Types of hernias?
There are different types of hernias depending on where the hernia is.
- Inguinal hernia – inner groin
- Femoral hernia – upper thigh/outer groin
- Incisional hernia – incision or scar in the abdomen
- Umbilical and para-umbilical hernias – belly button hernia
- Ventral hernia – general abdominal/ventral wall
- Hiatal hernia – inside the abdomen, along the upper stomach/diaphragm
When appropriate, hernia surgery can be done laparoscopically. This minimally invasive approach allows your surgeon to repair your hernia through a small incision without performing open surgery, which can be more invasive and require a longer recovery time and more scarring.
Hernias are often repaired with a mesh made of a woven polypropylene, or a type of plastic. The advantage of mesh is a more durable repair and less post-operative pain than the older type of hernia repair without mesh. Recurrence rates for a mesh repair are around 1% compared to around 10% with the older technique.
Anesthesia can be either spinal, local (numbing medicine injected at the site of incision) with intravenous sedation, or a general anesthesia can also be used. This will be discussed with the anesthesiologist at the time of surgery. Once proper anesthesia is obtained, a small (usually around 1.5 inches) incision is made in the groin. The hernia is identified and the hole in the abdominal wall is patched with the mesh. Any bleeding is stopped with cautery. The skin is then closed using absorbable sutures. A sterile dressing is then applied to the incision.
Interesting Hernia Facts:
- Both men and women can get a hernia.
- While more common in adults, people of any age can develop a hernia
- You may be born with a hernia (congenital) or develop one over time.
- A hernia does not get better over time, nor will it go away by itself. There are no exercises or physical therapy regimen that can make a hernia go away.