pinup indiamosbetmosbet casino1winmosbet aviatoraviator 1 winlucky jet casino1 winpinup1 win az4era betlucky jet online1 win azmostbet4rabet bd1win casino1win casinopinupparimatchmastbet1win sayti4rabet pakistan1win onlineaviatormostbetmostbetparimatchpin uponewinpinup kz1win aviatorlucky jet crashmosbetpin up india1 winmostbetpin up casinomostbet casino4rabetmostbet kzpin up casino gamemosbetпинап1win apostapin-uplacky jet1 win casinomostbet india1 win kzmostbet1xbet lucky jet

General Surgery

General Surgery
Can Lipomas Go Away on Their Own?

A lipoma is a common, benign fatty tumor that develops just under the skin. While generally harmless, many individuals wonder: Do lipomas go away on their own? Understanding the nature of lipomas and whether they can shrink or disappear without medical intervention is crucial for those dealing with these soft, slow-growing lumps.

What Are Lipomas?

A lipoma is a soft, fatty growth that can appear on various parts of the body, including the arms, back, shoulders, and thighs. These tumors consist of adipose (fat) tissue and are typically painless, though some may cause discomfort if they press against nerves or grow in sensitive areas. Lipomas are usually small, ranging from 2 to 5 centimeters (about 1 to 2 inches) in size, though some can grow larger.

Lipomas affect about 1 in 1,000 people, and while they can develop at any age, they are most commonly found in adults between 40 and 60 years old. Though benign, they can be a source of concern for those who experience rapid growth or discomfort.

Can a Lipoma Go Away on Its Own?

The short answer is no, lipomas do not typically go away without treatment. Unlike some cysts or other skin growths, lipomas consist of mature fat cells that do not spontaneously dissolve. Over time, a lipoma may remain the same size, grow larger, or in rare cases, shrink slightly, but complete disappearance is highly uncommon.

Can Lipomas Go Away Naturally?

There is no scientific evidence suggesting that lipomas can completely disappear on their own without medical intervention. However, some lifestyle factors may influence their size and growth rate.

Can Lipomas Go Away With Exercise?

Regular exercise is beneficial for overall health and can help reduce body fat, but exercise does not eliminate lipomas. Lipomas are encapsulated fat deposits that do not respond to weight loss in the same way as normal fat cells. Therefore, while exercise may improve overall body composition, it is unlikely to make a lipoma disappear.

Can Lipomas Go Away With Weight Loss?

Similarly, weight loss may reduce overall body fat, but it does not directly impact the size of a lipoma. Since lipomas are independent fatty growths that exist separate from normal fat stores, even significant weight loss does not guarantee lipoma shrinkage.

How Long Does a Lipoma Take to Go Away?

If left untreated, a lipoma generally remains stable in size or gradually increases over time. There is no set timeline for how long a lipoma may persist, as growth rates vary from person to person. In rare cases, lipomas may shrink slightly, but they do not fully disappear without medical removal.

Treatment for Lipoma

For those concerned about the size, discomfort, or appearance of a lipoma, several effective treatment options exist:

1. Lipoma Excision

Surgical removal, or lipoma excision, is the most effective and permanent solution. This procedure involves:

  • Administering local anesthesia to numb the area.
  • Making a small incision over the lipoma.
  • Removing the fatty tumor entirely.
  • Closing the incision with sutures.

Most lipoma excisions are outpatient procedures with minimal downtime and a low risk of recurrence.

2. Steroid Injections

Steroid injections can sometimes shrink a lipoma, but they rarely eliminate it completely. This option is typically considered for patients who prefer a non-surgical approach but may not provide long-term results.

When to See a Specialist

If your lipoma is growing, becoming painful, or interfering with daily activities, it’s important to seek medical advice. A qualified specialist can assess your condition and determine the most appropriate course of action, whether it be monitoring the lipoma or opting for removal. Consulting a skilled surgeon ensures you receive the best care tailored to your specific needs.

Summary

While many people hope that lipomas go away on their own, the reality is that these benign fatty tumors generally persist without treatment. Exercise and weight loss do not eliminate lipomas, and there is no proven natural remedy to make them disappear. The best way to address a lipoma is through surgical excision or medical intervention, ensuring long-lasting results and relief from any discomfort.

If you’re dealing with a lipoma and considering removal, contact Surgery Group of LA for a consultation with our experienced lipoma specialists. Our team offers safe and effective treatment options to help you feel comfortable and confident in your skin.

