical Hernia? How is Repair Performed?

Inguinal Hernia. Hernia Awareness Month. What is a Hernia? Common Hernia Types

LAPAROSCOPIC HERNIA REPAIR

Inguinal Hernia. Incarcerated hernia

Clinical Payment and Coding Policy Committee Approval Date: 02/23/2018

Clinical Payment and Coding Policy Committee Approval Date: 02/23/2018

Hernia surgery in adults

Hernia Surgery in Adults

UNDERSTANDING HERNIA

HERNIA SURGERY. Surgery to Repair Your Abdominal Wall

The pillars defining our quality care. We Care!


Laparoscopic Inguinal Hernia Repair (TEP) Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.

Hernia Symptoms And Signs

About your hernia repair

Laparoscopic Inguinal Hernia Repair (TAPP) Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.

Commissioning Policy. Hernia Repair in Adults. Criteria Based Access. Date Adopted: 22 nd December 2017 Version:

Commissioning Policy Individual Funding Request

PATIENT INFORMATION: UMBILICAL HERNIA REPAIR T2400

Laparoscopic Inguinal Hernia Repair

GS12 Laparoscopic Inguinal Hernia Repair (TAPP)

Facing Surgery for GERD (Gastroesophageal

2015 General Surgery Survival Guide

Facing a Hernia Repair?

Shared Decision Making

Further information You can get more information and share your experience at

Further information You can get more information and share your experience at

Children s Hospital Of Wisconsin

GROIN HERNIA PATIENT INFORMATION PRODUCED BY THE BRITISH HERNIA SOCIETY

Evaluate inguinal hernia

Anti-reflux surgery. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.

Introduction Facts you should know:

Laparoscopic excision of a gastric gist. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.

Inguinal Hernia Repair Advice for parents/carers

Further information You can get more information and share your experience at

Open Incisional Hernia Repair

About your Hernia Operation

Hernia Operations. What is a hernia? What does the operation involve? What are the benefits of an operation?

Inguinal hernias may be present from birth but may not become evident until later in life. They are usually more common in men.

Inguinal Hernia Repair Advice for Parents / Carers

Appendectomy. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.

Surgery to remove the spleen (elective splenectomy)

Inguinal hernia surgery

INCISIONAL HERNIAS. Contents What is an Incisional Hernia?... 3

Appendicitis. Diagnosis and Surgery

Laparoscopic Anti-Reflux (GERD) Surgery Patient Information from SAGES

How to contact us. Day Surgery Telephone Theatre Admission Unit Telephone Switchboard. Telephone

Mr John Groom The Complete Guide to Hernia

Dr Candice Silverman MBBS (HONS) FRACS General & Laparoscopic Surgeon

Advice for patients after laparoscopic hernia repair

Laparoscopic Bowel Surgery

Repair of Epigastric, Umbilical or Incisional Hernia

Spine Conditions and Treatments. Your Guide to Common

This short decision aid is to help you decide what treatment to choose if you have an inguinal hernia.

Laparoscopic Sacrohysteropexy

Laparoscopic colon resection for colon cancer

Facing Surgery for GERD (Gastroesophageal

Endovascular Aneurysm Repair (EVAR)

Hiatus Hernia. Endoscopy Department. Patient information leaflet

What causes GER? How is GERD treated? It is necessary to take these consecutive steps: a) Changes in your lifestyle b) Drug treatment c) Surgery

After your Hernia Repair Surgery

Hiatal Hernias and Barrett s esophagus. Dr Sajida Ahad Mercy General Surgery

INGUINAL HERNIAS. Contents What is an Inguinal Hernia?... 3

SURGERY LAPAROSCOPIC ANTI-REFLUX (GORD) SURGERY

Small Bowel and Colon Surgery

Laparoscopic repair of Inguinal Hernia

Further information You can get more information and share your experience at

Icd 10 right inguinal pain

LAPAROSCOPIC PYELOPLASTY INFORMATION LEAFLET

LAPAROSCOPIC APPENDICECTOMY

Procedure Information Guide

Diagnostic laparoscopy. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.

