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The Gilmore Groin and Hernia Clinic
Home > Hernia

Hernia

A hernia is a protrusion of a viscus (an organ) beyond its normal confines and occurs in either the groin or the abdomen. This protrusion produces a swelling; if it clears on lying down, it is known as a reducible hernia, or if it fails to clear an irreducible hernia.

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Hernia

A hernia is a protrusion of a viscus (an organ) beyond its normal confines and occurs in either the groin or the abdomen. This protrusion produces a swelling; if it clears on lying down, it is known as a reducible hernia, or if it fails to clear an irreducible hernia. Hernias can be painless, cause slight discomfort or be painful. They tend to get larger with time and can make it difficult to undertake normal activities.

Although hernias in adults can arise for a number of reasons some common examples are:

  • persistent heavy coughing,
  • injury or surgery,
  • lifting, carrying or pushing heavy loads
  • straining to produce a bowel movements
  • straining to urinate e.g. men who have an enlarged prostate.
  • Being overweight or pregnant

Those over 50 have a higher risk of hernia, possibly due to the muscles in the stomach wall becoming weaker with age.

The most common types of hernia requiring surgery are:

Groin

Inguinal Hernia

This is the most common type of hernia and is found in the groin. It is caused by a loop of bowel pushing through a weakness in the inguinal canal. The inguinal canal is a triangle-shaped opening between layers of abdominal muscle near the groin.

They are most common in men (98%) and occur when a loop of bowel slides down the narrow canal down towards the scrotum. The hernia usually appears as a swelling in the groin or enlargement of the scrotum, which may or may not be painful and often disappears when lying down.

Femoral Hernia

This type of hernia occurs most commonly in over- weight women and occurs when part of the intestine passes down the natural canal through which the large blood vessels for the leg pass and make a swelling on the upper and inner part of the thigh.

Abdominal

Umbilical

An umbilical hernia occurs when part of the intestine protrudes through a weakness in the abdominal wall, creating a soft swelling near the navel. They can cause abdominal pain.

Epigastric

This type of hernia is caused by a weakness in the upper abdomen, the intestine bulges between the breastbone and the navel and is most common in men.

Incisional

An incisional hernia is the result of weakness following a surgical wound or scar in the wall of the abdomen.

The aim of our hernia repair is to have;

  • Minimal:  
    • Incision
    • Discomfort
    • Loss of Leisure
    • Shave
    • Incapacity
    • Loss of Work
    • Hospital Stay
    • Immobilisation
    • Recurrence
  • Maximum strength

Admission

Patients are admitted on the day of operation and return home after physiotherapy, usually within 24 hours. The standard rehabilitation programme, shown below, is then followed.

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Hernia Rehabilitation Programme

The hospital physiotherapist will show you how to follow this programme and the practice nurses are available for advice if you have any concerns.

Week 1

1st Day: Stand upright and walk for 10 minutes; thereafter, walk gently for 10 minutes 4 times a day.

Week 2

Return to work if in a sedentary occupation;
Walk for 30 minutes twice a day for 4 days;

Thereafter walk briskly or jog;
Gentle sexual intercourse and
Driving are permitted.

Week 3

Return to light work
Run in straight lines
Gentle sit-ups and press-ups
Moderate gentle lifting (10 kgs max)

Week 4

Return to work if in a heavy occupation
Swimming (crawl)
Cycling, running
Heavy lifting (15 kgs)
Must still avoid sudden movement

Week 5

All activities are allowed

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Location map

In addition Harley Street is easily accessible to patients arriving at Heathrow as the Heathrow Express train terminates at Paddingdon, a short distance from Harley Street. There is a taxi rank at the station and also access to buses and the underground.

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Accommodation

Whilst we appreciate that many people travelling to London wish to make their own arrangements we have arranged special rates with the following local hotels. As with all hotels rates vary according to the time of year so we are unable to publish specific rates so please contact the hotel directly and mention that you are a 108 Harley Street patient.

Durrants Hotel

A privately owned Georgian townhouse hotel, centrally located in the heart of London's West End ten minutes from the Eurostar St. Pancras terminal, Durrants is quintessentially English in style combining comfort, charm and a welcoming experience, conveniently near restaurants, theatres and Bond Street shopping.

Radission Edwardian

The Radisson Edwardian Berkshire Hotel is a four star deluxe boutique hotel located in the very heart of central London minutes from Oxford Street, and Bond Street.  This contemporary boutique hotel offers public areas that are both sumptuous and tranquil with furniture by Phillipe Hurel, handmade bronze planters and white orchids. This luxury hotel is a 'calm oasis' in central London for business and leisure travellers alike.

www.radissonedwardian.com/londonuk_berkshire


Hyde Park Residence

Hyde Park Residence offers luxury-serviced apartments in Mayfair, London. The apartments are particularly suitable for corporate housing for business or pleasure if you require a central London apartment. Hyde Park Residence, situated in the heart of Mayfair is the perfect solution. Combining the space, independence and control of your own home with the service and flexibility of a luxury hotel, each apartment is individually furnished in true traditional splendour. Our services include concierge service, a secure car park, 24 hour security, maid service, dry cleaning and with dedicated staff on site ensuring that your every need is taken care of and to the standards that the most discerning occupant will enjoy. 108 Harley Street patients will get a minimum of 10% discount against rack rate.

www.hpr.co.uk

About Park Plaza

  • Full-service hotels for business and leisure travelers in several London locations 
  • Clean, comfortable rooms 
  • Outstanding service 
  • Excellent value
www.durrantshotel.co.uk
Click here for special deals to 108 Harley Street customers.