March 3, 2025

General Surgery
Diet after Hernia Surgery: Foods to eat and to avoid

Hernia surgery, whether it involves repairing an inguinal, umbilical, or ventral hernia, is a common procedure with a generally straightforward recovery process. However, a crucial aspect of this recovery is diet. What you eat after hernia surgery can significantly influence your healing process, minimize complications, and improve overall outcomes. In this blog, we will explore the best foods to eat and those to avoid post-surgery, backed by expert recommendations and statistics.

The Importance of Diet After Hernia Surgery

After hernia surgery, the body needs adequate nutrition to repair tissues, reduce inflammation, and prevent complications such as constipation and bloating. According to the American Society of Anesthesiologists, a balanced diet rich in vitamins, minerals, and protein can expedite recovery and enhance wound healing.

Foods to Eat After Hernia Surgery

High-Protein Foods

Protein is essential for tissue repair and muscle recovery. Incorporate lean meats, fish, eggs, dairy products, beans, and legumes into your diet. For example, chicken breast and tofu are excellent sources of protein that are easy to digest.

Fiber-Rich Foods

Constipation is a common issue after hernia surgery due to reduced mobility and pain medications. Fiber helps keep the digestive system moving. Include fruits like apples, pears, and berries, and vegetables such as broccoli, carrots, and leafy greens. Whole grains like oats and brown rice are also beneficial.

Hydrating Foods

Staying hydrated is crucial for recovery. Drink plenty of water and consume hydrating foods such as watermelon, cucumbers, and oranges. Clear broths and soups can also keep you hydrated and provide essential nutrients.

Probiotic Foods

Probiotics promote a healthy gut microbiome, which can be beneficial after surgery. Include yogurt, kefir, sauerkraut, and other fermented foods in your diet.

Healthy Fats

Healthy fats, such as those found in avocados, nuts, seeds, and olive oil, can help reduce inflammation and promote healing. These fats are easier on the digestive system compared to heavy, saturated fats.

Foods to Avoid After Hernia Surgery

Processed Foods

Processed foods, which are often high in sodium and low in nutrients, can lead to bloating and constipation. Avoid packaged snacks, ready meals, and fast food.

Spicy Foods

Spicy foods can irritate the digestive system and cause discomfort. It’s best to avoid foods with hot peppers and strong spices during the initial recovery period.

Carbonated Drinks

Carbonated drinks can cause gas and bloating, which can be uncomfortable and potentially strain the surgical site. Stick to water, herbal teas, and non-caffeinated beverages.

Caffeinated Beverages

While moderate caffeine is acceptable, excessive consumption can lead to dehydration. Limit coffee, tea, and caffeinated sodas. For those wondering, “Can I drink coffee after hernia surgery?”—yes, but in moderation.

Heavy, Fatty Foods

Foods high in saturated fats, such as fried foods, fatty cuts of meat, and full-fat dairy products, can slow down digestion and lead to constipation. Opt for lean proteins and low-fat dairy instead.

Specific Diet Recommendations

Inguinal Hernia Surgery

For those recovering from inguinal hernia surgery, focus on easy-to-digest foods that won’t cause bloating or gas. Soft foods like mashed potatoes, scrambled eggs, and smoothies can be particularly soothing.

Umbilical Hernia Surgery

Post umbilical hernia surgery, it’s crucial to avoid foods that could cause excessive strain on the abdominal area. Gradually introduce fiber-rich foods to prevent constipation.

Hernia Surgery Recovery Tips

  • Gradual Introduction: Start with a liquid or soft food diet and gradually introduce more solid foods as your body adjusts.
  • Small, Frequent Meals: Eating smaller, more frequent meals can aid digestion and prevent bloating.
  • Monitor Your Body: Pay attention to how different foods affect your body and adjust your diet accordingly.
  • Stay Active: Gentle activities, such as walking, can help stimulate digestion and reduce the risk of constipation.

Summary

A well-planned diet after hernia surgery is pivotal for a smooth recovery. By focusing on nutrient-rich, easily digestible foods and avoiding those that can cause complications, you can support your body’s healing process. Always consult with your healthcare provider or a nutritionist for personalized dietary advice. Remember, proper nutrition is not just about what to eat after hernia surgery but also about ensuring a holistic approach to your recovery and overall well-being.

June 23, 2024

Man with recurrent hernia going to see the doctor
General Surgery
Why Do I Keep Getting Hernias?

Hernias are a common medical issue, with millions of cases diagnosed worldwide each year. For some individuals, hernias are a recurrent problem, leading to frustration and repeated surgical interventions. Understanding the reasons behind recurrent hernias is crucial for managing and preventing future occurrences. This article will explore why hernias may recur, the complications associated with hernia mesh, and the signs and symptoms of hernia recurrence.

Can a Hernia come back after surgery? 