Gastro-Oesophageal Reflux Disease Information Sheet

Esophageal Cancer. Source: National Cancer Institute

Open repair of Inguinal Hernia

Paraoesophageal Hernia

HIATAL HERNIA, DIVERTICULITIS AND VARICOSE VEINS: Three Peas In A Pod By Evan Almeda READ ONLINE

Prophylactic antibiotics versus post- operative antibiotics in herniorraphy

Robot-assisted kidney transplantation pilot study

DOWNLOAD OR READ : INGUINAL HERNIA REPAIR PDF EBOOK EPUB MOBI

B11 Breast Reconstruction with Abdominal Tissue Flap

LAPAROSCOPIC GALLBLADDER SURGERY

James Paget University Hospitals. NHS Foundation Trust. Hiatus hernia. Patient Information

HERNIAS .(A) .(B) 5. .(A) 7..( (Lumbar hernia),

Chapter 24 - Abdominal_Emergencies

Laparoscopic Gastric Bypass Information

Pelvic Support Problems

EXPLANATION OF HISTORY PRESENTATION OR REPORTING FOR A PATIENT WITH INGUINAL HERNIA INCLUDING ALGORITHM IN RESPONSE

Robot Assisted Total Laparoscopic Hysterectomy

Parathyroidectomy. Surgery for Parathyroid Problems

Bariatric Surgery Risk Education Packet Walter J. Chlysta MD, FACS

Dr Candice Silverman MBBS (HONS) FRACS General & Laparoscopic Surgeon

Gynaecology Department Patient Information Leaflet

Patient guidance. Groin hernia. Inguinal hernia

Bright-red bleeding: If you have piles, you might see bright-red bleeding on the toilet paper, in the toilet bowl or on the surface of the faeces.

Keyhole Laparoscopic Hernia Repairs: What s the Benefit for Your Patients?

Information on Laparoscopic Extended Right Hemicolectomy. Colon surgery. The Colon. Laparoscopic Extended Right Hemicolectomy

WHAT IS GASTROESOPHAGEAL REFLUX DISEASE (GERD)?

*521634* Sleep History Questionnaire. Name of primary care doctor:

Table of Contents: What is a laparoscopic nissen fundoplication?...3. Where will surgery be performed?...3

Transcription:

Hernia Have you noticed a bulge or pain in your abdominal wall or groin? If so you may have a hernia. You may be in the process of confirming this diagnosis with your Primary Care Physician or already have been diagnosed with this condition. Hernias are a common problem, and more than one million hernia repairs are performed each year across the United States. So, let s discuss in more detail so that you can understand your condition and the available options. What is a Hernia? A hernia is a weakness or disruption of the abdominal wall muscles that allows contents from a body cavity to pass through, or herniate into another space. Some of these are natural hernias that occur at places like the belly button (umbilicus) or the groin (inguinal). Others may be the result of prior surgeries, which can lead to hernias at the old incision (incisional or a ventral hernia). Types of Hernias The type of a hernia depends on its location. The most common hernias occur in the groin, also known as an inguinal hernia. These occur at the entrance of a canal between the abdomen and groin. Incisional Hernia - Occurs at the site of a previous surgical incision. Umbilical Hernia - Occurs at the navel. Femoral Hernia - Occurs just below the groin where the blood vessels course into the leg. Epigastric Hernia - Occurs in the middle of the abdomen above the navel. Hiatal Hernia Occurs when part of the stomach bulges into the chest through the diaphragm. What Causes a Hernia? A hernia is a weakness or defect in the wall of the abdomen. This vulnerability may be present at birth or can be caused by the wear and tear over time. Some of the causes are listed below, per the hernia type: Umbilical Hernias Adults have a natural weakness at the umbilicus where the umbilical cord connects as an infant. This can be an area where hernias may form and some risk factors including multiple pregnancies, straining, weight gain/ obesity, prolonged or a heavy cough.

Epigastric Hernias These are hernias that occur above the umbilicus in the middle of the abdomen. The exact cause is unknown and may be from many factors Inguinal/Femoral Hernias Are caused by weakness in the groin or from disruption of the muscles in the groin caused by straining that can occur from physical exertion, constipation, obesity, or pregnancy. It is possible to develop these hernias even without the risk factors for them. Incisional Hernias Hernias may occur at prior surgical incision sites as these areas are potentially weak areas in the abdominal wall. If there was an infection of the surgical wound at the first surgery, there is a much higher chance that the closure will not heal correctly leading to a hernia. Other critical risk factors for developing a poorly treated incision are obesity and smoking. In many cases, these issues need to be addressed to repair a hernia. Hiatal Hernias These are hernias caused by weakening of the diaphragm muscle with age causing part of the stomach and other abdominal contents to herniate into the chest. The exact cause of this type of a hernia is unknown. These can lead to many symptoms such as reflux, trouble swallowing food, or vomiting. They happen to women more than men. Stages of Hernia Development A B C D

