Inguinal herniorraphy is surgery for the treatment of inguinal hernia, which is a lump in the groin area caused by the part of the intestine coming out of the inner wall of the abdomen due to relaxation of the muscles in this area.
This surgery should be performed as soon as the inguinal hernia is diagnosed, so that there is no intestinal strangulation in which there is a lack of blood flow to the intestine resulting in symptoms of severe vomiting and cramping. See what the symptoms of inguinal hernia are. .
- Before performing inguinal herniorraphy.
- Your surgeon may order blood and imaging tests to assess a person’s health and.
- Depending on the size of the hernia.
- Comorcities.
- And age of the person.
- Open or video surgery will be indicated.
- It is recommended to rest and avoid driving and gain weight for 4 to 6 weeks.
Before performing inguinal herniorraphy, your doctor may order a series of tests, such as blood formula, coagulogram, blood glucose tests, and kidney function that will be used to evaluate a person’s health.
The anesthesiologist will also evaluate the person’s health status, as well as collect information on weight, height, possible allergies and commonly used medications, and the use of abdominal straps and stripes may be recommended to contain the inguinal hernia until the day of surgery, thus preventing worsening of the condition.
The day before surgery, very intense physical activities should be avoided and if the person is taking blood thinners, which are used to “dilute” the blood, the doctor recommends that you stop taking them before surgery. In addition, it is recommended to fast for 8 to 12 hours for inguinal herniorraphy.
Inguinal herniorraphy can be performed in two ways depending on the person’s health and the severity of the hernia:
In most cases, open inguinal herniorraphy is performed under epidural anesthesia, which is applied to the spinal nerves and suppresses sensitivity only from the lower body, however it can also be performed under local anesthesia. In this surgery, the surgeon makes a cut, called an incision, in the groin area and reintroduces the part of the intestine outside the abdomen.
Generally, the surgeon strengthens the muscle in the groin area with a synthetic lattice, to prevent the hernia from going back to the same place. The material on this screen is made of polypropylene and is easily absorbed by the body, with very low risk of rejection. .
Inguinal herniorraphy by laparoscopy is surgery performed under general anesthesia and involves the technique in which the surgeon makes small cuts in the abdomen, inserts carbon dioxide into the abdominal cavity, and then places a thin tube with a connected video camera.
From images reproduced on a monitor, the surgeon uses instruments, such as tweezers and very fine scissors, to repair the hernia in the groin region, placing a support screen at the end of the procedure. The recovery time for this type of surgery tends to be shorter than for open surgery.
People who have laparoscopic surgery usually have a slightly shorter recovery time; However, your doctor may determine that laparoscopic surgery is not the best option if the hernia is very large or if the person has had pelvic surgery.
Immediately after an inguinal herniorrhaphy, the person may feel discomfort in the groin area, but pain relievers will be given immediately after the procedure. Most of the time, the person who undergoes this surgery is hospitalized on average 1 day for observation.
To avoid complications of surgery, it is recommended to resume normal activities after one week, to avoid driving for 5 days, which requires not excessive physical exertion or weight gain for at least 4 weeks. You can apply an ice pack for the first 48 hours, twice a day for 10 minutes.
In addition, your doctor may indicate the use of abdominal straps or straps to prevent the hernia from reappearing until the site is completely cured, the pattern and time of use of the corset will depend on the severity of the inguinal hernia and the type of surgery. Made.
After surgery, attention should be paid to signs of complications such as bleeding and discharge of cuts, as they may indicate infection. Complications associated with lattice formation, such as adhesions, intestinal obstruction, fibrosis, or associated with tissue damage, may occur. groin nerves, and this is mainly identified by the onset of pain at the surgical site even after a week of procedure.
Another complication that can occur due to inguinal herniorraphy is urinary retention, which occurs when the person cannot completely empty the bladder. However, this situation depends on the type of anesthesia that was used and the technique the surgeon is discussing. Learn more about urinary retention and how treatment is done.