Hernia repair Description:
A hernia can develop in the abdominal wall around a previous incision (incisional hernia), in the groin ( inguinal hernia or femoral hernia ), in the middle of the abdomen (epigastric), or in the muscle (diaphragm) between the abdomen and chest, around the esophagus ( hiatal hernia ). Hernias in children are rarely caused by an injury or tearing of tissue and are usually the result of incomplete closure in the groin (inguinal hernia) or around the umbilicus( umbilical hernia ).
Inguinal hernia is a common condition in males (2%) in which the intestine passes into the scrotum (indirect) or into groin (direct).
Tissue (such as intestine) can become trapped (incarcerated) in the hernia. If the blood flow is restricted (strangulated hernia) or the intestine is blocked (obstructed), emergency surgery is necessary.
While the patient is sleepy (sedated) and pain-free (local anesthesia or spinal anesthesia) or deep asleep and pain-free (general anesthesia), an incision is made over the hernia. The bulging tissue or organ is replaced inside the muscle wall, the muscle tissue is repaired, and the skin is closed.
Indications:
Hernia repair may be recommended for: - large bulges through a small hole (increased risk of incarceration and strangulation)
- painful hernia
What to Expect After:
Surgery can repair most hernias with minimal risks to the patient. Pain and swelling symptoms are relieved. Further complications of incarceration or strangulation are avoided if the surgery is done early, when the diagnosis of the hernia is made.
Convalescence:
Moving and walking is recommended the day of surgery. Small children require no restriction following routine hernia repair. Older children should avoid body contact sports for at least 3 weeks. The hernia repair is not at risk, but a blow to the incision could burst the skin closure. Expect complete recovery from surgery in about 2 to 4 weeks. Avoid heavy lifting or straining for several weeks after surgery. Avoid bathing for at least 5 days after the operation, because soaking will separate the skin tapes and the wound could break open. Sponge bathing for infants and showering for older children are permitted the day after surgery. The wound tapes should be carefully patted dry after showering.
Risks:
Risks for any anesthesia are: Risks for any surgery are:
Cost:
The costs of any surgery varies significantly between surgeons, medical facilities, and regions of the country. Patients who are younger, sicker, or need more extensive surgery will require more intensive and expensive treatment.
Surgery charges can be separated into five parts: 1) the surgeon's fee, 2) the anesthesiologist's fee, 3) the hospital charges, which includes nursing care and the operating room, 4) the medications, and 5) additional charges.
1. Surgeon's fee: variable
2. Anesthesiologist's fee: averages $350 to $400 per hour
3. Hospital charges: basic rate averages $1,500 to $1,800 per day (more for the intensive care unit (ICU) or private rooms)
4. Medication charges: $200 to $400
5. Additional charges: assisting surgeon, treatment of complications, diagnostic procedures (such as blood or X-ray exams), medical supplies, or equipment use.
Insurance coverage for surgery expenses depends on many factors and should be explored for each individual instance.
This X-ray shows the upper portion of the stomach protruding through the diaphragm (hiatal hernia).
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