There are several stages of hernia formation. First, the abdominal lining will protrude through a weak area in the abdominal wall muscle and form a hernia sac. The sac may contain fat, intestines, or other tissue. As a hernia enlarges and the abdominal contents push more into the sac, it will start to form a visible bump. The bump may disappear when lying flat or if pressure is applied, and this is called a reducible hernia. As long as a hernia is reducible, there is usually no immediate danger. In some cases, the abdominal contents in the hernia sac may become trapped by muscle, and this is called an incarcerated hernia. At this point, if the bulge does not disappear when lying flat or by placing pressure, please seek immediate medical attention. In the last stage, the intestine may become tightly trapped choking off the blood supply to the intestine, and this is known as strangulation. Strangulation can cause severe pain and lead to bowel obstruction symptoms (nausea, vomiting, inability to have bowel movements or pass gas, abdominal swelling). In these instances, emergency surgery may be required. Hernia Symptoms Bulge around the abdominal, groin, or scrotum that may increase in size with time Increase in bulge size when coughing, straining during bowel movements, urinating, lifting, laughing, or crying, or while doing activities Bulge size may increase in size while sitting up or standing and may disappear with laying down Pain with strenuous activity or with lifting Dull aching pain at a hernia site Bowel blockage symptoms Hiatal Hernia This common problem occurs when part of the stomach slides up through the diaphragm into the chest cavity. Hiatal hernias aren t like hernias in the groin. Most people with hiatal hernias do not present any symptoms, however, if the following conditions are present, it may be best to speak with a physician: Heartburn Frequent burping Acidic taste in the mouth Difficulty swallowing Nighttime choking, coughing or wheezing Hernias Diagnosis Abdominal wall hernias can be diagnosed with a simple physical exam by a doctor. At times, using imaging equipment like an ultrasound, CT scan, or MRI may be needed to confirm the diagnosis. Hiatal hernias cannot be diagnosed by physical exam and require imaging like an upper GI study which is done in radiology or by and an upper endoscopy. Hernia Repair Surgery Hernias in adults do not resolve on their own and may require surgery to correct. There are multiple approaches to fixing hernias including open, laparoscopic and robotic surgery. A surgeon will determine and discuss the optimal strategy after evaluating impacting factors, such as hernia size, medical history, and surgical history. For select hernia surgeries, a surgeon may need to use mesh to repair the defect in the abdominal wall. The mesh may be placed on top of the muscle layer, below the muscle layer or in the muscle layer. The mesh makes the hernia repair stronger to reduce the chance of it coming back.

I II III IV Open Surgery This involves making an incision in the area of a hernia to push the hernia contents back into the abdominal cavity. The defect may be closed with a combination of stitches and mesh. This is often needed for larger or more complex hernias, or for patients with many prior operations. Laparoscopic Surgery Keyhole surgery is done through a series of small incisions. This method allows the physician to look around the abdomen to assess a hernia. While an excellent way to repair hernias for many patients, there are limitations to this type of surgery.

Robotic Surgery This is also keyhole surgery, but in this instance, a robot is used by the surgeon to fix a hernia. The robot s arms allow for greater flexibility than what is available via traditional laparoscopic techniques. This greater flexibility allows the surgeon to accomplish complicated tasks like internal sutures. Additionally, the robotic platform gives the surgeon a 3D high definition view of the inside of the abdomen. This enhanced vision can help with precision. In recent years, there has been a great increase in the use of the surgical robot for hernia repairs. This is because there are some techniques, often called abdominal wall reconstruction, which require a lot of sewing and dissection. Some of these techniques are made much easier by using the surgical robot. In fact, many procedures previously performed with a large incision are now less invasive due to the use of surgical robots. This has led to speedier recoveries for many patients, including shorter hospital stays, reduced pain, less need for pain medications, and less scarring. As we shared, there are multiple approaches to repairing hernias: open surgery, laparoscopic surgery and robotic surgery. Over 1,300 hernia procedures were performed at Emory Healthcare in 2016. That includes 150 robotic hernia repairs. Make an Appointment To make an appointment, please call 404-778-7777.