Type of Surgery
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Last updated: 11/24/2009
If a hernia is not surgically repaired, an incarcerated or strangulated hernia can result, sometimes involving life-threatening bowel obstruction or ischemia.
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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.
This patient has an indirect inguinal hernia (A). To repair it, the surgeon makes an incision over the area and separates the muscle and tisses to expose the hernia sac (B). The sac is cut open (C), and the contents are replaced into the abdomen (D). The neck of the hernia sac is tied off (E), and the muscles and tissues are sutured (F). (Illustration by GGS Inc.)
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Inguinal hernias (IPA: /ɪnˈgwinəl ˈhɝniəz/) 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.
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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.
From: eMedicine
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