The Royal Garden Hotel
 
Situated in the heart of fashionable Kensington, the Royal Garden Hotel is located next to Kensington Palace and Gardens, and is just a short walk from the Royal Albert Hall.
 
This five star hotel offers 396 beatutifully appointed bedrooms, a Health Club and Spa, 24 hour Business Centre and 3 bars and 2 restaurants. The critically acclaimed authentic Chinese restaurant Min Jiang on the tenth floor specializes in spicy Sichuan, sumptuous Dim Sum and the famous Beijing duck cooked in a wood burning duck oven. The restaurant has spectacular views of Kensington Gardens and Hyde Park.
 
The hotel has recently launced a brand new room category called The Garden Rooms. These rooms have been refurbished in a modern style with newly disigned bathrooms including walk in showers. As the name suggests, the rooms have spectacular views of Kensington Gardens and room facilities include a digital radio with IPod docking station, media hub, 32inch plasma screen and wireless internet access.
 
108 Harley Street patients can receive a 10% discount off the Best Available Rate when booking online. Just enter 108H into the Corporate Discount Box on our booking website or call +44 (0) 207 937 8000.
 
www.royalgardenhotel.co.uk

Hyatt Regency London - The Churchill 

Situated in the heart of the West End, yet overlooking the tranquil gardens of Portman Square, the recently refurbished Hyatt Regency London - The Churchill boasts not only an outstanding location, but also five-star standards, services and facilities.  Each of the 444 elegantly appointed newly refurbished rooms and suites offer extreme comfort in elegant surroundings and house the latest technology.  Guests can enjoy mouth-watering European comfort food in The Montagu, award-winning Italian cuisine at Locanda Locatelli and delicious wines andcocktails in The Churchill Bar.

Guests looking for a very high level of personalised service and an array of additional amenities will enjoy Hyatts Regency Club. The Regency Club offers uncompromising luxury and service and guests staying in these rooms and suites benefit from upgraded room amenities such as Molton Brown toiletries, fruit and mineral water; a private concierge who offer express check-in / check-out, early arrival shower facility and private boardroom.  Within the Regency Club lounge guests can enjoy complimentary continental breakfast, all day tea, coffee and light snacks and evening cocktails and canaps.

This luxurious hotel is conveniently located for visitors to 108 Harley Street and offers a warm welcome for patients and families requiring local accommodation.  Faciliites include: 

 

 

  • 444 Bedrooms including View Rooms and Regency Club Suites overlooking  picturesque Portman Square 
  • The Montagu Restaurant with open-plan kitchen offering modern European comfort food 
  • 24 Hour room service 
  • Babysitting 
  • Business Centre 
  • Concierge Service 24 Hours 
  • Chauffeur driven car service 
  • International TV Channels 
  • Laundry and Dry Cleaning - Express Service 
  • Multi-lingual staff 
  • State of the art Gym, Sauna and flood lit Tennis Court 
  • Special needs rooms 
  • Taxi Rank outside the hotel 
  • Wireless Internet access 
  • 5 minutes from Harley Street 

 

Hyatt Regency London - The Churchill are delighted visitors to 108 Harley Street rates from 185 + VAT  per night (subject to availability).  Special rates apply for long stay guests. 

For further information and rates available please contact
Piotr Truty on  + 44 (0) 20 7299 2079
Email: piotr.truty@hyatt.com
Website: london.churchill.hyatt.com

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Translation

Many of the Embassy Health Offices provide a translator to accompany their patients.

If this service is not available we can recommend the following providers who patients can contact.

Ibtsam Yasin is an independent Arabic translator. She has extensive experience of the work undertaken at 108 Harley Street. +44 (0)7870 504518

Medic Interpreters is a specialist medical translation and interpretation service. They principally utilise medical students and staff to provide the service. www.medic-interpreters.co.uk / 44 (0) 208 438 6305.

No Language Barrier has a medical section and has worked with patients attending many clinics both NHS and Private. www.nolanguagebarrier.co.uk / 44 (0) 208 675 0953.

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Concierge Services

Life Style Master

LiveMoreLife is a lifestyle management company which is dedicated to managing the professional and personal needs of our clients. LiveMoreLife organises accommodation, airport and railway station transfers, restaurant bookings and theatre tickets. LiveMoreLife gives you and your family peace of mind so that you can focus on your treatment.

LiveMoreLife is delighted to offer the patients and families of 108 Harley Street a 10% discount on the standard hourly rate.

For more information visit www.livemorelife.co.uk or email enquiries@livemorelife.co.uk

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Payment

As with all patients paying for their own treatment, payment is required at each visit. Payment can be made in sterling by cash, cheque or credit card. Use the google home page www.google.co.uk/ig for a ready reckoner currency convertor. (as well as UK news and weather).

Insured patients must provide a guarantee of cover and confirmation from their insurers that they will deal directly with the clinic, otherwise payment will be required.
 

We also work with many embassies who sponsor their patients and provide a letter of guarantee for payment. 

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