A hernia occurs when an internal organ or tissue pushes through a weakened spot in the surrounding muscle or connective tissue. The most common types are inguinal (groin), umbilical (navel), and ventral (abdominal wall) hernias. While surgery is often successful in repairing hernias, they can recur in the same spot or close to the site of the original hernia. Studies suggest that up to 30% of patients may experience hernia recurrence.

The success of hernia repair surgery significantly depends on the surgical technique and the use of hernia mesh. Hernia mesh problems such as improper placement, mesh migration, and mesh rejection can lead to recurrence. If the mesh is not securely fixed or shifts from its original position, the support provided to the weakened area may be insufficient, resulting in a recurrent hernia.

Lifestyle factors that increase risk of a hernia recurring

Several factors can increase the likelihood of hernia recurrence:

  • Obesity: Excess weight puts additional strain on abdominal muscles.
  • Chronic Cough: Conditions like COPD can increase abdominal pressure.
  • Heavy Lifting: Strenuous physical activity can stress the repaired area.
  • Smoking: Impairs wound healing and weakens connective tissue.
  • Poor Nutrition: Deficiencies in essential nutrients can affect tissue repair.

What are the Symptoms of Recurrent Hernias

Recognizing the signs of a recurrent hernia is vital for timely medical intervention. Common recurrent hernia symptoms include:

Complications of a recurrent hernia include obstruction or strangulation which are dangerous and necessitate prompt medical attention.

Diagnosing Hernia Recurrence

To determine if a hernia has recurred, a physical examination and imaging tests like ultrasound or CT scan are typically performed. These tests help assess the integrity of the previous repair and the position of the hernia mesh.

How are recurrent Hernias treated?

Treatment for a recurrent hernia usually involves surgery. While a hernia can come back after mesh repair, the risk can be minimized with advancements in surgical techniques and materials. 

When hernias come back after initial repair, surgery is often needed to fix the problem. Here are the main surgical options for treating recurrent hernias:

Open Hernia Repair

In this method, the surgeon makes a large incision near the previous hernia site. This allows for direct access and careful repair of the hernia. Open repair is often used when there is a lot of scar tissue or if the hernia is complicated. Mesh is usually added to strengthen the area and prevent future hernias.

Laparoscopic Hernia Repair

Laparoscopic repair involves small incisions through which a camera and tools are inserted. This minimally invasive approach results in less pain, quicker recovery, and smaller scars compared to open surgery. It is particularly useful for recurrent hernias because it avoids previous scar tissue and offers a clear view of the abdomen.

Robotic-Assisted Hernia Repair

This advanced technique uses robotic technology to improve precision. The robotic system provides a high-definition, three-dimensional view and greater control of surgical instruments. It is especially helpful for complex recurrent hernias, offering better outcomes and fewer complications.

Component Separation Technique

For very large or complex hernias, this technique separates and moves the abdominal muscles to create a tension-free repair. It can be combined with mesh to provide strong support and improve the abdominal wall structure.

The best surgical approach depends on factors like the hernia’s size and location, the patient’s medical history, and existing scar tissue. Our hernia specialists will evaluate these factors to recommend the most suitable surgery.

Summary

Recurrent hernias can be a challenging and painful condition. Effective treatment of recurrent hernias requires expert care and the right surgical technique. By addressing the underlying issues and finding the right surgeon who uses advanced surgical techniques and materials, the chances of a successful repair are much and preventing a recurrence in the first place are higher. 

If you suspect a hernia recurrence or experience any symptoms of hernia mesh complications, give us a call at 310-861-7493 to schedule a consultation with our hernia experts. Early intervention and appropriate treatment are key to preventing further complications and ensuring a better quality of life.

June 12, 2024

General Surgery
Can you get a hernia from coughing?

Hernias are a common medical condition that occurs when an organ or tissue protrudes through a weak spot in the surrounding muscle or tissue. While hernias are typically associated with factors such as heavy lifting or straining, many people wonder whether coughing can also lead to the development of a hernia. In this article, we’ll explore the relationship between coughing and hernias, the potential risks, and preventive measures.

Can You Get a Hernia from Coughing?

While coughing itself may not directly cause a hernia, it can exacerbate existing weaknesses in the abdominal wall or diaphragm, leading to the development or worsening of a hernia. Coughing increases intra-abdominal pressure, which can strain the muscles and tissues in the abdomen and pelvic area. This increased pressure can put additional stress on weakened areas, making them more susceptible to herniation.

Understanding Hiatal Hernias and Coughing

One type of hernia that is closely associated with coughing is a hiatal hernia, which occurs when a portion of the stomach protrudes through the diaphragm into the chest cavity. Coughing, particularly chronic coughing due to conditions such as gastroesophageal reflux disease (GERD) or chronic obstructive pulmonary disease (COPD), can worsen symptoms of hiatal hernias. In some cases, persistent coughing can contribute to the development of a hiatal hernia or exacerbate existing symptoms.

