|Discussion in 'All Categories' started by Ali khan - Apr 19th, 2011 1:17 pm.|
|what is the permanent soultion of Hernia?|
re: Hiatus Hernia by Dr Sadhana - Apr 20th, 2011 6:02 am
|Dear Ali Khan
Laparoscopic hernia repair is rapidly gaining popularity all over world in the West as well as in India despite early criticism from the futility of this procedure.
Open hernia repair is being done for centuries with good results then why complicate difficulties with this new technique. Most surgeons would agree that Laparoscopic removal of gall bladder is now the best way of treating gall stones and gall bladder disease but for hernia repair, they still have their reservations. A hernia commonly occurs in the groin once the fat and intestines in the tummy force their way out of a defect within the muscle. Bulging from tummy contents through this will cause pain and there is some risk of the intestine to get strangulated. The issue increases with time and unfortunately the only real treatment for this problem is surgery.
This traditionally involved a cut within the hernia, decrease in the contents back to the stomach plus some form of stitching from the defect to prevent the hernia from coming back. The main problem having a hernia operation may be the average 6 weeks of sleep after surgery and also the possibility of the hernia coming back.
Many proud surgeons would say that their sufferers do not get recurrent hernias but studies abroad show that the patient with recurrent hernia seldom goes to the same surgeon. Also the large number of operations being carried out for recurrent hernia confirms this research. Detailed statistical analysis says the recurrence rate is about 20 percent. This prompted the Royal College of Surgeons of England to issue guidelines for surgeons.
The best international outcome was with a technique known as Liechtenstein repair that showed a recurrence of under about 1 percent. That which was good relating to this technique is that even average surgeons who are not specialised in hernia surgery, produced exactly the same good results. The strategy basically involve minimum stitching along with a tensionless placement of a net (mesh) at the defect site with little disturbance to the body physiology.
However all open surgical techniques involve cutting of the muscles overlying the hernia to become able to get to the defect.
Which essentially weakens already weak muscle tissues. This like any other method of hernia repair means pain and rest after the operation.
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