Hernia is usually treated with surgery — open repair, laparoscopic (minimally invasive) repair, and robotic repair. In any of the surgery, a mesh is implanted either via an incision or via laparoscopy. There are few symptoms that determine if a surgery is required, and which type is required.
A hernia occurs when an organ or internal tissue breaks through a hole in the muscles. Hernia repair surgery or herniorrhaphy involves returning the displaced tissues to their proper position. It is one of the most common surgeries performed in US and around the globe.
The type of repair depends on the type of hernia. The most common hernias are:
· Reducible hernia: When the hernia can be pushed back into the opening it came through.
· Irreducible or incarcerated hernia: When the organ or abdominal tissues have filled the hernia sac, and it cannot be pushed back through the hole it came through.
· Strangulated hernia: When part of an organ or tissue becomes stuck inside the hernia with its blood supply often cut off.
Types of surgery:
· Herniorrhaphy (tissue repair)
Herniorrhaphy is the oldest and most common type of hernia surgery that has been in practice. The surgeon makes a long incision directly over the hernia and then uses surgical tools to open the cut enough to operate upon.
Tissues or a displaced organ are returned to their original location and the hernia sac is removed. The surgeon stitches the sides of the muscle opening or hole through which the hernia protruded. Once the wound has been sterilized, it is stitched shut.
· Hernioplasty (mesh repair)
In this type of surgery, the muscle opening of the hernia isn’t stitched back. Instead, the area is covered with a flat, sterile mesh, usually made of flexible plastics, such as polypropylene, or animal tissue. For its no cut ways, it is better known as tension-free hernia repair.
The surgeon makes small cuts around the opening in the shape of the mesh and then gets the patch stitched into the healthy tissues around. The idea is to let the weak tissues surrounding the hernia use the mesh as a supportive and strengthening scaffold as they grow again.
· Laparoscopic hernia repair
Laparoscopic hernia repair uses a laparoscope, a thin, telescope-like instrument that is inserted through a small incision at the umbilicus (belly button).
In this painless surgery, the laparoscope is connected to a tiny video camera, smaller than a dime, that projects an “inside view” of your body onto television screens in the operating room. The abdomen is inflated with carbon dioxide, which creates space to allow your doctor to view your internal structures. The inner lining of the abdomen is cut to expose the weakness in the abdominal wall. Mesh is placed on the inside to cover the defects in the abdominal wall and strengthen the tissue.
After the procedure is completed, the small abdominal incisions are closed with a stitch or two or with surgical tape.
· Robotic hernia repair surgery
Robotic hernia repair is quite similar to the laparoscopic surgery. The only difference is that the surgeon is seated at a console in the operating room, and handles the surgical instruments from the console. The use of the robot provides excellent three-dimensional images of the inside of the abdomen and also allows the surgeon to easily use stitches to sew tissue and meshes inside the abdomen.
While the laparoscopic methods take days to recover, the traditional methods might take few weeks to get back to daily activities. But in any of the surgeries, there might be complications arising in the latter stages of life due to mesh erosion and other reasons. And for that, there are dedicated and qualified professionals to provide legal help for compensation and settlement.