Symptoms of Hernias Triggered by Coughing

Hernias caused or aggravated by coughing may present with symptoms such as:

  • Pain or discomfort in the abdomen or chest, particularly when coughing or sneezing
  • A visible bulge or lump at the site of the hernia
  • Difficulty breathing or swallowing
  • Acid reflux or heartburn (in the case of hiatal hernias)
  • Persistent coughing or wheezing
  • Nausea or vomiting (in severe cases)

Preventive Measures

While it may not be possible to completely eliminate the risk of developing a hernia from coughing, there are steps you can take to reduce your risk and manage symptoms:

  • Practice good cough etiquette, such as covering your mouth and nose when coughing or sneezing, to minimize the strain on your abdominal muscles.
  • Seek treatment for underlying medical conditions that contribute to chronic coughing, such as allergies, asthma, or GERD.
  • Maintain a healthy lifestyle, including regular exercise, a balanced diet, and weight management, to support overall abdominal health and muscle tone.
  • Avoid activities that exacerbate coughing or strain the abdominal muscles, such as heavy lifting or intense physical exertion.

When to Seek Medical Attention

If you experience persistent or severe symptoms of a hernia, such as sudden, severe abdominal pain, vomiting, or difficulty breathing, seek medical attention immediately. Prompt diagnosis and treatment are essential for preventing complications and ensuring the best possible outcome.

Summary

While coughing alone may not directly cause a hernia, it can contribute to the development or worsening of hernias in susceptible individuals. Understanding the link between coughing and hernias, as well as adopting preventive measures and seeking timely medical attention, can help reduce the risk of complications and promote overall abdominal health.

April 28, 2024

General Surgery
How do I know if I have a burst hernia?

Hernias are common occurrences, often causing discomfort and inconvenience. However, in some cases, they can lead to more serious complications, such as strangulation or rupture. In this article, we’ll delve into the signs and symptoms that may indicate a burst hernia, the potential risks involved, and when to seek medical attention.

What is a Ruptured Hernia?

A ruptured hernia, also known as a strangulated hernia, occurs when the protruding organ or tissue becomes trapped within the hernia sac, leading to compromised blood supply and potential tissue death. This can result in severe pain and complications requiring immediate medical attention.

Difference between a Strangulated Hernia and a Ruptured Hernia

The main difference between a strangulated hernia and a ruptured hernia lies in the severity and mechanism of the complication. While both strangulated and ruptured hernias are serious medical conditions requiring prompt attention, a strangulated hernia involves compromised blood supply to the trapped tissue, whereas a ruptured hernia involves a tear or burst in the hernia sac or abdominal wall.

Strangulated Hernia

A strangulated hernia occurs when an organ or tissue protruding through the abdominal wall becomes trapped within the hernia sac. This entrapment leads to compromised blood supply to the trapped tissue, resulting in tissue death, or necrosis. The compromised blood flow can cause severe pain, swelling, and potentially life-threatening complications if left untreated. Strangulated hernias require immediate medical attention to restore blood flow and prevent further tissue damage.

Signs of a strangulated hernia may include:

  • Severe, constant abdominal pain
  • Fever and chills
  • Rapid heart rate
  • Tenderness or redness at the hernia site
  • Nausea and vomiting
  • Inability to pass gas or have a bowel movement

If you suspect you have a strangulated hernia, seek emergency medical attention immediately.

Ruptured Hernia

On the other hand, a ruptured hernia occurs when the hernia sac or the abdominal wall tears or bursts open. This rupture may lead to the sudden release of herniated contents into the abdominal cavity, causing pain and potentially serious complications. Ruptured hernias can result from increased pressure within the hernia sac, trauma, or weakening of the abdominal wall. Due to the potential for bowel perforation or infection, ruptured hernias may require emergency surgery to repair the hernia and address any associated complications.

The symptoms of a ruptured hernia can vary depending on the location and severity of the rupture. Common signs may include:

  • Sudden, severe pain at the site of the hernia
  • Swelling, redness, or discoloration in the affected area
  • Nausea and vomiting
  • Constipation or difficulty passing stools
  • Diarrhea or changes in bowel movements
  • Fever and chills
  • Tenderness or hardness at the hernia site

It’s important to note that a ruptured hernia can lead to serious complications, such as infection or strangulation, which requires immediate medical attention.

