complex hernia

What is an abdominal wall hernia?
Hernia is a protrusion of abdominal contents through an abdominal wall muscle weakness. This weakness might be congenital or acquired through a natural defect site or weakness resulting from previous surgery or injury. Many hernias, particularly those of the groin region are repaired using the keyhole or laparoscopic principle. Other abdominal wall hernias may also be repaired using keyhole method or by minimally invasive surgical techniques. Abdominal wall hernias are rarely repaired nowadays without the use of mesh which provides a non-tension repair and is reliable, durable and minimally painful.

Ways you can develop a hernia
- Present at birth
- May come about slowly or suddenly
- Excessive straining
- Obesity
- Heavy work or lifting
- Persistent coughing
- Chronic constipation
- Sudden twists, pulls, or muscle strains

What are the symptoms of hernias?
- A noticeable protrusion in the groin or abdomen area
- Feeling pain while lifting
- A dull aching sensation
- A vague feeling of heaviness 
- Nausea and constipation

Types of inguinal hernia
Reducible:
Intestines protrude out of the abdominal cavity but can be pushed back.
Incarcerated:
Protruding intestine or tissue is trapped and can't be pushed back. Sometimes, this needs immediate surgery.
Strangulated:
Protruding intestine is trapped and blood supply is cut off. This can result in gangrene and death and is a medical emergency. This needs immediate surger
y.

HOW A HERNIA DEVELOPS

To understand what is a hernia is, it is best described as a worn tyre, when there is a tear or a weakness in the tyre wall, the inner tube pushes its way out, forming a bulge on the surface of the tyre.


The human body is also composed of a number of compartments or cavities that are constructed somewhat like a tyre. Each cavity is enclosed by a sturdy wall (like the outer tyre) which is formed by layers of muscle and connective tissue (fascia). This outer wall has several reinforced openings that allow for the passage of blood vessels and such structures as spermatic cord, the inside of the peritoneum, which is similar to the tyre's inner tube.

Why repair it?
Some hernias can be so painful that they prevent people from enjoying normal daily or physical activity. More important, untreated hernias can be life-threatening.

WHAT IS NEW IN HERNIA REPAIR ?

Endoscopic hernia repair is applicable to all types of abdominal wall hernia and not restricted to groin hernia only.
Fixation of the repair mesh was achieved, until recently, using titanium helical screws between staples. In Australia and for the last 12 months the use of bio-tissue glue has been introduced to minimize tissue damage associated with the use of helical screws or staples. The use of biological glue has been revolutionary and the cost is covered by the health fund.
Another innovation is the introduction of dissolving screws for the same reason mentioned above. The screws will dissolve in 6 weeks when the mesh has been integrated with tissues.
For 15 years surgeons used flat mesh for repair which often did not mould with the shape of the hernia space. Now there is available three dimensional (3-D) mesh the shape of the hernia space with the advantage of fitting well without creases or wrinkles.

ABOUT OUR HERNIA CLINIC
The Hernia Centre is still the leading keyhole hernia specialist and the most preferred by peak Australian sports organizations and work place injury centres, reflecting the quality of patient management and good outcome, particularly for elite athletes and injured workers.
Surgery is carried out by experienced highly qualified surgeon with good track records.
We achieve high success in early return to work and normal activity with the vast majority of patients.
Proven very low complication rate if compared with reported medical literature.
Post-operative care is second to none.

 

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