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Don't Let Hernia Affect Your Daily Life – Receive the Best Treatment For Hernia in Dubai at MEDSTAR

A hernia results in an abnormal bulge, in the abdomen or on the upper thigh which causes constant discomfort and pain. It can affect men and women both equally. If you have been diagnosed with Hernia, it is time to get it treated with the help of our experienced and globally renowned clinical team. You will receive long-lasting treatments with the least complications for hernia available in Dubai.

What is Hernia?

● A hernia is an abnormal condition in which an organ or mass of tissues protrudes out of its cavity due to the weakening of muscles of the cavity.

● Constant increased pressure on the muscles of the body cavity, containing organs, weakens the muscles of the cavity leading to a hernia.

● The most common hernias are:

○ Inguinal hernia: In this type of hernia, a portion of the small intestine or fat tissues bulges out from the weakened muscles of the pelvis.

■ It is related to incomplete closure of the inguinal canal in the foetus after migration and descend of testicles from the abdomen into the scrotum. In adult life, constant pressure on the abdomen causes this incompletely closed inguinal canal to become a weak spot leading to a hernia.

■ This is the most common type of abdominal hernia in men.

○ Femoral hernia: In this hernia, fatty tissue or part of the intestine protrudes through the opening on the floor of the abdomen. This is the opening through which the femoral artery and vein pass from the abdomen into the upper leg.

■ Femoral hernias are more common in women due to their wider bone structure,

○ Umbilical hernia: Fatty tissue or part of the intestine pushes through the abdomen near the navel (belly button) resulting in the umbilical hernia. These are very common in newborns.

○ Hiatal (hiatus) hernia: In this hernia, part of the stomach pushes up into the chest cavity through an opening in the diaphragm.

○ Obturator hernias: This hernia occurs through the obturator canal, another connection of the abdominal cavity to the leg, and contains the obturator artery, vein, and nerve in women, having a history of multiple pregnancies or who have lost significant weight.

● Other types of hernias include:

● In an Incisional hernia, tissue protrudes through the site of an abdominal scar from an abdominal or pelvic operation performed before.

● In an Epigastric hernia, the fatty tissue protrudes through the abdominal area between the navel and lower part of the sternum.

● In Spigelian hernia, the intestine pushes through the abdomen at the side of the abdominal muscle, below the navel.

● In a Diaphragmatic hernia, the organs in the abdomen move into the chest through an opening in the diaphragm.

What Are The Causes of Hernia?

● Hernias are caused by a combination of muscle weakness and pressure on these weakened muscles.

● Causes of muscle weakness or strain are:

○ A congenital condition that is present from birth

○ Ageing

○ Damage from an injury or surgery

○ Chronic coughing or chronic obstructive pulmonary disorder

○ Strenuous exercise or lifting heavyweights

○ Pregnancy, especially having multiple pregnancies

○ Constipation, which causes strained bowel movement

○ Being overweight or obesity

○ Fluid in the abdomen

○ Family history of hernias

○ Tumours or abnormal masses in the abdomen.

○ Peritoneal dialysis used to treat kidney failure

What Are The Symptoms of Hernia?

● Swelling or bulge in the groin or scrotum or in the abdominal area

● Pain at the site of the bulge

● Pain while lifting objects

● Increase in the bulge size if left untreated

● The size of the lump or bulge increases on standing, coughing and pushed back/disappear on lying down.

● A dull aching sensation

● The feeling of bowel obstruction

● Fever, nausea and vomiting

Are You Eligible for treatment of Hernia? When to See a Doctor?

● Hernia being common can affect anybody. Every one in ten persons gets a hernia in their life. It affects both sexes equally, can occur at any age and in some cases, infants are born with it.

● If you are noticing an abnormal bulge in your abdomen or on the upper part of your thighs that are causing discomfort and pain, then this bulge needs medical attention. Visit the doctor as soon as possible to prevent any related complications. The doctor will examine, diagnose and treat it accordingly.

● Visit our specialised department for Hernia at MEDSTAR, to get the benefits of the latest diagnostic procedures and 3D Mesh Pro-floor treatment option for Hernias.

Why choose MEDSTAR for Hernia treatment? The MEDSTAR Advantage

Hernias usually do not get better on their own, and surgery is the only way to repair them. Surgery for hernia is one of the most common long-lasting treatment worldwide with millions of cases being treated every year.

At MEDSTAR, our surgeon’s expertise is in both diagnosing the type of Hernia and its treatment accordingly for effective and long-lasting results for the patient. Their vast knowledge and experience have made the hernia procedures highly result-oriented and successful.

MEDSTAR provides the benefits of the use of the latest diagnostic tools and procedures for the effective treatment of hernia in Dubai.

How is Hernia treatment done?

● The effective and long-lasting treatment of hernia is surgery. The aim of hernia surgery is to repair the defect of weak tissue in the abdominal wall and seal it. This results in no more pushing of fats or other organs into that weak tissue spot again leading to the disappearance of the bulge.

