Hernioplasty

Nowadays, hernias are quite common and are successfully treated with the help of modern medical technologies. Treatment of hernias is effective only by surgery and is carried out both routinely and urgently in certain indications: for example, in case of hernia impingement. As a rule, to remove the hernia and subsequent hernioplasty is performed laparoscopic surgery due to its minimally invasive and shortened rehabilitation period.

As a result of the operation, due to the restoration of correct anatomy and hernia removal, not only the correction of visible imperfections is achieved, but also stabilizes the work of internal organs, relieves pain and returns the ability to lead an active lifestyle.

Depending on the technique of execution, hernioplasty is divided into two main types:

Hernioplasty is used to get rid of umbilical, inguinal, ventral and other hernias of the anterior abdominal wall. In the case of the disease at the initial stage or recurrences, the operation is carried out routinely, and in the case of acute complications with a risk of life-threatening hernia removal and hernioplasty can be carried out immediately.

Hernioplasty is contraindicated in such conditions and pathologies as:

• pregnancy;
• serious pathologies of the cardiovascular system;
• cirrhosis of the liver in combination with portal hypertension;
• acute renal failure;
• oncologic diseases;
• high degree of obesity;
• poor blood coagulation.

Preparation for hernia surgery and hernioplasty consists of the standard collection of tests for hospitalization and subsequent surgical intervention.

In addition, in advance, you should take a number of measures aimed at the safe passage of the postoperative period:

• refuse to drink alcohol;
• establish a healthy diet;
• adjust the current drug therapy according to the doctor’s recommendations (for example, if possible, to exclude the use of anticoagulants);
• it is recommended to reduce weight before the operation.

Patients with previous abdominal surgeries require particularly careful preparation for surgery. In this case, hernia removal and hernioplasty are performed laparoscopically.

Hernioplasty can be performed as a standard open method or laparoscopically.

Open surgery, as a rule, is performed in emergency cases due to a longer period of rehabilitation and pronounced pain syndrome.

In other cases, preference is given to laparoscopic operations under general anesthesia. Especially this method is relevant for repeated surgery in case of bilateral hernia, as well as in case of recurrence of the disease.

The operation is performed in two stages:

• removal of the hernia;
• hernioplasty selected method.

Regardless of the chosen technique, hernioplasty is aimed at strengthening the tissues in the area of the hernia gate and, consequently, to prevent recurrence.

Laparoscopic surgeries are characterized by low trauma and usually do not cause serious complications.

The recovery period after hernia removal and hernioplasty laparoscopic method includes a few simple rules, in compliance with which the patient can quickly return to the usual way of life. With minimally invasive intervention and a favorable outcome of the operation, the patient can be discharged from the hospital on the first day.

The early postoperative period is extremely important, as it determines successful rehabilitation and early return to an active lifestyle. For several days after surgery should wear compression underwear, observe bed rest and avoid excessive stress on the abdominal muscles.

Depending on the volume of surgical intervention and in the absence of contraindications, soon after the operation is welcomed patient activation and therapeutic exercises.

On the doctor’s recommendation, breathing exercises, development of large joints, imitation walking, turning the body in a horizontal position, etc. can be performed.

A basic series of measures aimed at early recovery involves:

• using of a bandage;
• following a healthy diet and avoiding foods that cause constipation;
• avoidance of alcohol;
• prohibition of hard physical labor and active sports;
• performance of physical therapy as prescribed by a doctor.

Full recovery takes from 6 months to 1 year, taking into account the favorable outcome of the operation and the patient’s absence of severe comorbidities.