Source :NEWS18 NEWS
Last Updated:May 15, 2025, 16:21 IST
Surgery is the only definitive treatment for hernia, and early repair is crucial to prevent sudden, life-threatening complications like obstruction or strangulation.
If you or a loved one is dealing with a hernia, don’t delay consulting a specialist.
A hernia occurs when a weakness or gap in the abdominal muscles allows internal organs or tissues to push through, creating a visible bulge under the skin. The abdominal wall is made up of several layers—skin, fat, muscle, and a lining called the peritoneum that holds our organs. When the muscle layer gives way, a hernia forms. Dr Varun Dasari, Consultant – Surgical Gastroenterology, Manipal Hospital Vijayawada shares all you need to know:
What are the types of hernia?
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Hernias are generally classified into:
Primary hernias (develop without prior surgery): Inguinal (most common), umbilical, epigastric, femoral, obturator, and lumbar hernias.
Secondary hernias (occur at previous surgical or injury sites):
Also known as incisional hernias.
How is a hernia treated?
There are no medications that can treat a hernia—surgery is the only definitive solution.
Mesh repair is the standard technique, where a synthetic mesh is used to reinforce the weakened area.
The only exception: small umbilical hernias (less than 1 cm) may be repaired with sutures alone, without mesh.
What are the surgical options?
Open Surgery:
Traditional method involving a larger incision on the abdominal wall.
Laparoscopic Surgery:
A minimally invasive alternative using small incisions and a camera-guided technique for quicker recovery.
Robotic Surgery:
The latest advancement, offering high precision, less pain, faster recovery, and smaller scars—even for complex hernias.
Why is hernia surgery necessary?
Not all hernias are painful—but surgery is still strongly recommended to avoid sudden, life-threatening complications:
Intestinal Obstruction:
A loop of intestine gets stuck, leading to blockage, severe pain, vomiting, and an inability to pass gas or stool.
Strangulation:
The blood supply to the trapped intestine is cut off, causing tissue death (gangrene). Emergency surgery is required.
These issues can arise unexpectedly—hence, elective surgery is safer than waiting for an emergency.
When can these complications happen?
Unfortunately, there’s no way to predict when—or if—a hernia might become dangerous.
“It could happen today or in 10 years,” says Dr. Dasari. “That’s why I advise patients to get the hernia repaired as early as possible, at a time that’s convenient—rather than wait for an emergency.”
What does the recovery look like?
Before surgery, you’ll undergo routine pre-operative evaluations, including cardiac and anesthesia clearance.
Laparoscopic/Robotic Surgery:
Most patients resume a normal diet the same day and are discharged within 24 hours.
Return to daily activities is often within a few days.
Open Surgery:
Recovery may take 5–10 days, depending on individual healing.
How many days of rest are required after surgery?
Recovery depends on your job and personal healing speed:
Desk-based jobs (like teaching or IT): Return to work in about 2 weeks in most cases.
Some people feel ready in 2–3 days, while others might take up to a month.
What precautions should I take after surgery?
Avoid lifting heavy weights (above 5 kg) for the first three months—this includes lifting children, heavy bags, or water buckets.
After that, you can usually resume all regular activities.
This single precaution significantly reduces the risk of the hernia recurring.
What are the risks of hernia surgery?
While hernia surgeries are generally safe, like all procedures, they carry certain risks. Dr. Dasari highlights three main concerns:
Recurrence:
Varies by type: less than 1% for inguinal hernias, up to 10% for incisional hernias.
Mesh Infection:
Unlike routine infections, mesh infections may require prolonged antibiotics or even mesh removal.
Chronic Mesh-Related Pain:
Rare (less than 1%), but can be persistent and may need further intervention.
Surgical repair is the only permanent fix for hernias—and the sooner it’s done, the better. With modern advances like robotic surgery, the process is now quicker, less painful, and highly effective. If you or a loved one is dealing with a hernia, don’t delay consulting a specialist.
- First Published:
May 15, 2025, 16:21 IST
SOURCE : NEWS 18
