Q
: 1
06/09/2010 |
Why is a large piece of mesh (3 by 5 inches) used in the laparoscopic procedure for inguinal hernia repair, when the hole itself is relatively small?
The mesh tends to shrink overtime and has to widely overlap the defect to avoid being pushed into the defect itself
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Q
: 2
06/03/2010 |
What are the long and short-term effects of a sports hernia if it is left untreated? Is there a difference between a hernia and a sports hernia? Who is most likely to get a sports hernia?
The vast majority of sports hernias resolve on their own with complete and prolonged rest and anti-inflammatories. Aside from pain, if the area where the sports hernia occurred is continually put under stress, it can become inflamed. A hernia is a true anatomic defect of the abdominal wall with protrusion of intra-abdominal organs. A sports hernia is a vague term used to describe groin pain with many potential causes. A sports hernia is rarely a true hernia. Athletes who stress the groin with sudden torsions and lateral movements, such as football and hockey players, are at high risk for developing a sports hernia.
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Q
: 3
05/13/2010 |
Are people who have had hernia repairs more likely to suffer the same kind of injury in the future?
Yes. No matter how strong the repair is, that area is always at risk for recurrence. Even years later.
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Q
: 4
05/10/2010 |
I had kidney cancer and due to pneumonia I developed a large flank hernia. I have had this hernia for several years. I am in the process of losing weight and want to finally have it repaired. Is there experience at your hospital in treating flank hernias?
Yes we do repair this type of hernia, although they are more difficult and the results are often not as good as other types.
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Q
: 5
04/05/2010 |
What percentage of Hiatal Hernia (sliding of paraesophageal)are sucessful with laproscopic surgery?
The recurrences quoted in the studies can be up to 20% depending on the type and size of hernia, but usually they are lower for "standard" hernias.
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Q
: 6
02/23/2010 |
I am 35 years old. I have had two hiatal hernia operations. Five years ago I had laproscopic surgery and most recently, open surgery.
Is there any chance the hernia will come back ?
Unfortunately, there is always a possibility for hernias to come back. The particular thing about hiatal hernias is that as long as they do not cause any symptoms, most of us would not fix a recurrence. Thank you for your question.
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Q
: 7
02/19/2010 |
Will I be able to do situps and other abdominal exercises post umbilical hernia repair? I still want to get a "6-pack."
Yes, after adequate recovery time, depending on how big the hernia was and how it was fixed (at least 6-8 weeks). Keep in mind that abdominal exercises put a lot of stress on the repair itself and can potentially increase the chance of recurrence, so use caution. Thank you for your question.
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Q
: 8
02/03/2010 |
I've been diagnosed with a
double hernia. I want to have
them done at the same time.
I'm considering lap surgery.
What are the basic pros and
cons?
The pros include small incisions, decreased postoperative pain, faster recovery time and ability to fix both hernias at the same time through the same small incisions. The cons include need for general anesthesia, and a very small potential for vascular injury (also present with open hernias). Thank you for your question, I hope this is helpful.
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Q
: 9
01/17/2010 |
Should someone wait till they are done having children to get the mesh repair if they get C-sections?
It really depends on what kind of hernia, the size and the symptoms. There are not many studies on meshes and pregnancy, but ideally it is better not having mesh in the abdominal wall during pregnancy. On the other hand, pregnancy can worsen the hernia because of increased abdominal pressure. I would consult with a surgeon.
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Q
: 10
01/09/2010 |
If you have a hernia, can you get pregnant? is it better to get pregnant before hernia surgery or before?
It depends what kind of hernia you have and what symptoms are associated with it. In general it is better to fix inguinal and umbilical hernias before pregnancy, because they can get worse during pregnancy.
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Q
: 11
01/07/2010 |
How dangerous is the repair done laparoscopically? I have been told the dangers of open surgery. My only problem is choking while I eat. The muscles try to force the food down This happens at least once a week.
I am guessing you are referring to a hiatal hernia. Usually the dangers of laparoscopic repair are similar to the open procedure, but the advantages are less pain and faster recovery time.
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Q
: 12
01/06/2010 |
Is there any other way of confirming that I have a Sports Hernia and not just some other injury? Are there non-surgical procedures (physical therapy) that can be pursued in lieu of surgery? In the interim, how much physical exercise can I continue?
The term sports hernia includes several different diagnoses responsible for groin pain, a true hernia being only one of them. Usually rest, anti-inflammatory medications and physical therapy are the first line of treatment. If a true injury or hernia is diagnosed, then surgery might be indicated. It is not easy to predict how much physical therapy is necessary, it all depends on the progress you make
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Q
: 13
12/23/2009 |
I had an inguinal hernia on my right side repaired with mesh four or five years ago. It still hurts me when the weather gets cold or if I sit on it funny. I just found out that I am 8 weeks pregnant. How will the mesh affect my pregnancy, if at all?
The mesh should not affect your Pregnancy. However, the increased intra-abdominal pressure during pregnancy will put a little stress on the mesh and might cause you some occasional discomfort
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Q
: 14
11/27/2009 |
I had reflux surgery done there approximately four years ago. I had an endoscopy the other day as I have been feeling rotten for a few months. It showed a very large para-esophegeal hernia. I will have an upper GI on Monday. Do you repair these?
Although I do this procedures, the expert in this kind of hernia is the chief of our division Dr. Adrian Park. You can make an appointment with him by calling (410)328-6187. Thank you for your question.
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