Hernia Surgery

 

Repair your hernia without insurance

carpenterNo Insurance Surgery provides quality hernia surgery for patients without insurance or with insurance restrictions at 70% off the national average. A free, no obligation online consultation will get you started on the path to getting your hernia fixed.

Correction of a hernia

Hernia surgery corrects the rupture or tear in the fascia that allows intestine to protrude through the abdominal wall.

Why is it a bad idea to just live with your hernia?

Hernias do not get better by themselves without surgery. They get worse. A hernia can become life threatening without warning.

What is a bowel strangulation?

A bowel strangulation is an emergency. Bowel poking through a hernia can get trapped and have it's circulation cut off. This causes gangrene of the intestine.

How is a hernia treated?

The only safe and effective treatment of a hernia is surgical repair.

What is the best technique to repair a hernia?

Picking your surgeon is more important. Pick your surgeon and then let him pick the technique. But if you want a non-mesh repair you have come to the right place.

How do hernias occur?

Most hernias result from a weakness in the abdominal wall that you are born with. Over time and with stress the weakness enlarges and allows bowel to poke out.

A hernia is a protrusion of intestines through the strength layer of the abdominal wall. The strength layer of the abdominal wall is called fascia. Fascia is the tough outer lining of muscle that gives structural strength to muscles and the abdominal wall. The abdominal wall is composed of ten layers of membranes, fascia, muscles, fat and skin. The outermost layers, the subcutaneous fat and the dermis have no strength or ability to contain the contents of the abdominal cavity.

When there is a defect of the deeper strength layers of the abdominal wall intestines or other abdominal organs protrude and create a budge under the skin. The danger is that the intestines will become trapped and strangulated in the narrow neck of the defect. This is a bowel strangulation which leads to bowel obstruction and bowel gangrene. Bowel gangrene is a surgical emergency which requires emergency repair of the hernia and removal of the gangrenous bowel. Gangrene of the intestine is very dangerous if not diagnosed and treated early. Severe pain or vomiting is the primary symptom of this serious occurrence.

Hernias are repaired to eliminate the dangers of potential strangulation, obstruction and gangrene of the intestine. Expert knowledge of the layers of the abdominal wall is required for expert repair of hernias. The science of hernia repair has advanced by requiring less expertise to repair a hernia and by easing recovery but the recurrence rates have remained the same.

Mesh repairs are the most common repairs and are easily preformed by novice surgeons. Mesh repairs are an application of a patch to the hernia defect. Anatomical repairs such as the McVay or Basinni repairs are less commonly done and require more expertise. There are relative advantages and disadvantages of all of the types of repairs. The anatomical repairs tend to produce the best long term results. The mesh repairs, also known as tension-free repairs have faster recovery but occasional patients develop an allergic reaction to the mesh which is permanent. We have long been aware of the potential downside of mesh repairs and prefer anatomical repairs for this reason. Laparoscopic repairs have the fastest recovery and also have the highest failure rate.

Generally speaking a patient is better off picking a surgeon rather than picking a repair. Most surgeons are trained in all forms of hernia repairs. Surgeons will perform the repair that in their experience gives the best results. One type of repair may not be the best for all patients. Surgeons that tailor the repair to the specific anatomical needs of their patient make a decision at the time of surgery about how to repair the hernia. The specific nature of a hernia cannot be determined until the time of surgery.

A proper hernia repair is meant to provide a life time of security and comfort. This result is achieved in over 97% of the cases.

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