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Doctor’s Advice: If You Have a Hernia

July 02, 2018

By Dr. Nicholas Verdura
The Hospital of Central Connecticut

Dr. VerduraHernia repair is one of the most frequently performed operations worldwide. About a million abdominal wall hernia repairs are performed in the United States annually.

Hernias are abnormal bulges created by a weakness or hole, usually in the abdominal wall or groin. Some hernias are more serious than others, and while some cause pain, many do not. This is why it is important to have any localized bulge in the abdomen examined by a doctor.

Some babies are born with hernias. In children and adults, they can develop as a result of tissue weakness in the abdominal wall or groin. Activities and medical problems that increase pressure on the abdominal wall can also lead to a hernia. Some examples are straining due to long-term constipation or urination issues, persistent cough, lifting heavy items and physical exertion. Poor nutrition, chronic obstructive pulmonary disease, obesity, pregnancy, previous surgeries (specifically open surgeries) and smoking are also some risk factors for the development of a hernia.

There are many types of hernias, including inguinal, femoral, hiatal, umbilical, ventral and incisional and they can vary in severity. Many can be repaired with elective surgery, frequently performed as an outpatient procedure. Only if a hernia becomes strangulated, jeopardizing blood supply to the area, does a hernia require emergency attention.

Even if an abdominal bulge does not cause pain or restrict activities, it is best to see a physician for evaluation. If it is accompanied by nausea and vomiting or increasing pain it is important to seek immediate medical attention.

Once a hernia is diagnosed, the surgeon will recommend the best approach for you. There are several different avenues for surgical repair, including open surgery and minimally invasive laparoscopic or robotic approaches that require only small incisions. Frequently, the surgeon will use a special mesh to reinforce the abdominal wall and reduce risk of recurrence.  Surgeries are performed under general anesthesia and most of the time the patient is able to go home the same day.

For more information about hernias and treatment options, call 1.855.HHC.HERE