A hernia occurs when internal organ normally contained in one body cavity protrudes through the wall of that cavity. This can occur due to weakness in the body cavity wall. Hernias are very common, however it appears that men are more susceptible. Patients will often describe symptoms of a lump, bulge or pain at site of the hernia. Often hernias become worse following vigorous activity, straining and lifting. However not all hernias cause symptoms and occasionally hernias are found accidentally (when investigating a different problem) Not all hernia require surgical management.
There are several different types of hernia:
- Inguinal Hernia – This refers to hernias of the groin.
- Femoral Hernia – This refers to hernias of the upper thigh
- Umbilical Hernias – This refers to hernias of the belly button
- Incisional Hernias – This refers to any hernia that occurs as a complication of previous surgery.
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Hernias can be by straining through activities such as heavy lifting, persistent coughing or weight gain.
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Hernias can be acquired from birth
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Hernias can be acquired following surgery
If a hernia containing the intestine becomes completely stuck it may cause complete bowel blockage and cut off the circulation to that segment of the bowel. This is called a strangulated hernia and is a surgical emergency requiring urgent surgery
The only treatment available for hernias is surgery. Hernias do not repair themselves over time. Prior to the surgery Dr. Andrew Kiyingi may organise some tests which may include a blood test, ultrasound or even MRI scan to prepare for surgery. Hernia repair is performed as either an open procedure or a laparoscopic procedure. It is important to avoid strenuous activity for 6 weeks after surgery to allow the hernia repair to heal. As the procedure is performed under general anaesthesia, you will be reviewed by an anaesthetic doctor and will need to fast for a minimum of 6hrs prior. No oral intake or chewing gum. Please advise us before surgery if you
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Have any allergies
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Are pregnant
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Are on blood-thinning or any non-prescription medications.
Small hernia repairs may not require mesh. However larger hernia repairs may require mesh for additional strength. This will reduce the chance of the hernia recurring in 50-75% of cases.
Hernia repair is safe; however, complications can still occur as with any surgery. Some Complications may include:
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General Anaesthesia Complications particularly relating to maintaining your breathing, heart function, and circulation.
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Damage to surrounding organs including the bowel
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Blood loss
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DVT (blood clot in the deep leg veins)
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Infection
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Hernias recurrence
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Pain
We Can Help
If you are experiencing severe hernia pain, please see your GP for an urgent referral to see Dr Andrew Kiyingi or go to an emergency department.
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