| Discussion in 'All Categories' started by gaurav - Apr 20th, 2012 10:36 am. | |
gaurav
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Hello I suffer mild pain while intercource at the lower right abdomin. I have been diagonosed with small hernia. Is the pain from hernia or something else? |
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re: pain while ejacuation lower abdomin right side
by Dr M. K. Gupta -
Apr 22nd, 2012
11:04 pm
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Dr M. K. Gupta
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Dear Gaurav Anything which increase the intra=abdominal pressure can result into pain in case of hernia surgery. You should get yourself examined by a good surgeon to diagnose your hernia. If it is hernia, laparoscopic surgery is a good option for the repair. You will find in fact two techniques of performing laparoscopic herniorrhaphy; trans-abdominal and total extra-peritoneal. Both is going to be discussed, however first I would like to explain the pros and cons of the laparoscopic approach to hernia repair generally. When i have explained above, the recurrence rate with the present techniques of laparoscopic hernia is really as good, and maybe better than that of open hernia repair. The laparoscopic approach allows complete broad exposure from the internal ring, the femoral ring, along with other anatomic structures such that a sizable mesh does apply total of the possible areas of groin hernia formation and secured in position outside of the peritoneum. The mesh you can use via laparoscopy is generally larger than that used for open repair. Throughout an open hernia repair with mesh, the mesh is sutured to the defect on its outside. In comparison, with a laparoscopic herniorrhaphy, the mesh is tacked or stapled towards the defect inside. The natural force on the repair during healing comes from pressure inside the abdomen exerted outwards. The mesh sutured facing outward could be pushed away by this pressure exerted continuously from the repair. Conversely, this same pressure exerted against a mesh stapled to the within the defect laparoscopically serves to hold the mesh to the tissues during healing. Good laparoscopy does require general anesthesia that is certainly not essential for a standard open herniorrhaphy. However, this isn't a substantial drawback inside a patient who is otherwise healthy and never a risk for general anesthesia. Trans-abdominal laparoscopic herniorrhaphy involves repair from the hernia from the abdomen while viewing with the laparoscope. In contrast, total extra-peritoneal laparoscopic herniorrhaphy is performed within the abdominal wall by developing a working space with a special balloon. Both procedures are equally good at repairing all possible sources of abdominal wall herniation. The extra-peritoneal approach has got the advantage of taking out the risk of injury to intra-abdominal organs that is present, but really small, with the trans-abdominal approach. Both procedures are technically harder, require more equipment, and take longer when compared to a standard open hernia repair with mesh. The advantage of laparoscopic herniorrhaphy by either way is in post-operative recovery. Carrying out a standard open hernia tissue repair somewhere most sufferers experience some degree of discomfort and in some cases this really is quite significant. However, the degree of discomfort is really a lot less on average when the repair is done with mesh. The reason being a mesh repair does not place a lot of tension on the tissues while a tissue repair does. The most dramatic benefit of laparoscopic repair is seen following bilateral hernia repairs. Patients usually have significant pain and disability after bilateral tissue hernia repairs which frequently lasts for weeks. The discomfort after bilateral mesh repairs is somewhat less but still significant. Following laparoscopic bilateral hernia repairs patients are usually fully ambulatory with minimal pain and discomfort and may be back to work within up to fourteen days instead of six to eight weeks following a other types of hernia surgery. Another situation by which I find laparoscopic herniorrhaphy to become a major advantage is incorporated in the patient who has had several previous hernia operations from the outside with repeated recurrences. In these instances the laparoscopic approach provides the capability to repair the hernia from inside, in tissues which have not been previously operated upon. This makes the surgery in fact easier and greatly diminishes the risk of injury to vital structures which may not be identifiable within the scar tissue from the previous surgery. With regards M.K. Gupta |
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