Treatment Options for Ruptured Hernias

Treatment for a ruptured hernia typically involves surgical intervention to repair the hernia and prevent further complications. Depending on the severity of the rupture and the extent of tissue damage, your healthcare provider may recommend either open or laparoscopic surgery to repair the hernia and reinforce the weakened area of the abdominal wall. In some cases, emergency surgery may be required to address complications such as strangulation or infection.

Potential Risks and Complications

If left untreated, a ruptured hernia can lead to serious complications, including tissue death, infection, and even death in severe cases. According to data from the National Institutes of Health, untreated hernias can result in bowel obstruction, perforation, and peritonitis, which require immediate medical intervention.

When is a hernia an emergency?

A ruptured hernia is a serious medical emergency that requires immediate attention. If you experience sudden, severe abdominal pain, swelling, or other symptoms suggestive of a ruptured hernia, seek medical help promptly. Early intervention is crucial for preventing complications and ensuring the best possible outcome. Remember, when it comes to hernias, timely treatment can make all the difference in your recovery.

April 17, 2024

Colorectal  ·  General Surgery
What causes Bowel Obstruction: 5 Possible Causes

Bowel obstruction, also known as intestinal obstruction, is a serious medical condition that occurs when the normal flow of digestive contents through the intestines is blocked. This obstruction can lead to severe complications if left untreated. In this article, we’ll explore five possible causes of bowel obstruction, common symptoms, and available treatment options.

5 Causes of Bowel Obstruction

Adhesions

Adhesions are bands of scar tissue that form between abdominal tissues and organs, often as a result of previous abdominal surgeries or inflammation. According to studies, adhesions are the leading cause of small bowel obstruction, accounting for up to 60-70% of cases. These adhesions can twist or compress the intestines, leading to bowel obstruction. Symptoms of small bowel obstruction caused by adhesions include abdominal pain, bloating, vomiting, and constipation.

Hernias

Hernias occur when a portion of the intestine protrudes through a weakened area in the abdominal wall, forming a bulge. In some cases, the herniated intestine can become trapped or twisted, leading to bowel obstruction. Hernias, particularly inguinal and femoral hernias, can cause both small and large bowel obstruction. Symptoms may include abdominal pain, nausea, vomiting, and a visible bulge or swelling in the groin or abdomen.

Cancer

Colorectal cancer and other abdominal cancers can cause bowel obstruction by physically blocking the passage of stool and digestive contents through the intestines. According to statistics, colorectal cancer accounts for a significant proportion of cases of large bowel obstruction. Symptoms of bowel obstruction due to cancer may include abdominal pain, cramping, bloating, changes in bowel habits, and unintentional weight loss. Early detection and treatment of cancer can help prevent bowel obstruction and improve outcomes.

Volvulus

Volvulus occurs when a portion of the intestine twists around itself, leading to a bowel obstruction. This twisting can occur in various parts of the intestines, including the small bowel and the colon. Volvulus is more common in certain populations, such as older adults and individuals with a history of abdominal surgeries or congenital conditions affecting the intestines. Symptoms of volvulus-induced bowel obstruction may include severe abdominal pain, bloating, constipation, and vomiting.

Intussusception

Intussusception is a rare condition that occurs when one segment of the intestine telescopes into another segment, causing a bowel obstruction. This condition is more common in infants and young children but can also occur in adults. Intussusception can lead to severe abdominal pain, vomiting, bloody stools, and a palpable abdominal mass. Prompt diagnosis and treatment, often with a procedure called a barium enema or surgery, are essential to relieve the obstruction and prevent complications.

Treatment Options

Treatment for bowel obstruction depends on the underlying cause, severity of symptoms, and the patient’s overall health. In many cases, conservative measures such as bowel rest, intravenous fluids, and nasogastric decompression may be initially attempted. However, surgical intervention may be necessary to relieve the obstruction, repair hernias, remove adhesions, or address underlying conditions such as cancer.

Bowel obstruction is a serious medical condition that requires prompt diagnosis and treatment to prevent complications. By understanding the possible causes, recognizing common symptoms, and seeking medical attention early, individuals can take proactive steps to address bowel obstruction and improve their overall health and well-being.

Stay informed, stay vigilant, and prioritize your digestive health—because early detection and treatment can make all the difference in managing bowel obstruction.

April 11, 2024

General Surgery
Incarcerated vs Strangulated Hernias

Hernias are a common medical condition characterized by the protrusion of an organ or tissue through an opening or weak spot in the surrounding muscle or tissue. While most hernias are manageable with proper treatment, some may lead to serious complications if left untreated. In this article, we’ll explore the differences between incarcerated and strangulated hernias, their symptoms, potential risks, and treatment options.

Reducible vs Non-Reducible Hernias

Hernia bulges can be classified based on whether they can be pushed back into place (reducible) or if they remain trapped (non-reducible or irreducible).

