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Hernia

A hernia is a hole in the tough layers of the abdominal wall that hold our intestines in. Your intestines can get stuck in a hernia, shutting off their blood supply and even die if your hernia is not repaired within about 6 hours. Intestines are more likely to get stuck in smaller hernias.

Most hernias should be fixed as soon as convenient so your intestines don't get stuck. Exceptions include:

  • Poor health in which the risk of surgery is greater than the risk your intestines will become stuck in the hernia
  • Navel hernias in children under 5 which usually close on their own
  • Hernias after surgery, which are best repaired a year or longer after the original surgery

Groin hernias are the most common hernias. Groin hernias are most common in men. There are four competing groin hernia repairs:

  • traditional, in which the tough layers of the abdominal wall are stitched back together,
  • laparoscopic or repair through a lighted scope,
  • tension free mesh
  • mesh plug and patch
All hernia repair techniques have their advocates, but traditional mesh-free repairs for men are unpopular, because they are more painful, require more time off work and the hernias come back more often. Mesh repairs are more successful, but if the mesh becomes infected, it must be removed, recreating the hernia.

Most hernia web sites promote a particular repair; to decide which you prefer, visit all the sites and compare the repairs, then ask your surgeon what he or she thinks is best for you.
   

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Copyright © 2000 Gail Waldby, MD, General Surgery, Sioux Falls, South Dakota and Livingston, Montana, USA
All rights reserved Last modified April 3, 2005
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