Surgery removal of inguinal hernia

Surgical interventions in the inpatient department are covered by the loyalty program, which makes treatment even more affordable.

An inguinal hernia is a protrusion of internal organs into the inguinal canal. It develops due to weakening of the peritoneal walls. Therefore, conservative treatment is ineffective. Wearing a bandage or brace may relieve symptoms, but the pathology will progress and eventually lead to complications.

Laparoscopy is an innovative sparing technique of surgery. It is actively used in leading clinics worldwide. It is suitable for most patients when they seek timely medical care.

At Oxford Medical, surgeries are performed with new expert-class equipment from the best European and American manufacturers. To facilitate preoperative preparation and rehabilitation, doctors use the Fast Track Surgery protocol. It helps reduce pain after surgery, allows early patient mobilization, and does not significantly limit diet.

Make an appointment with a doctor for diagnosis and selection of effective therapy. Our surgeons hold the highest medical category and know how to help patients even with the most complex conditions.

Laparoscopic removal of an inguinal hernia has the following benefits:

• no incisions and, consequently, no scars on the abdomen;

• possibility of removing bilateral hernia without changing instrument insertion points (open surgery requires another incision);

• minimal risk of hernia complications and recurrence;

• simplified preoperative preparation under the Fast Track Surgery protocol;

• minimal pain syndrome after surgery due to anesthesia at puncture sites;

• possibility of discharge from the hospital the next day;

• rehabilitation period up to 1.5–2 weeks.

Most often, removal of a hernia is performed laparoscopically. It is used for:

• direct inguinal hernia – internal organs enter the inguinal canal outside the spermatic cord;

• indirect inguinal hernia – internal organs pass through the spermatic cord;

• combined – the patient has several direct and/or indirect hernias.

Such surgical intervention is possible with both unilateral and bilateral hernias. In the second case, it is preferable to the open method since all manipulations can be performed without changing access points. In open surgery, two incisions are made – on the left and right sides of the abdomen.

Indications for open surgery:

• large hernia size;

• descent of the inguinal hernia into the scrotum (inguinoscrotal hernia);

• incarceration;

• intestinal obstruction;

• fixation of intestinal loops in the hernia sac.

It is also prescribed when the patient has contraindications to laparoscopy: blood clotting disorders, severe cardiovascular or respiratory diseases, acute liver failure, shock condition, etc.

Important! In case of hernia incarceration or other complications, emergency surgery is required. Dangerous symptoms are:

• acute abdominal and groin pain;

• tension and spasms;

• inability to reduce the hernia;

• urinary retention and constipation;

• nausea and repeated vomiting;

• deterioration of general condition.

To reduce the risk of disease and recurrence, specialists advise leading an active lifestyle but avoiding excessive loads and frequent lifting of heavy objects, maintaining a balanced diet, and preventing chronic constipation. If symptoms of the disease appear, including varicocele, it is important to consult a doctor.

The surgery is performed under general anesthesia, in rare cases – under local or spinal anesthesia. Duration is about 1.5 hours.

In laparoscopic hernioplasty, surgeons make 3 punctures up to 1 cm in diameter in the anterior abdominal wall. A laparoscope with a miniature video camera and surgical instruments are inserted through them. To enlarge the operating field, carbon dioxide is introduced into the abdominal cavity.

The image from the laparoscope is transmitted to a monitor with multiple magnification. It allows the surgeon to perform all manipulations with maximum precision.

During the operation, the surgeon extracts the internal organs from the hernia sac and returns them to the abdominal cavity. Then he sutures the damaged wall and, if necessary, installs a mesh endoprosthesis. It is made of hypoallergenic material, so it is not rejected by the body.

The endoprosthesis prevents recurrence of the disease since, when intra-abdominal pressure increases, the load falls on it rather than on the postoperative sutures and weakened tissues.

After completing all manipulations, the surgeon removes endoscopic instruments and pumps out the carbon dioxide from the abdominal cavity. Small sterile dressings are applied to the puncture sites.

If open surgery is performed, a wide incision is made on the abdominal wall. Then the organs are removed from the hernia sac, the entrance opening is sutured, a mesh endoprosthesis is installed, and cosmetic sutures are applied.

Before prescribing surgery, the doctor examines and palpates the hernia in lying and standing positions, and also prescribes additional tests: ultrasound and/or CT of the abdominal organs. Immediately before the operation, blood tests and an electrocardiogram are performed.

After laparoscopy, the patient must stay in bed for several hours. Then he is allowed to get up and walk around the ward. If the condition is good, he can be discharged the next day. The rehabilitation period usually lasts up to 10 days.

Open surgery is more traumatic, so on the first day sitting or getting out of bed is not allowed. The patient must also follow the diet recommended by the doctor. The hospitalization period is from 3 days, and rehabilitation – 2–3 months.

At this time, it is important to avoid heavy physical exertion, lifting weights, visiting a pool or sauna, etc. A proper diet should be followed (usually, products causing excessive gas formation are excluded) as well as other doctor’s prescriptions.

«Oxford Medical» is equipped with a high-tech surgery department. Thanks to new, expert-class equipment and the great professionalism of surgeons, operations are performed using innovative techniques. They are more gentle, have a lower risk of complications, and allow you to return to an active life faster.

The cost of an inguinal hernia removal operation can vary significantly. It depends on the method of surgical intervention - laparoscopic or open access, as well as the form and stage of the disease. Laparoscopic operations are usually more expensive, but they are less traumatic and allow you to return to an active lifestyle within 2 weeks.

You can find out the cost of hernia treatment at «Oxford Medical» here. To clarify the price, taking into account the diagnosis and other individual characteristics, make an appointment with a doctor.