  • Reducible Hernias: A reducible hernia refers to a hernia in which the protruding organ or tissue can be easily pushed back into the abdominal cavity, either manually or spontaneously. These hernias often present as a bulge or lump that may appear and disappear depending on the individual’s position or activity level. While reducible hernias can cause discomfort or pain, they generally do not pose an immediate threat to health.
  • Non-Reducible Hernias: On the other hand, non-reducible hernias, also known as irreducible hernias, involve a protrusion of organs or tissues that cannot be pushed back into the abdominal cavity without medical intervention. This occurs when the hernia sac narrows or becomes trapped, preventing the tissue from returning to its normal position.

What are Incarcerated and Strangulated Hernias?

An incarcerated hernia occurs when the protruding organ or tissue becomes trapped within the hernia sac, also known as a non-reducible hernia, leading to obstruction and potential complications. This may cause symptoms such as pain, discomfort, and swelling at the hernia site. Without prompt medical attention, an incarcerated hernia can progress to a strangulated hernia.

A strangulated hernia, the most severe form, occurs when the blood supply to the trapped organ or tissue is compromised, leading to tissue ischemia and necrosis. This can result in severe pain, tenderness, and signs of infection, such as fever and chills. Without urgent surgical intervention, a strangulated hernia can lead to life-threatening complications and requires immediate medical attention.

Symptoms of Incarcerated vs Strangulated Hernias

The symptoms of an incarcerated hernia may include:

  • Pain or discomfort at the site of the hernia
  • Swelling or bulging in the abdomen or groin
  • Nausea and vomiting
  • Difficulty passing stools or gas
  • Fever and chills

In contrast, the symptoms of a strangulated hernia may include:

  • Severe abdominal pain
  • Nausea and vomiting
  • Fever and chills
  • Rapid heart rate
  • Tenderness or discoloration at the site of the hernia

Risks and Complications

If left untreated, both incarcerated and strangulated hernias can lead to serious complications, including tissue death (necrosis), infection, and even death in severe cases. According to data from the National Center for Health Statistics, untreated hernias can lead to bowel obstruction, perforation, and peritonitis, which can be life-threatening.

Treatment Options

The treatment for an incarcerated hernia typically involves manual reduction, where a healthcare provider gently pushes the trapped tissue back into place. In some cases, surgery may be required to repair the hernia and prevent future occurrences. On the other hand, a strangulated hernia requires immediate surgical intervention to restore blood flow to the trapped tissue and prevent tissue death.

Incarcerated and strangulated hernias are serious medical conditions that require prompt diagnosis and treatment to prevent complications. Understanding the differences between these two types of hernias, their symptoms, and potential risks is essential for early intervention and optimal outcomes. If you suspect you may have a hernia or are experiencing symptoms, don’t hesitate to seek medical attention to avoid potentially life-threatening complications.

April 10, 2024

man holding stomach due to swelling post hernia surgery
General Surgery
Why is there a hard lump after hernia surgery?

Hernia surgeries are typically performed to alleviate discomfort and reduce the risk of complications associated with hernias. However, some individuals may notice persistent lumps or swelling in the operated area following surgery, raising concerns and questions about their recovery. In this article, we delve into the reasons behind the occurrence of these lumps, address common concerns, and explore potential solutions.

Why do I still have a bulge after hernia repair?

Following hernia surgery, it’s not uncommon for patients to notice a residual lump or swelling in the operated area. Several factors contribute to this phenomenon. Firstly, post-operative swelling is a natural response of the body to the trauma of surgery. Inguinal hernia repairs, for instance, often involve manipulation of tissues and the placement of mesh to reinforce the weakened area. This can lead to inflammation and fluid accumulation, resulting in a noticeable lump or bulge. Additionally, bruising may occur as a result of surgical trauma, further contributing to the appearance of lumps and swelling. It’s essential to recognize that while these lumps can be alarming, they are often part of the normal healing process and tend to resolve with time.

How long does the swelling last after hernia repair?

Swelling and bruising are common occurrences after hernia surgery, particularly in the groin area. In one study published in the Journal of the American College of Surgeons, researchers found that up to 40% of patients experienced swelling and bruising following inguinal hernia repair surgery. This swelling can extend to surrounding tissues, including the scrotum in men, leading to testicular swelling. While bruising and swelling may cause discomfort and concern, they typically subside within a few weeks of surgery. Applying ice packs and taking prescribed pain medications can help alleviate symptoms and promote faster recovery.

