Earlier with laparoscopy 21 — More common with laparoscopy Equal 21 — Information from references 21 through The most common complications of hernia repair are hematomas, including penile or scrotal ecchymosis; seromas; and wound infection.
Although these are uncommon, family physicians should be vigilant because patients may present to them postoperatively. The current standard of care after hernia repair is general wound care. The length of required inactivity varies greatly based on the surgeon's preference, but activity is usually permitted within two to four weeks for laborers and within 10 days as tolerated for professionals. Data Sources: The literature search was conducted using the keywords hernia, hernia surgery, groin pain, and laparoscopic repair.
Search date: May 2, , through May 6, Already a member or subscriber? Log in. Interested in AAFP membership? Learn more. He is also a professor in the university's Department of Orthopedics and has a certificate of added qualification in sports medicine. At the time the article was written, she was an assistant professor of family medicine at Louisiana State University School of Medicine.
KARL A. The authors thank Christine L. Manalla for her assistance in the writing and preparation of the manuscript. Reprints are not available from the authors. Evers BM. Small bowel. Philadelphia, Pa. Digestive diseases statistics for the United States.
June Accessed November 16, Evidence-based management of groin hernia in primary care—a systematic review. Fam Pract. Risk factors for inguinal hernia among adults in the US population. Am J Epidemiol. Body mass index and groin hernia: a year follow-up study in Swedish men. Ann Surg. Morelli V, Weaver V. Groin injuries and groin pain in athletes: part 1.
Prim Care. Groin pain in athletes. Detection of groin hernia with physical examination, ultrasound, and MRI compared with laparoscopic findings. Invest Radiol. Schwartz's Principles of Surgery. Inguinal region hernias. Ultrasound Clin. Sonography of inguinal region hernias.
Color duplex sonography: diagnostic tool in the differentiation of inguinal hernias. J Ultrasound Med. Diagnosis of inguinal region hernias with axial CT: the lateral crescent sign and other key findings. The spectrum of MR imaging in athletic pubalgia. Radiol Clin North Am. Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial [published correction appears in JAMA. Inguinal hernias: should we repair?
Surg Clin North Am. National Guideline Clearinghouse. February 23, Accessed May 20, Prospective randomized trial of laparoscopic transabdominal preperitoneal vs open mesh repair for bilateral and recurrent inguinal hernia. Surg Endosc. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med. As you can see, if this pain is brushed off, it can lead to painful and dire consequences. You will thank yourself for seeking extra information and resources instead of trying to bear the discomfort and uncertainty on your own.
You must be logged in to post a comment. In this article, we explain the following questions and topics: What is a hernia? What kind of doctor repairs hernias?
What is a good hernia doctor to visit in the Dallas — Fort Worth area? When should you go to the doctor for a hernia? What happens if a hernia is left untreated? Can you push a hernia back in? Can you die from a hernia? What hernia surgery entails Hernia surgery cost Whether or not insurance covers hernia surgery What is a Hernia?
Inguinal Hernia An inguinal hernia is when the intestines or bladder get pressured through the inguinal canal in the groin or the abdominal wall section next to the groin area.
Hiatal Hernia The hiatal hernia gets associated with diaphragm complications. Hiatal hernias are less common but usually affect those with obesity and over the age of Hernia Symptoms that Warrant Medical Attention The biggest question among who deal with this issue is: When should you go to the doctor for a hernia to get it treated or diagnosed?
But if you do have symptoms they normally include: Weakness in the area overall A dull ache Pressure Tingling Heaviness Burning feeling in the abdomen, scrotum, or groin Things could also get worse for your hernia if you stand upwards for extended periods, lift heavy objects or children, participating in physical activity or sports, or experience lower bowel movement.
Apart from the various symptoms you might feel, it is also crucial to look at your body. Best Type of Medical Professional to Address and Perform on a Hernia Once you determine the right time to get treated, you need to find the best hernia doctor. But what kind of doctor repairs hernias? They are highly knowledgeable about the different strategies to fix a hernia. So, what is the name of a hernia specialist?
Most people think that a hernia will go away itself, but that is not the case. Some people ask: can you push a hernia back in? People who undergo laparoscopic surgery generally experience a somewhat shorter recovery time.
However, the doctor may determine laparoscopic surgery is not the best option if the hernia is very large or the person has had pelvic surgery. Most adults experience discomfort after surgery and require pain medication. Vigorous activity and heavy lifting are restricted for several weeks. The doctor will discuss when a person may safely return to work. Infants and children also experience some discomfort but usually resume normal activities after several days.
Surgery to repair an inguinal hernia is generally safe and complications are uncommon. Knowing possible risks allows patients to report postoperative symptoms to their doctor as soon as they occur. Risk of general anesthesia. Before surgery, the anesthesiologist-a doctor who administers anesthesia-reviews the risks of anesthesia with the patient and asks about medical history and allergies to medications. Complications most likely occur in older people and those with other medical conditions.
Common complications include nausea, vomiting, urinary retention, sore throat, and headache. More serious problems include heart attack, stroke, pneumonia, and blood clots in the legs. Getting out of bed after surgery and moving as soon as the doctor allows will help reduce the risk of complications such as pneumonia and blood clots.
Hernia recurrence. A hernia can recur up to several years after repair. Recurrence is the most common complication of inguinal hernia repair, causing patients to undergo a second operation. Bleeding inside the incision is another complication of inguinal hernia repair. It can cause severe swelling and bluish discoloration of the skin around the incision.
Surgery may be necessary to open the incision and stop the bleeding. Bleeding is unusual and occurs in less than 2 percent of patients. Wound infection. The risk of wound infection is small-less than 2 percent-and is more likely to occur in older adults and people who undergo more complex hernia repair. Postoperative infection requires antibiotics and, occasionally, another procedure requiring local anesthesia to make a small opening in the incision and drain the infection.
Most patients go home the day of surgery. You will be able to go home as soon as your surgeon feels it is safe for you. How do I care for myself at home? These are things you can do to help your recovery: Manage your pain. Your doctor will recommend a pain medicine for you.
Be sure to take it exactly as instructed. Managing your pain well will help you recover better. Move around. Get up and move around as you would normally, but be careful to protect your surgery area from being bumped. Avoid heavy lifting. Keep your skin clean. Complete recovery should take about two to four weeks. How do I keep from having another hernia? Here are things you can do to help prevent another hernia: Avoid heavy lifting, bending, or twisting, especially for the first few weeks after surgery.
Stay at a healthy weight. Extra weight puts pressure on your abdomen belly. If you need to lose weight, do it slowly and avoid crash diets. Eat a healthy diet to maintain muscle strength. Try not to cough a lot.
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