Luciano Fiszer, MD, is a Fellow of the American College of Surgeons and a Miami-based board-certified general surgeon specializing in hernia surgery.
Hernias are a common medical condition that affects millions of people worldwide. They occur when an organ or tissue pushes through a weak spot or tear in the surrounding muscle or connective tissue. While hernias can occur in various body parts, such as the groin, abdomen, or diaphragm, surgical intervention is often required to treat them effectively. This article will explore everything you need to know about hernia surgery, including the different types of hernias, surgical procedures, the recovery process, and potential risks.
Symptoms and Complications of Hernias
A hernia can affect men, women, and children differently depending on where it occurs. Hernias commonly occur around the groin, abdomen, or pelvis. You may be experiencing a hernia if you feel increasing pressure from an organ or tissue in one of these areas, such as an enlarged scrotum or protruding belly button. The affected area may also be red and painful to touch.
Inguinal hernias are the most common type of hernia in adults. They occur when a portion of the small intestine becomes trapped in the abdominal cavity. This weakens the muscle wall and allows it to protrude through a tear. The degree of pain experienced depends on factors such as position, tension of the intestine, and movement. Inguinal hernias are also very common in children. They most commonly affect males between the ages of one and five. A child with an inguinal hernia may exhibit swelling, pain, fever, and vomiting.
Femoral hernias occur when there is a weakness in the femoral canal, where blood vessels and nerves enter the femur. Femoral hernias usually do not show symptoms and are discovered through routine checkups or physical exams.
Epigastric hernias occur when the abdominal wall weakens between your belly button and navel. This allows organs to protrude through the weakened muscle and become trapped in the abdominal cavity. People with epigastric hernias often feel severe pain in the area where their organs protrude through the wall.
Hernia surgical procedures are performed to repair a hernia defect in the abdominal or groin wall. The choice of surgical procedure depends on factors such as the size and type of hernia, the patient’s overall health, and the surgeon’s expertise. The most common approaches are:
Open Hernia Repair
Open hernia repair is the most common type of surgery. During this procedure, surgeons make a small incision in your abdominal wall to remove the hernia sac. The procedure is usually performed under general anesthesia and takes about one hour to complete.
Laparoscopic Inguinal Hernia Repair
This minimally invasive approach makes several small incisions, and a laparoscope (a thin tube with a camera) is inserted into one of the incisions. The surgeon then uses specialized instruments to repair the hernia from within the abdomen, often by placing a mesh patch to reinforce the weakened area.
Laparoscopic Ventral Hernia Repair
This technique is used for repairing incisional hernias and some umbilical hernias. It involves creating small incisions, inserting a laparoscope, and using surgical instruments to position a mesh patch to strengthen the abdominal wall.
Robotic-Assisted Hernia Repair
Robotic hernia repair procedures are similar to laparoscopic approaches but utilize robotic arms controlled by the surgeon. This technique allows for enhanced precision and agility during the operation.
The recovery process after hernia surgery can vary depending on the type of hernia, the surgical technique used, and individual factors. However, here is a general overview of what you can expect during the recovery period:
Most hernia surgeries are outpatient, meaning you can go home on the same day. However, in some cases, an overnight hospital stay may be required. Your hernia surgeon will inform you if this is the case and give instructions on preparing for your stay.
You can expect some discomfort and pain after the surgery. Your doctor will prescribe pain medication to manage the pain. Take the medicine as directed and inform your doctor if the pain worsens or you experience any unusual symptoms.
Rest and Limitations
Resting and taking it easy during the initial recovery phase is essential. Avoid strenuous activities, heavy lifting, and excessive bending or twisting for a few weeks. Your doctor will provide specific guidelines based on your condition.
Take care of the surgical incisions as instructed by your surgeon. Keep the incisions clean and dry to prevent infection. It is important to follow your doctor’s instructions on when to change the bandages.
Diet and Bowel Movements
Follow your doctor’s instructions regarding diet and bowel movements. In some cases, a particular diet may be recommended to prevent constipation and strain during bowel movements, which can pressure the surgical area.
Gradual Resumption of Activities
As you recover, you can gradually increase your activity level. Start with light activities and slowly progress over time. Your doctor will guide you on when it’s safe to resume specific activities such as exercise and work.
It is essential to attend all scheduled follow-up appointments with your surgeon. They will assess your healing progress, remove any stitches if necessary, and address any concerns or questions you may have.
While complications are rare, awareness of potential signs of infection, excessive swelling, bleeding, or hernia recurrence is essential. Contact your surgeon if you experience any unusual symptoms.
Dr. Luciano Fiszer, MD is an expert in minimally invasive hernia repair and hernia surgery in Elite Surgical Miami, Florida. The Elite Surgical Miami is a medically-equipped surgical center with a highly qualified staff. Dr. Fiszer is skilled and takes pride in helping his patients achieve the best possible outcome. His practice is dedicated to personalized care and superior results.
Hernia repair is a safe and effective treatment for simple and complex hernias. With advances in surgical techniques, many options are available to meet each patient’s needs. If you are experiencing persistent pain or other symptoms associated with your hernia, you can contact a board-certified surgeon to discuss the appropriate treatment plan for your condition.
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Elite Surgical Miami strives to be most sought out General Surgery practice in Miami using a combination of the latest technology while focusing on the patients best interests physically and emotionally.
At Elite Surgical Miami our mission is to first and foremast make sure our patients are educated and treated with the utmost respect.
Dr. Fiszer performs these procedures using the most advanced surgical technologies.
Dr. Fiszer has been in medical practice for over 10 years, providing expertise in minimally invasive laparoscopic and robotic-assisted surgery.
At Elite Surgical Miami we make sure that the patient gets the best care professionally and emotionally, a combination we pride ourselves on.
"I had the gastric sleeve with Dr. Fiszer a few weeks ago and it was the best experience I could have hoped for. He was caring and attentive to all my questions, offered information when there were things I didn't ask that I would need to know and the procedure itself was so so much better to recover from than I could have hoped for. I would (and will) highly recommend him to anyone and everyone that is looking for a surgeon. He also did an endoscopy on me a few months earlier and I had an equally good experience for that procedure. A+++ in my book!"
"Dr Fiszer and his staff are wonderful. He is a very knowledgeable, kind, caring, and concerned physician. He answered all of my questions and even answered questions I did not know I had. I was very hesitant about having any type of bariatric surgery. Dr. Fiszer helped me choose which procedure was best for me and when I decide on the gastric sleeve I felt well informed and comfortable with my decision. I would highly recommend him to anyone without reservation."
"Dr. Fiszer is an amazing doctor. His bedside manner is impeccable and his desire to make you feel safe is one of the main reason I will always seek him out for any future surgery. His medical expertise is next to none. Dr. Fiszer performed emergency surgery on my husband for an abscess last weekend and his treatment, compassion, love for his work and respect for his patients is the highest I’ve ever seen. I loved his treatment, courtesy and overall desire to help. God bless you Doc! You ROCK!!!"
Dr. Fiszer performs these procedures using the most advanced surgical technologies.
Dr. Luciano Fiszer, MD, is a board-certified general surgeon who specializes in bariatric /weight-loss surgery and surgical procedures of the digestive tract. Dr. Fiszer has been in medical practice for over 10 years, providing expertise in minimally invasive laparoscopic and robotic-assisted surgery.