Surgery For Hernia
The only effective form of treatment for a hernia is surgery. Depending on the type of hernia, surgery can be either laparoscopic or open. Both types of surgery are performed under general anaesthetic.
Laparoscopic hernia repair
In laparoscopic surgery, also known as keyhole surgery, surgical procedures are performed using fine instruments which are inserted into a series of small `1-1.5cm incisions in the body. A camera, known as a laparoscope, is also inserted into the body. The camera projects high-resolution imagery onto screens in the operating room.
Example: Laparoscopic Inguinal/femoral hernia repair
Incisions Insertion of laparoscope
A mesh patch is then placed into the weak area in the abdominal wall using glue, absorbable screws or stitches. The mesh reinforces and decreases the tension on the weakened abdominal area.
When compared with open surgery, laparoscopic surgery can result in less pain, less scarring, a shorter recovery time and less risk of complications.
The most common types of hernias that can be operated on laparoscopically are inguinal, femoral, hiatus and incisional hernias.
Open hernia repair
During open surgery for hernias, an incision over the bulge is made and the hernia is pushed back into the abdomen. Similar to the key whole technique a mesh patch is then placed into the weak area in the abdominal wall using screws or stitches. The mesh reinforces and decreases the tension on the weakened abdominal area.
Umbilical hernias are usually treated with open hernia repair.
Do You Need Hernia Removal Surgery? Where to Have a Hernia Procedure in the Brisbane, Gold Coast and Northern River areas
If you have a hernia, it is not likely to get better on its own. Hernias tend to get bigger and will often eventually lead to dangerous complications if left untreated. Doctors typically recommend hernia repair (also called hernia removal surgery) if certain conditions present themselves, such as tissue becoming trapped in the abdominal wall, strangulation of a hernia, or a hernia that is growing larger or causing pain.
What is a hernia?
A hernia occurs when an organ or tissue pushes against or through the protective layer that surrounds it. If parts of your body experience unusual weakness, including your abdomen, groin, or diaphragm, those parts may become susceptible to hernia formation.
Types of surgery
During hernia surgery, bulging tissue or organs are put back in proper alignment in your body. Your surgeon may strengthen the surrounding tissue or muscle with sutures or mesh to support and stabilise the area.
In many cases, patients can return home the same day; others will usually be able to go home within a day or two. There are two ways to perform a hernia procedure. The two types of hernia removal are the following.
- Open surgery: If you have open surgery, you’ll receive either local or general anaesthesia. Your surgeon will make an incision in your skin that allows them to either remove a hernia or push it back into place, followed by closure of the defect.
- Laparoscopic surgery: During this hernia procedure, your abdomen will be inflated with gas to make it easier to see your organs. We then use a tiny camera on a thin tube as a guide to help them repair the hernia. This procedure is done under general anaesthesia. In general, recovery is faster and easier after laparoscopic surgery than open surgery.
The type of surgery you need depends on several factors such as the size, location, and type of a hernia, and your health, age, and lifestyle. Dr Harald Puhalla will discuss your case with you and make recommendations for the best treatment path for you.
Are there alternatives to surgery?
If you aren’t able to have surgery or need temporary relief while you wait for your surgery date, you may wear a binder or corset to provide gentle pressure and help keep a hernia in place. These garments may also help lessen pain or discomfort. Be sure to ask your doctor before using binders as they may make some hernias worse or conceal the signs of strangulation.
Where to have hernia surgery in Brisbane, Gold Coast and Northern River areas
Based at the Gold Coast Private Hospital and Pindara Private Hospital, Dr. Harald Puhalla, General Surgeon, offers hernia repair surgery along with a range of other procedures including weight loss surgery, gallbladder surgery, and operations for the pancreas and liver. He uses minimally-invasive techniques and provides the best care possible for his patients, during procedures and in support of long-term care. Contact Dr. Puhalla here to book an appointment.