● To strengthen the weak spot a mesh, made up of biocompatible material, is placed to support the weak spot of the abdominal cavity.

● Hernia surgery is performed under general anaesthesia.

● The repair of the weak spot is of 2 types based on its surgical approach:

○ Open hernia repair or open hernia surgery: In this surgery, a single long incision is made in the area of the hernia and herniated organs are pushed back. The incision is sutured back with or without placing a mesh to strengthen the weak spot of the abdomen.

○ Laparoscopic(keyhole) repair or laparoscopic surgery: In this surgery, instead of a single long cut, several small ( 3-5 ) cuts are made each being about a centimetre long through which herniated organs are pushed back and cuts are sealed with sutures.

What are the various options for treatment at MEDSTAR?

1. INGUINAL HERNIA TREATMENT

To treat inguinal hernia we have :

Primary Muscular Repair aka Shouldice’s Repair

● In this procedure herniated organs are pushed back and the abdominal wall tissues are sewed back together with the help of sutures.

● This procedure has a high recurrence rate because of the constant tension on sutures caused by abdominal tissues.

Simple Prolene Mesh Repair aka Leichenstein’s Repair

● This procedure is tension-free repair. In this procedure, a Polypropylene mesh is used to seal the defect to prevent tension in the abdominal muscles.

● The procedure requires local anaesthesia and needs 24-48 hour of hospitalisation of the patient.

● This procedure is safe and economical but it has the disadvantage of post-operative groin pain ( Inguinodynia ) due to nerve entrapment.

Laparoscopic Repair ( TEP and TAPP Repair )

● Under general anaesthesia, a Polypropylene mesh is placed on the inner side of the abdominal wall (posterior compartment) in this surgery.

● This is a difficult procedure with a recurrence rate of 8-15% with a hospitalisation time of 24-48 hours.

3-D Mesh Hernia Repair

● This is the most advanced tension-free procedure for inguinal hernia repair.

● In this procedure, the hernia defect is covered from 3 sides- above, below and centre with a Polypropylene mesh.

● This procedure is completed in about 15-20 minutes.

● Advantages

○ Extremely low recurrence rate due to threes side repair of weak spot.

○ No risk of chronic groin pain as the mesh is fixed without stitches.

○ The patient can go home after 12 hours stay in the hospital.

 

2. FEMORAL HERNIA TREATMENT

● In this surgery, the surgeon reduces the hernia by pushing the fatty tissues/loop of the bowel back into the abdomen and mesh is placed to secure the femoral canal. This mesh repairs the weak spot in the femoral canal which let organs and tissue bulge out.

● This surgery can be done by both open or laparoscopic option and the type of surgery depends upon the medical condition of the patient and the expertise of the operating surgeon.

● This surgery is safe and effective but laparoscopic surgery is less painful with rapid recovery.

 

3. UMBILICAL HERNIA TREATMENT

To treat an umbilical hernia following treatment procedures are provided by MEDSTAR:

Primary Muscular Repair

● In this surgery, herniated tissues are pushed back and abdominal muscles are sewed back together with the help of sutures.

● This surgery has a high recurrence rate due to the absence of mesh.

Prolene Mesh Repair

● In this surgery, a Polypropylene mesh is placed over the defect.

● This procedure is not preferred due to the high chances of collection of pus at the operation site.

Laparoscopic Repair

● It is done under general anaesthesia, 4 incisions of 1 cm each are made and the defect is closed with a mesh from the posterior aspect.

● It is quite popular surgery because of less post-operative pain and faster recovery.

● This procedure has an aesthetically unattractive result as some bulge is still visible post-procedure.

3-D Mesh repair

● In this procedure, the defect is closed from the anterior and posterior aspect. Instead of removing, the umbilicus is repositioned to achieve an excellent cosmetic result.

● It is a same-day surgery that means the patient can go back to their home, the very same day after surgery.

● The recurrence rate is negligible.

 

4.EPIGASTRIC AND INCISIONAL HERNIA TREATMENT

Following options are used for the treatment of epigastric and incisional hernia:

Primary Muscular Repair

● In this procedure herniated organs are pushed back and the abdominal wall tissues are sewed back together with the help of sutures.

● This procedure has a high recurrence rate because of the constant tension on sutures caused by abdominal tissues.

Prolene Mesh Repair

● In this surgery, a Polypropylene mesh is placed over the defect.

● this procedure is not preferred due to the high chances of collection of pus at the operation site.

Laparoscopic Repair

● It is done under general anaesthesia, 4 incisions of 1 cm each are made and the defect is closed with a mesh from the posterior aspect.

● It is quite popular surgery because of less post-operative pain and faster recovery.

Octomesh Repair

● In this method, a specially designed Polypropylene mesh implant called Octomesh is used to fill the defect.

● The Octomesh has 8 integrated radiating arms which are tunnelled through the muscles of the abdominal wall and held securely in place by friction.

