Type of Surgery
Last updated: 11/24/2009
The hernia repair site must be kept clean and any sign of swelling or redness reported to the surgeon. Patients should also report a fever, and men should report any pain or swelling of the testicles. The surgeon may remove the outer sutures in a follow-up...
visit about a week after surgery. Activities may be limited to non-strenuous movement for up to two weeks, depending on the type of surgery performed and whether or not the surgery is the first hernia repair. To allow proper healing of muscle tissue, hernia repair patients should avoid heavy lifting for six to eight weeks after surgery. The postoperative activities of patients undergoing repeat procedures may be even more restricted.
Prevention of indirect hernias, which are congenital, is not possible. However, preventing direct hernias and reducing the risk of recurrence of direct and indirect hernias can be accomplished by:
- maintaining body weight suitable for age and height
- strengthening abdominal muscles through regular exercise
- reducing abdominal pressure by avoiding constipation and the build-up of excess body fluids, achieved by adopting a high-fiber, low-salt diet
- lifting heavy objects in a safe, low-stress way, using arm and leg muscles
When gastroesophageal reflux disease or GERD is not well controlled through lifestyle or medical interventions, surgery may be required. One surgical treatment for GERD is called a Nissen fundoplication. The steps involved in a Nissen fundoplication are discussed in this narrated animation.
Inguinal hernias (IPA: /╔¬n╦łgwin╔Öl ╦łh╔Łni╔Öz/) are protrusions of abdominal cavity contents through the inguinal canal. They are very common (it is estimated that 7% of the population will develop an abdominal wall hernia) and their repair is one of the most frequently performed surgical operations.
Surgical correction of inguinal hernias, called a herniorrhaphy or hernioplasty, is now often performed as an ambulatory, or "day surgery," procedure. There are various surgical strategies which may be considered in the planning of inguinal hernia repair. These include the consideration of mesh use, type of open repair, use of laparoscopy, type of anesthesia, appropriateness of bilateral repair, etc. During surgery conducted under local anaesthesia, the patient will be asked to cough and strain during the procedure to help in demonstrating that the repair is "tension free" and sound.
Biliary colic is the presenting symptom in 80% of patients with gallstone disease who seek medical care; however, only 10-20% of all individuals with gallstones experience severe gallstone pain.
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