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Which is the Best Surgery For a Hernia

Which is the Best Surgery For a Hernia?

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Hernias include displacement of body parts from their original position. Pushing the body parts back to their position and sealing the weak spot with a mesh or suturing is essential to prevent the hernia from returning.

The best surgery for your hernia is solely based on the condition of your hernia. On diagnosing your hernia your hernia surgeon will prescribe the best surgery for repairing your hernia.

Repairing your hernia is the priority. Upon consulting and fixing an appointment with a skilled hernia surgeon you face the surgery comfortably regardless of the kind of surgery prescribed to you.

Surgeries Available for Hernia Repair

There are three surgical procedures available to repair a hernia. Each type has certain advantages and doctors recommend the type of surgery required based on the demand of the developed hernia.

The three types of hernia repair surgery include:

  • Open hernia surgery
  • Laparoscopic surgery
  • Robotic repair surgery

Open surgery is usually recommended for complex and complicated hernias. Laparoscopy and robotic repair for minimally invasive and less complicated hernias.

Advantages and Disadvantages of the Hernia Surgeries

TYPE OF SURGERY OPEN SURGERY LAPAROSCOPY ROBOTIC REPAIR
PROCEDURE
A large incision is made and the displaced parts are moved to their original position, alongside sealing the weak spot with a mesh or suture
Smaller incisions are made and the displaced parts are moved to their original position, alongside sealing the weak spot with a mesh or suture
Smaller incisions are made and the displaced parts are moved to their original position, alongside sealing the weak spot with a mesh or suture
ADVANTAGE
Lessened chances of damaging other body organs during the procedure
Minimally invasive
Minimally invasive
DISADVANTAGE
Bigger incisions
Chances to damage other body parts during the procedure
Chances to damage other body parts during the procedure
BLOOD LOSS
More
Less
Less
PAIN
More
Less
Less
NEED FOR HOSPITALISATION
Yes
No
No
RECOVERY PERIOD
Longer (approximately 6 weeks)
Shorter (Around a week or two)
Shorter (Around a week or two)

Best Surgery for Each Kind of Hernia

The type of hernia and the complexity of the surgical procedure determines the choice of surgery for a hernia most of the time.

HERNIA TYPE PREFERED SURGERY REASON
Inguinal hernia
Laparoscopy
Less pain and faster recovery
Femoral hernia
Laparoscopy
Smaller incisions
Incisional hernia
Laparoscopy
Safer with more advantages to the patients
Epigastric hernia
Open surgery
For better access
Umbilical hernia
Laparoscopy
Less pain and faster recovery
Spigelian hernia
Laparoscopy
Less pain and faster recovery

Other Factors Influencing Hernia Surgery Choice

Factors other than hernia types affecting the hernia surgical choice include:

  • Size of hernia
  • Complexity of the hernia
  • Health of the patient
  • Surgeon’s expertise

Size of the Hernia

If the size of the hernia is bigger, above 10 cm, and is getting complicated open surgery is prescribed at times.

Hernias below 10 cm and 5 cm are usually repaired using laparoscopic or robotic surgery techniques. Small internal hernias are preferred to be repaired using open surgeries traditionally.

Complexity of the Hernia

In case the hernia gets complicated, such as closed-loop obstruction, strangulation, or incarceration of body organs, open surgery is preferred for repair 

Most elective hernia repairs and less complicated hernias get operated on using a minimally invasive surgical technique preferred for its lesser pain, lower blood loss, and faster recovery. Hernia surgery overall safety and high success rate, typically between 90-99%.

Health of the Patient

When the health of a patient does not permit any kind of surgery to repair a hernia lifestyle modifications, medications, or the use of a truss or hernia belt is recommended.

Surgeon’s Expertise

The expertise of the hernia surgeon also plays an important role in the determination of the hernia repair choice. Surgeons skilled in modern-day laparoscopic and robotic surgeries will prescribe these surgical options when conditions permit. Or else surgeons prescribe the traditional open surgeries.

Conclusion

The best surgery for a hernia ultimately depends upon the kind of hernia and its severity or complexity. Your hernia surgeon will prescribe suitable hernia repair surgery upon diagnosis of your hernia condition as well.

Look into the expertise of a surgeon before booking an appointment. Also, comply with the advice of your surgeon to have a successful hernia repair.

Wishing you a healthy recovery!

FAQs

Do all hernias require surgery?

Yes, all hernias require surgery despite being small, large, or medium-sized as hernias cannot be completely repaired without surgical intervention.

What are the risks of hernia surgery?

There are not many risks with a hernia surgery. Some risks may include bleeding, infection, damage to the surrounding body parts, and others.

Will I be in pain after surgery?

Minimally invasive surgeries like robotic and laparoscopic surgeries do not involve much pain after a hernia repair surgery. Open surgery may pose some post-operative pain. Your hernia surgeon may prescribe painkillers if required.

Dr. K. Amilthan MBBS., MS., FMAS., FALS.

Heal Your Hernia Now:

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Dr. Amilthan
Dr. Amilthan

Dr. Amilthan is a renowned laparoscopic hernia surgeon based in Chennai, with over 20 years of experience in general surgery. He completed his MBBS and MS in General Surgery at Kilpauk Medical College and Government Royapettah Hospital in Chennai.

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