a surgical repair of hernia,using a mesh patch
a surgical operation used to manage inguinal hernia
Celeoplasty or herniorrhaphy is surgical repair of a hernia.
The only real treatment is surgery. I just had it done last week with Dr. Thoman in Santa Barbara, CA. He was AMAZING! I've used him once in the past for gallbladder surgery. It's 5 small incisions on your stomach and mine have already started to heal where you hardly notice them. You're in the hospital overnight and you're on a liquid diet for 2 weeks. If you're technically obese (BMI of 35+) then nobody will do the surgery on you. The extra weight and pressure on your stomach will rip the stitches and the surgery will be useless.
DefinitionFemoral hernia repair is surgery to repair a hernia near the groin or upper thigh. A femoral hernia is tissue that bulges out of a weak spot in the abdominal wall. Usually this tissue is part of the intestine.In surgery to repair the hernia, the tissue is pushed back in, and the weakened area is sewn closed or strengthened. This repair can be done with open or laparoscopic surgery.Alternative NamesFemorocele repair; Herniorrhaphy; Hernioplasty - femoralDescriptionYou will probably receive general anesthesia (asleep and pain-free) for this surgery. If your hernia is small, you may receive local anesthesia and medicine to relax you. You will be awake but pain-free.In open surgery:Your surgeon will make an incision (cut) in your groin area.Your surgeon will find the hernia and separate it from the tissues around it. Some of the hernia tissue may be removed. Your surgeon will push the rest of the hernia back inside your abdomen.Then your surgeon will close your weakened abdominal muscles with stitches.Often a piece of mesh is also sewn into place to strengthen your abdominal wall. This repairs the weakness in the wall of your abdomen.Your surgeon may use a laparoscope instead of doing open surgery.A laparoscope is a thin tube with a tiny camera on the end that allows your surgeon to see inside your body.Your surgeon will make 3 or 4 small incisions and insert the laparoscope and other small instruments through them.The same repair will be done as the repair in open surgery. The benefits of this surgery are a faster healing time and less scarring.Why the Procedure Is PerformedAll femoral hernias need to be repaired, even if they do not cause any symptoms. If the hernia is not repaired, the intestine can get trapped in the hernia (called an "incarcerated" or "strangulated" hernia). This would cut off the blood supply to your intestines. This can be life threatening. If it happens, you would need emergency surgery.RisksRisks for any anesthesia are:Reactions to medicinesBreathing problems, such as pneumoniaHeart problemsRisks for any surgery are:BleedingInfectionRisks for this surgery are:Long-term painDamage near the reproductive organs, for womenReturn of the herniaDamage to blood vessels that go to the legBefore the ProcedureAlways tell your doctor or nurse if:You are or could be pregnantYou are taking any drugs, supplements, or herbs you bought without a prescriptionDuring the week before your surgery:Several days to a week before the procedure, you may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), naproxen (Aleve, Naprosyn), and other drugs like these.Ask your doctor which drugs you should still take on the day of the surgery.On the day of your surgery:Do not eat or drink anything after midnight the night before surgery.Take your drugs your doctor told you to take with a small sip of water.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureMost people can go home the same day as surgery, but some may need to stay in the hospital overnight.After surgery, you may have some swelling, bruising, or soreness around your incision. Taking pain medicines and being careful with how you move can help. You can return to light activities soon after this operation, but you will have to avoid strenuous activities and heavy lifting for a few weeks.Outlook (Prognosis)The outcome of this surgery is usually very good. The femoral hernia returns in less than 3 out of 100 patients who have this surgery.ReferencesMalangoni MA, Rosen MJ. Hernia.In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 44.
DefinitionInguinal hernia repair is surgery to repair a hernia in the abdominal wall of your groin. A hernia is tissue that bulges out of a weak spot in the abdominal wall. Your intestines may bulge out through this weakened area.During hernia repair, this bulging tissue is pushed back in. Your abdominal wall is strengthened and supported with sutures (stitches), and sometimes mesh.Alternative NamesHerniorrhaphy; Hernioplasty - inguinalDescriptionYou will probably receive general anesthesia (asleep and pain-free) for this surgery. If your hernia is small, you may receive local anesthesia and medicine to relax you. You will be awake but pain-free.In open surgery, your surgeon will make an incision (cut) near your hernia.Your surgeon will find the hernia and separate it from the tissues around it. Then your surgeon will remove the hernia or push it back inside your abdomen.Your surgeon will close your weakened abdominal muscles with stitches. Often a piece of mesh is also sewn into place to strengthen your abdominal wall. This repairs the weakness in the wall of your abdomen.Your surgeon may use a laparoscope instead of doing open surgery.A laparoscope is a thin tube with a tiny camera on the end that allows your surgeon to see inside this area. Your surgeon will make 3 or 4 small incisions in your lower belly and insert the laparoscope and other small instruments through them.The same repair will be done as the repair in open surgery.The benefits of this surgery are a faster healing time and less scarring. Laparoscopic surgery may not be recommended for larger or more complicated hernias.Why the Procedure Is PerformedYour doctor may suggest hernia repair surgery if you have pain or your hernia bothers you during your everyday activities. If your hernia is not causing you problems, you may not need surgery. But, these hernias do not go away on their own, and they may get larger. Sometimes the intestines inside of a hernia can become trapped. This can be life threatening. If it happens, you would need emergency surgery right away.RisksRisks for any surgery are:Reactions to medicinesBreathing problems, such as pneumoniaHeart problemsBleedingInfectionRisks for this surgery are:Long-term pain in the incision areaDamage to other blood vessels or organsDamage to the testicles if a blood vessel connected to them is harmedReturn of the herniaBefore the ProcedureAlways tell your doctor or nurse if:You are or could be pregnantYou are taking any drugs, supplements, or herbs you bought without a prescriptionDuring the week before your surgery:Several days before surgery, you may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), naprosyn (Aleve, Naproxen), and other drugs like these.Ask your doctor which drugs you should still take on the day of surgery.On the day of your surgery:Do not eat or drink anything after midnight the night before surgery.Take your drugs your doctor told you to take with a small sip of water.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureMost patients are able to get out of bed an hour or so after this surgery. Most can go home the same day, but some may need to stay in the hospital overnight. If you have problems urinating, you may need a catheter (a flexible tube that will drain urine) in your bladder for a short time.Outlook (Prognosis)The outcome of this surgery is usually very good. The hernia returns in less than 3 out of 100 patients who have this surgery.ReferencesMalangoni MA, Rosen MJ. Hernias. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 44.