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HERNIA

A hernia is a protrusion of a viscus (an organ) beyond its normal limits 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.

TYPES OF HERNIA REPAIRS

Femoral Hernia Repair

A Femoral hernia repair is to close this space formed next to the main blood vessels in the groin and prevent the hernia.

Inguinal Hernia Repair

An Inguinal Hernia repair is closing the hole in the muscles of the groin at the top of your inner thigh which causes the abdominal contents to protrude.

Umbilical Hernia Repair

In an umbilical hernia, abdominal contents can protrude through the muscle surrounding the umbilicus (belly button) causing it to pop outwards.

Epigastric Hernia Repair

Epigastric Hernia occurs higher up, above the umbilicus, where there may be a weakness between the muscles on either side as they meet in the middle.

Incisional Hernia Repair

Incisional hernia happens through an old scar on the tummy from a previous operation.

Laparoscopic Hernia Repair

Laparoscopic Hernia Repair is a technique to fix tears in the abdominal wall (muscle) using small incisions, telescopes and a patch (mesh).

FREQUENTLY ASKED QUESTIONS

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 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

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

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

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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