Ritrous type hernia

For type B and type C hernias, the hernia is often found incidentally during an abdominal operation. In these cases, the hernia is caused by:

When an incarcerated hernia is left untreated, the condition can become worse and the hernia can become strangulated.

The longer it takes to treat the hernia, the greater the chance of it becoming strangulated.

How is a hernia treated?

Your doctor will determine the best treatment based on your age, overall health, and symptoms.

Surgery

Surgery is the most common treatment for hernias. A hernia may be treated during an open or laparoscopic procedure.

The types of surgery for hernia repair include:

  • Primary repair. In this procedure, the surgeon makes a small incision to remove the damaged tissue. The damaged piece of intestine is then stitched or sewn back into place.
  • A hernia mesh repair. This procedure uses a mesh to reinforce the weak area of the hernia.
  • Surgical mesh repair using a prosthetic mesh. This procedure uses a mesh that’s shaped to fit inside the hernia. The mesh is then attached to the hernia wall.

A mesh repair may be done at the same time as the primary surgery or it may be done a few weeks or months later.

Laparoscopic hernia repair

In a laparoscopic hernia repair, a thin tube is used to remove the damaged part of the intestine and replace it with a synthetic mesh.

Laparoscopic procedures are less invasive than open surgery, and they have fewer complications.

Hernia mesh

Hernia mesh is a type of synthetic mesh that’s used to reinforce a hernia. It’s made from either polypropylene (polypropylene mesh) or polyester (polyester mesh).

Hernia mesh is usually made of materials that are biocompatible with the body.

Hernia mesh is usually placed into the abdominal wall with a special tool. This increases the chance of the mesh adhering to the intestine and to the hernia.

A hernia mesh repair can be done at the same time as the primary surgery or it can be done a few weeks or months later.

What are the benefits of hernia mesh?

The main benefit of surgical mesh is decreased pain and a lower chance of recurrence.

In a small study, people who had a hernia repair using a mesh patch had fewer side effects than those who had a repair without mesh.

However, the study’s results were inconclusive, and more research is needed to prove the benefits of using mesh.

A hernia mesh repair may be done at the same time as the primary surgery or it may be done a few weeks or months later.

For most hernias, a laparoscopic approach is recommended.

The laparoscopic approach allows for a less invasive procedure. It also reduces the chance of scarring, which is the main concern with open groin hernia repairs.

What are the risks of hernia mesh?

The most common complication of hernia mesh is mesh infection. Mesh infection is rare, but it can happen.

A mesh infection is more likely to happen if you have a mesh repair that doesn’t match the type of hernia you have.

Infections are usually treated with a combination of antibiotics and a special mesh removal procedure called a mesh revision.

If you have a mesh infection, the doctor may need to remove the mesh.

If you have a hernia repair without mesh, you can expect to have a follow-up visit with your doctor.

The doctor will examine your groin area and check for signs of a hernia.

If you still have a hernia after a month, the doctor will likely recommend removing the mesh.

How long do hernia mesh repairs take?

Depending on the type of hernia you have, your doctor will recommend a specific time frame for your surgery.

For a hernia that’s caused by a twisting or rolling of the intestines, surgery can take between three and six hours.

If you have a hernia that’s caused by a tear in the intestines, surgery usually takes between one and two hours.

If you have an incarcerated hernia, like type B and type C hernias, your doctor may recommend a laparoscopic approach if:

  • Your hernia was caused by strangulation of the intestine
  • Your hernia was caused by a twisting or rolling of the intestines
  • You have a small hernia, or you’re under 50 years old
  • You’re in a high-risk group for strangulation
  • You have severe pain in your groin
  • You have a hernia that’s causing other symptoms, such as nausea and vomiting
  • You have a hernia that’s causing blockage of the intestine

A laparoscopic approach is a less invasive procedure than an open approach.

If you need a hernia mesh repair, your doctor will likely recommend a laparoscopic approach.

The laparoscopic approach allows for less recovery time and a lower risk of complications.

Your doctor may also recommend that you stay in the hospital for a few days after a laparoscopic hernia repair.

What’s the long-term outlook for people with hernias?

The long-term outlook depends on the type of hernia you have.

Surgical repair of a hernia can reduce the chance of recurrence.

But, if you still have a hernia after surgery, it’s important to keep a close watch on your symptoms.

In some cases, a hernia can cause a hernia to recur.

It’s also possible for a hernia to get worse without treatment. If this happens, you may need emergency surgery.

How can I prevent hernias from recurring?

A hernia can’t always be prevented. But there are several things you can do to reduce the risk of recurrence.

  • Lose weight if you’re overweight.
  • Eat a healthy, balanced diet, including plenty of fruits and vegetables.
  • Exercise regularly.
  • Quit smoking.
  • Avoid lifting heavy objects or straining when you exercise.
  • If you smoke, quit.
  • Don’t drink alcohol.
  • Limit your salt intake.
  • Don’t use a muscle relaxer.
  • Avoid taking aspirin and other blood thinners.

Outlook

The outlook for a hernia depends on the type of hernia, the size of the hernia, and the severity of the symptoms.

A small hernia may go away on its own. However, if you’ve had a hernia repair before, it’s important to keep an eye on your symptoms. A hernia that still hasn’t gone away after a month may be a sign of a recurrence.

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