Hernias develop when an organ or a piece of fatty tissue pushes through a hole in the connective tissue or muscles that surround it. While hernias can range from mild to severe, many people wonder when they should have surgery and what size hernias necessitate it.

A basic definition of hernias is in order before we get into the details of surgery. Although they can manifest in other areas of the body, the abdomen is where they most often manifest. There are different kinds, and they consist of:

● The inner groin is the site of inguinal hernias.
● Incisional hernias form at the spot where a surgeon made an incision during a prior procedure.
● In the upper thigh, right behind the groin, you can find femoral hernias.
● The umbilical cord is a common site for umbilical hernias.
● A hiatal hernia forms where the diaphragm opens.
● Beyond the esophageal hiatus, diaphragmatic hernias can develop in various parts of the diaphragm.

A Key Factor in Determining Size and Symptoms

Size of the hernia is not the only factor considered when deciding whether or not to operate. Symptom presence and intensity are often major factors. There may be no need to rush into surgery for smaller hernias that are symptomless; they can just be watched. In most cases, surgery is necessary to repair bigger hernias or those that cause significant discomfort or agony.

Why is surgery essential for a large hernia?

There are a number of dangers associated with larger hernias, including heightened discomfort, the possibility of the organ becoming imprisoned, or even worse, the cutting off of blood flow, a medical emergency known as strangulation.

Surgery Scheduling: A Fine Juggling Act

The patient and surgeon should work together to make the crucial decision of when to have surgery. How big the hernia is, how bad the symptoms are, the patient’s general condition, and the likelihood of problems all play a role.

The majority of hernia surgeries are elective, meaning that patients voluntarily undergo them. This is a good choice for hernias that are bigger or causing symptoms but aren’t life-threatening right now.

But immediate surgical intervention is necessary for hernias that incarcerate or suffocate. Serious complications can arise if surgery is postponed in these circumstances.

How Can I Choose an Operation?

There are typically two choices available when surgery is required.

Surgical Procedure

In this procedure, the hernia is repaired through a single, bigger incision.

Endoscopic Procedures

A procedure that uses specialized tools and tiny incisions to treat a patient in a minimally invasive manner. It has a reputation for reducing postoperative pain and facilitating faster recovery times.

Also Read : Gallbladder Stone Treatment: Pros and Cons

There are a number of considerations beyond the size of the hernia itself when deciding if surgical repair is necessary. Important considerations in making this decision include the existence of symptoms, possible dangers, and general health. To ensure a prompt and successful treatment, it is essential to consult with a surgeon as soon as possible.

You should consult a doctor immediately after a hernia diagnosis or if you notice any symptoms. Complications can be better avoided with prompt action.

Dr Atul Shah

Dr Atul Shah

Dr. Atul Shah is a senior Laparoscopic & GI Surgeon practicing at Ahmedabad for more than 25 years. At present he is the MEDICAL DIRECTOR, at Kaizen institute of Gastroenterology and practicing laparoscopic Bariatric and Hernia surgeon.

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