Potential causes of persistent lumps after hernia surgery

In some cases, persistent lumps or bulges after hernia surgery may be attributed to factors such as inadequate repair or recurrence of the hernia. A study published in the British Journal of Surgery found that approximately 3-10% of patients experience hernia recurrence following inguinal hernia repair surgery. In such instances, patients may notice the return of a bulge or lump in the operated area, often accompanied by discomfort or pain. It’s essential for individuals experiencing persistent lumps or bulges to consult their healthcare provider for further evaluation and management.

Addressing Concerns and Seeking Solutions

Doctor checking patient's persisten stomach bulge after hernia repair

If you’re still experiencing a lump or bulge after hernia surgery, it’s crucial to communicate your concerns with your healthcare provider. Your doctor can perform a physical examination and may order imaging tests, such as ultrasound or MRI, to assess the underlying cause of the lump. Treatment options may vary depending on the diagnosis and may include conservative measures such as observation, physical therapy, or revision surgery if necessary. Remember that open communication with your healthcare provider is key to addressing concerns and ensuring optimal outcomes.

While persistent lumps or bulges after hernia surgery can be concerning, it’s important to understand that they are often part of the normal healing process. Factors such as post-operative swelling, bruising, and tissue manipulation during surgery can contribute to their occurrence. However, if you’re experiencing persistent symptoms or concerns, don’t hesitate to reach out to your healthcare provider for further evaluation and guidance. By working together, you can address any underlying issues and ensure a smoother recovery journey.

February 26, 2024

General Surgery
Understanding the Different Types of Hernias

Delving into the complexities of hernias unveils a world where understanding the different types becomes pivotal. From inguinal and femoral to ventral and perineal, each type presents its own set of intricacies. This comprehensive guide aims to unravel the enigma surrounding hernias, shedding light on their diverse manifestations and symptoms.

Common Types of hernias

Hernias are characterized by a protrusion of an organ or tissue through an abnormal opening in the body. Understanding the different types of hernias is crucial in identifying and managing this condition. The most common types include inguinal, femoral, umbilical, incisional, and hiatal hernias.

Inguinal Hernia

An inguinal hernia occurs when tissue, such as a part of the intestine, protrudes through a weak spot in the abdominal muscles. It is the most common type of hernia and is more prevalent in men than in women. Inguinal hernias may result in a visible bulge in the groin area, discomfort, or pain, particularly when lifting heavy objects or straining.

Femoral Hernia

Femoral hernias occur when tissue protrudes into the canal that carries the femoral artery from the abdomen to the thigh. This type of hernia is more common in women, often appearing as a painful lump in the upper thigh or groin. If left untreated, femoral hernias can lead to serious complications, such as bowel obstruction or strangulation.

Umbilical Hernia

Umbilical hernias develop when a section of the intestine or fatty tissue protrudes through a weakened area near the navel. They are frequently observed in infants, appearing as a soft bulge near the belly button. In adults, umbilical hernias can result from factors such as obesity, multiple pregnancies, or excessive strain on the abdominal wall.

Incisional Hernia

Incisional hernias occur at the site of a previous surgical incision. They develop when tissue protrudes through the weakened area of the abdominal wall, often causing pain and discomfort. Factors contributing to incisional hernias include obesity, poor wound healing, and excessive strain on the surgical site.

Hiatal Hernia

Hiatal hernias occur when the upper part of the stomach bulges through the diaphragm into the chest cavity. While small hiatal hernias may not cause any symptoms, larger ones can lead to acid reflux, chest pain, difficulty swallowing, and heartburn. Lifestyle changes and medication are often recommended for managing hiatal hernias, but surgery may be necessary in severe cases.

Less Common Types of Hernias

In addition to the commonly known hernias, there are less prevalent types that warrant attention.

Ventral Hernias

Ventral hernias carve a distinctive path along the anterior abdominal wall, often escaping the limelight of more prevalent types. These hernias occur when abdominal tissues protrude through weakened areas in the abdominal wall. While less common, ventral hernias warrant attention for their unique characteristics. Symptoms may vary, with some individuals experiencing pain or discomfort, while others may notice a visible bulge.

Perineal Hernias

Perineal hernias, though less common, delve into the intricate realm of the pelvic floor. These hernias occur in the perineal area, where weakened muscles allow abdominal contents to protrude. Understanding the dynamics of perineal hernias is crucial for those navigating this less-charted territory. They often manifest with symptoms such as discomfort, difficulty with bowel movements, or a noticeable bulge in the perineal region.

Diagnosis of hernias

Diagnosing a hernia typically involves a physical examination by a healthcare professional, during which the characteristic bulge may be palpated and assessed. In some cases, additional imaging tests such as ultrasound or MRI may be recommended to confirm the diagnosis and evaluate the extent of the hernia. Early detection of hernias is critical in preventing complications and guiding appropriate treatment.

