Hernia Surgery Los Angeles
Overview
What are the types of Hernias?
Hernias have different names, depending on where they appear and what causes them. Common types include:
- Inguinal hernia: The most common type of hernia, it occurs in the groin area.
- Umbilical hernia: When the intestines push through the belly button.
- Femoral hernia: Often confused with an inguinal hernia, it affects the upper thigh, near the groin.
- Epigastric hernia: Appears between the belly button and the sternum.
- Incisional hernia: Occurs as a result of abdominal surgery.
- Hiatal hernia: When the stomach pushes through the diaphragm.
- Ventral Hernias: Occur when abdominal tissues protrude through a weakened area in the abdominal wall
Symptoms & Causes
What causes Hernias?
Hernias occur when there is a weakness in the muscles and tissues that normally hold organs in place. While the precise cause of this muscle weakness can vary, some common underlying causes include:- Muscle Weakness: Hernias often develop when there is a weakening of the abdominal wall muscles. This weakness can be congenital (present at birth) or acquired due to factors like aging, injury, or surgery.
- Genetic Predisposition: Some individuals may have a genetic predisposition to hernias. If hernias run in your family, it’s essential to be aware of this risk factor and take preventive measures.
- Chronic Strain: Repetitive or chronic strain on the abdominal muscles, such as heavy lifting, persistent coughing, or frequent constipation, can lead to muscle weakening and increase the risk of hernia development.
What are the risk factors for hernias?
In addition to the underlying causes, several risk factors can increase the likelihood of developing a hernia. Being aware of these factors can help you take preventive measures and seek timely treatment if necessary.
- Obesity: Excess body weight, particularly around the abdominal area, can put added pressure on the abdominal muscles, making them more susceptible to hernia formation.
- Age: Hernias become more common with age, as the natural aging process can lead to muscle weakening.
- Gender: Some types of hernias, such as inguinal hernias, are more common in men, while others, like femoral hernias, are more prevalent in women.
- Pregnancy: Pregnancy can exert significant pressure on the abdominal muscles, increasing the risk of hernias, particularly in the case of umbilical or inguinal hernias.
- Heavy Lifting: Frequently performing tasks that require heavy lifting without proper technique, can strain the abdominal muscles and contribute to hernia development.
What are the symptoms of hernias?
The primary symptom of a hernia is a soft bulge or protuberance somewhere around the abdomen. A bump in the groin or scrotum area, around the pubic bone, is a common sign of an inguinal hernia. The lump sometimes goes away when pushed or when the person lies down. If it doesn’t, the case may be more serious and may require immediate surgery.
People may experience pain or discomfort in the affected area, particularly when lifting, bending, or coughing. Hernia pain is somewhat common but not universal; often a bulge appears without any unwanted sensations. Signs of strangulation include nausea, vomiting, and the sudden onset of pain. Anyone who feels these symptoms should call a doctor and discuss their options.
When should I worry about hernia pain?
Most hernias are nonemergent medical conditions. Although they never disappear on their own, they do not always cause serious problems. Minor, painless bulges may not need immediate treatment, so long as they do not worsen over time.
That being said, some complications can be dangerous. When the intestines get trapped inside a hernia, it’s called strangulation, and it could lead to loss of blood supply to the area. To prevent the possibility of strangulation, doctors recommend hernia surgery for most patients. The question usually isn’t if a patient needs surgery, but when. Some can wait. Others can’t.
Diagnosis & Screening
How are hernias diagnosed?
During a medical evaluation for hernias, your healthcare provider may employ various diagnostic tests and examinations, including:
- Physical Examination: The healthcare professional will start with a physical examination, which may involve palpating the affected area to identify the presence of a hernia. They will also inquire about your medical history and any symptoms you’ve been experiencing.
- Imaging Studies: In some cases, imaging studies like ultrasound, CT scans, or MRI may be used to confirm the presence of a hernia, determine its size, and evaluate the surrounding structures. These studies provide a clearer picture of the hernia’s location and characteristics.
Treatment
How are hernias treated?
When it comes to hernias, treatment options can vary depending on the type, location, and severity of the hernia. It’s crucial to understand the available choices and the necessity of individualized treatment plans tailored to your specific condition.
- Watchful Waiting: In some cases, especially with small, asymptomatic hernias, a healthcare professional may recommend a strategy known as “watchful waiting.” This approach involves monitoring the hernia’s progress and symptoms over time. While not a treatment in itself, it is a suitable option for select cases, especially in individuals with contraindications for surgery.
- Hernia Repair Surgery: For many hernias, especially larger or symptomatic ones, surgical intervention is the primary treatment. Hernia repair surgery involves the repositioning of the protruding organ or tissue and strengthening the weakened muscle wall. The specific surgical technique employed may vary based on the type of hernia and patient factors.
- Laparoscopic Surgery: Laparoscopic hernia repair, also known as minimally invasive surgery, is a popular approach. It involves making small incisions and using a laparoscope (a thin, lighted tube with a camera) to guide the surgeon during the procedure. Laparoscopic surgery often results in shorter recovery times and less scarring compared to open surgery.
- Robotic Surgery: Robotic-assisted hernia repair is another minimally invasive option. It offers the surgeon enhanced precision and control using robotic instruments. This advanced technology can be especially beneficial for complex or hard-to-reach hernias.
Coping Strategies
What to know about living with with a hernia?
Living with a hernia can present unique challenges, but with the right knowledge and approach, it’s possible to maintain a fulfilling and active lifestyle. It’s important to be aware of your specific hernia type and its severity, as this can influence your daily life.
While some hernias may be asymptomatic and require watchful waiting, others can cause discomfort or pain. Relieving hernia pain while waiting can be done by managing lifestyle factors, such as maintaining a healthy weight, using proper lifting techniques, and avoiding activities that strain the abdominal muscles, is essential. Regular communication with your healthcare provider is key to monitoring your hernia’s progress and making informed decisions about potential treatment.
Related Posts
Experience matters. Our surgeons have achieved the highest standard of recognition for their expertise and skill.
More importantly, our team of world-renowned surgeons have saved countless lives, and have enabled countless more to live healthy, happy lives.