● Advantages of an Octomesh repair:

○ Sutureless ( no internal stitching )

○ Negligible recurrence rate

○ Reduced post-operative pain and chances of pus collection.

  • Before the surgery patient is given strict instructions to follow:
    • To stop blood-thinning medications at least 7 days before the surgery.
    • To wash the area with a medicated wash starting 48 hours before the surgery.
    • Notify the surgeon about cough or infection before surgery.
    • Do not eat after midnight for the next day surgery 
  • Post-surgery care instructions:
    • Patients can go home the same day after the surgery. In 1 to 2% of cases of hernia patients might need to stay for 24 hours in the hospital.
    • Patients are advised to take the prescribed medications and change their dressing regularly.
    • Avoid strenuous activities.
    • The patient can resume daily routine in 3 to 5 days but it takes 3 to 6 months to heal completely
  • If you experience abnormal symptoms like fever, pus discharge or swelling in the operated site, consult the surgeon asap.
  • If you have any doubt, consult our hernia specialised department before or after the surgery.

After successful hernia surgery, our patients are free from a bulging, uncomfortable and painful hernia. At MEDSTAR, our patient has the advantage of experienced surgeons and modern, safe & effective procedures for the treatment of hernia. 

Is Hernia curable?

Yes, a hernia is curable by the use of modern procedures. A hernia is an abnormal condition of bulging fat or tissue mass through weakened muscles. It is can be treated by surgical procedures only.

In these surgical procedures, under anaesthesia, an incision is made on the bulging part or hernia. Through this opening herniated fat or tissues or organs are pushed back into their normal position and weakened muscles spot is supported and sealed by the use of mesh prosthesis. Lastly, the surgical wound is sutured back and is left for healing.

How does a Hernia feel?

A hernia feels like an abnormal bulging lump. It is a painful bulging lump that disappears in a lying position. You feel pain while lifting heavy objects or while doing strenuous activities. When the bulging mass contains a part of the colon that can get strangulated it can cause severe abdominal pain, colon spasm, bowel movement obstruction and discomfort.

When should I seek medical help regarding hernia?

Visit the doctor if :

● You start noticing an abnormal bulge in your abdomen or on the upper part of your thighs that is causing discomfort and pain.

● The bulge is increasing in size and causing lots of discomfort and pain while doing daily routine activities.

The doctor will examine, diagnose the cause and treat it accordingly.

What causes a hernia in Adults?

● A hernia is an abnormal condition in which through weakened muscles mass of tissues or organs is pushed outside the normal position. This happens due to constant pressure on weakened muscles of the abdomen.

● Causes of constant pressure in adults are:

○ A congenital condition

○ Ageing

○ injury or surgery

○ Chronic coughing or chronic obstructive pulmonary disorder

○ Strenuous exercise or lifting heavyweights

○ Pregnancy, especially having multiple pregnancies

○ Constipation

○ Obesity

○ Fluid in the abdomen

○ Family history of hernias

○ Tumours or abnormal masses in the abdomen.

○ Peritoneal dialysis used to treat kidney failure

Can I check myself for a hernia?

You can check yourself for Hernia if it is visible to your own eyes properly. Otherwise, you can only feel a bulging lump that might disappear in the sleeping position.

You can feel the pain in the bulge while doing strenuous activities like coughing, lifting weights, etc.

For the final diagnosis, visit our hernia specialist at MEDSTAR for a full check-up, ultrasound-assisted diagnosis and effective treatment.

Can hernias be treated without surgery?

No hernias cannot be treated without surgery. They can be treated effectively only by surgical treatment. In surgical treatments under anaesthesia, an incision is made on the bulging site and herniated mass is pushed back. The surgical wound is sutured back. Mesh can be placed to strengthen and seal the weak muscles spot.

Most of the hernia surgeries can be completed in few hours and the patient can go home the same day.

Can I walk after hernia surgery?

No, just after surgery patient is advised to take a rest for the full day. The patient might feel pain while walking and sitting which is normal after hernia surgery. For this pain, rest is advised and pain medications are prescribed by the surgeon. The patient can resume daily routine in 3 to 5 days.

What is the best way to recover from hernia surgery?

Follow the instructions given by the surgeon to recover quickly and healthily post hernia surgery.

The patient is advised to:

● Take prescribed medications regularly

● Full day rest post-surgery

● Avoid strenuous activities like exercising

● Clean the wound and change the dressing daily

● Maintaining healthy diet

In case of any confusion, do not hesitate and call or visit the hernia department at MEDSTAR.

Can I live with a Hernia without surgery?

No, you cannot live with a hernia without surgery. Hernia if left untreated can lead to complications like:

● Severe constant pain in the bulge

● Pain while doing strenuous activities

● Increase in the size of the bulge

● Severe discomfort hampering the daily life routines

● Bowel movement obstruction in case of herniated colons

● Nausea, vomiting, heartburn




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