Treatment options for hernias: Surgery, lifestyle changes, and medications

The management of hernias often involves a multifaceted approach, tailored to the specific type and individual circumstances. Surgery is commonly recommended for hernias that cause persistent symptoms or pose a risk of complications. During the surgical procedure, the protruding tissue is repositioned, and the weakened abdominal wall is strengthened, typically using a mesh to provide additional support. Minimally invasive techniques, such as laparoscopic hernia repair, have become increasingly popular due to their shorter recovery times and reduced postoperative discomfort.

In addition to surgical intervention, lifestyle modifications can play a significant role in managing hernias, particularly in cases where surgery may not be immediately necessary. Maintaining a healthy weight, avoiding heavy lifting, and practicing good posture can help alleviate symptoms and reduce the risk of hernia progression. Engaging in regular physical activity to strengthen the abdominal muscles and adopting dietary changes to prevent constipation and straining are also integral components of a holistic approach to hernia management.

For individuals with hernias that are not suitable for immediate surgical repair or those who prefer non-surgical options, medications may be prescribed to alleviate symptoms such as pain and discomfort. Over-the-counter pain relievers and anti-inflammatory drugs can provide temporary relief, although they do not address the underlying hernia itself. It’s important to consult a healthcare professional to determine the most suitable treatment approach based on the type and severity of the hernia. Call us at 310-861-7493 to schedule an appointment with one of our hernia specialists.

November 13, 2023

General Surgery
Hidradenitis Suppurativa vs Pilonidal Cysts: What’s the Difference?

Hidradenitis Suppuratavia or HS, or acne inversa, is a skin disorder that affects the sweat glands in your body. However, HS may appear to be a lot of other conditions.

This is especially true for pilonidal cysts. This is because both:

  • It can be found in the upper buttocks or tailbone
  • Both cause painful lumps around the skin
  • Similar risk factors

Big Difference #1 – HS is a genetic disorder

Pilonidal Cysts and HS express themselves in the body in a lot of the same ways. Both cause painful lumps on the skin that won’t go away. Both symptoms are caused by pressure and irritation. The difference is that HS is a chronic skin disorder, while Pilonidal cysts are infections caused by friction, ingrown hairs, and too much pressure in the buttock’s tailbone area

HS on the other hand is a condition that directly affects the apocrine glands or basically the sweat glands that rest between your skin and fat.

HS makes your body create excessive amounts of inflammatory proteins called cytokines. When these cytokines build up on the apocrine glands we mentioned earlier, your apocrine gland starts to secrete pus and irritate the skin around your:

  • Armpit
  • Groin
  • Buttocks

Big difference # 2 – HS can cause symptoms where Pilonidal cysts don’t

Both HS and Pilonidal Cysts can cause:

  • Hard lumps around the skin
  • Painful infections
  • General skin misery

But HS can affect any part of the body that has apocrine sweat glands, especially if they have been under chronic stress.

This means that HS can affect your:

  • Armpits
  • Groin
  • Under the breast
  • Neck

While pilonidal cysts usually remain near the tailbone and anal tract. In fact, due to their similarity, some researchers have theorized that chronic Pilonidal cysts are simply an expression of HS but more testing is needed.

Big Difference #3 – HS can’t be cured

While Pilonidal cysts also have a bad habit of reoccurring, HS can be incredibly stubborn in sticking around.

Treatments for Pilonidal Cysts and HS do overlap somewhat. Both can be treated using antibiotics, but unfortunately, this does not treat the underlying inflammation.

Generally speaking, your doctor will probably suggest the following:

  • Maintains a healthier body weight
  • Stop or cut down on smoking and drinking
  • Eat a healthier diet

Both Pilonidal Cysts and HS can be treated surgically, but your doctor may prescribe anti-inflammatories such as Humira for HS to deal with inflammation directly.

Big Simarility #1 – both need a talk with your doctor

Left untreated pilonidal cysts can grow infected and cause extreme pain. HS can be painful and cause open wounds that can be tough to endure or look at.

If you or a loved one believe that your skin needs a checkup, speak to a doctor right away, and spare yourself another day of itchy pain.

January 16, 2023



Surgery Group of LA is a multi-specialty surgical practice based in Los Angeles, dedicated to providing expert, compassionate care across a wide range of specialties including colorectal, thyroid, general, and minimally invasive surgery. Our board-certified surgeons are committed to delivering personalized treatment using the latest technology and techniques.

Patient Resources

310-861-7493

8635 W 3rd St Suite 880 W,
Los Angeles, CA 90048
[email protected]

Facebook Twitter Youtube Instagram Yelp

©2025 Surgery Group LA

Website Design & Digital Marketing Powered by Topco Marketing

CALL