Hernia occurs when an organ or fatty tissue or muscle wall push weak network in the vicinity. The most frequent type of hernia occurs in Indonesia is an inguinal hernia, the hernia happens when part of an organ in the abdomen pushing the membrane lining the abdominal cavity or weak abdominal muscle wall. As a result, there is a lump or swelling in the groin or even most of the scrotum (the bag containing the testicles) enlarged.
Inguinal hernias can cause complications such as incarcerated and Strangulated.
- Inkarserata occurs when the intestine or abdominal tissue trapped in the bag hernia (protrusion in the form of soft tissue that drives the abdominal wall is weak) or in the abdominal wall to block the action of the bowels, causing severe pain, nausea, vomiting, abdominal swelling (distention), and constipation large wind or water.
- Strangulated occurs when tissue wedged up flow / blood supply is disconnected. Strangulated causing the death of the affected bowel tissue (gangrene), severe bleeding, a serious bacterial infection in the blood (septicemia), up threatening.
Inguinal hernias can be treated by performing a hernia operation procedures. There are two ways hernia surgery that can be done, ie open surgery and laparoscopic surgery. In Indonesia, the most common procedure done to cure an inguinal hernia is through open surgery.
Open Hernia Surgery
Basically, this operation is performed by making an incision in the groin area.
Operation of inguinal hernia is recommended if the patient is experiencing pain or other symptoms. Open surgery is always recommended to treat even inguinal hernia in children and infants. This operation is also aimed at dealing with incarcerated hernia or Strangulated.
Before the operation begins, the patient open inguinal hernia surgery in general anesthesia or be given local anesthesia. This means that the patient remains awake during the surgery, but the area before surgery experience numbness so the patient will not feel pain. In some cases, general anesthesia (asleep during the operation and the patient will not feel pain) can also be done.
After the anesthesia work, the surgeon makes a single incision along the 6-7 cm above the hernia lump. Fatty tissue or intestine protruding then placed back into the abdomen. Furthermore, a piece of synthetic mesh is placed in the abdominal wall, precisely at the site of the hernia earlier. This synthetic nets laid out to reinforce the walls of the weak points and reduce the risk of hernia recurrence. Lastly, the abdomen will be closed with stitches.
If there Strangulated and no part of the intestine is damaged, the area may need to be cut and the two ends of healthy intestine are recombined. Open hernia surgery included into the category of a larger operation. Therefore, patients must stay in the hospital for 4-5 days with a recovery time of about 3 weeks.
Open hernia surgery patients can be back on the move after three weeks of the surgery, but can only do light activities and advised to avoid anything that can cause the appearance of pain. If you want to do strenuous exercise, patients should wait after a six-week recovery period. Patients may even be able to drive or drive about two weeks after surgery or when they do not feel pain in the groin. In general, patients with this surgery can only have sex after about 3 weeks.
Once the surgery is done, usually swelling over the surgical incision. Put ice or a cold compress the swollen area for 10-20 minutes every 1-2 hours to reduce swelling. Put a thin cloth between the ice and your skin.
Call your doctor if you get a fever, incision feels warm and red, testicle became hard and swollen, or bleeding wound up seeping into bandages after surgery.
Laparoscopic Hernia Surgery
In this surgery, the stomach will be filled with air to facilitate observation of the abdominal organs by a doctor. And lighted a sort of small pipe inserted into a small hole is made just below the navel. Pipa is what is called a laparoscope. Previous patients have been given a general anesthetic to put you to sleep and avoid pain.
This type of surgery is recommended for patients with inguinal hernia who feel pain or other symptoms. Surgery is also recommended for children who are suffering from an inguinal hernia.
Laparoscopic surgery is not recommended for patients with hernia incarcerated, disease blood disorders and severe lung, can not receive general anesthesia, are taking any medications that prevent blood clots, had surgery in the abdomen or pelvis before, women who are pregnant, obese, or hernianya very large.
Usually the patient was going through fasting for 6-12 hours before surgery. Similar drugs blood thinners, such as aspirin and warfarin, temporarily stopped a few days prior to surgery. This is intended to avoid bleeding.
To begin the process of hernia surgery, the patient is given general anesthesia to be asleep during the surgery took place. Then the doctor makes a small incision along 1-1.5 cm in the abdomen (near the navel) in order to insert a small pipe and a laparoscope.
Pipe is inserted to drain the carbon dioxide gas into the abdomen to the stomach bulging. The doctor can see the organs in the abdomen of patients with more clearly and have more room to work. Then a laparoscope is inserted through this pipe. Laparoscope will show the pictures to the screen so that doctors get a view of the surrounding area with obvious hernia.
Small surgical instrument is then inserted through the incision to perform the necessary procedures based on the image of the laparoscope in the monitor. Once completed, the carbon dioxide gas released from the abdomen and the incision is closed with stitches or clips.
The study revealed that patients feel pain after undergoing open hernia surgery than laparoscopic surgery. Laparoscopic hernia surgery patients can even go home the same day with healing period is about 1-2 weeks.
Immediately go to the hospital if within 24 hours you have a fever with temperatures up to 38 ° C, chills or chills, abdominal pain, local incision ache and redness, one foot sore and swollen, and sore or stinging when urination.