Post-TEP Hernia Surgery: Common Concerns and Recovery Tips

Post-hernia surgery

Hello Doctor, the patient underwent a TEP hernia repair about a month ago and has a few questions for you: (1) Does stretching or yawning increase abdominal pressure and potentially cause the mesh to shift, leading to a recurrence of the hernia? (2) Does sleeping on the side put pressure on the hernia repair site and increase the risk of recurrence? (3) Is using a squat toilet likely to cause a recurrence of the hernia? (4) How long should a support belt be used after inguinal hernia surgery? Thank you, Doctor.

mm, 40~49 year old female. Ask Date: 2020/01/13

Dr. Yu Mingchang reply Surgery

1.
No 2.
No 3.
No 4.
One month, the Ministry of Health and Welfare Changhua Hospital cares about you.

Reply Date: 2020/01/13

More Info

After undergoing a TEP (Totally Extraperitoneal) hernia repair surgery, it is common for patients to have concerns regarding their recovery and the potential for recurrence of the hernia. Here’s a comprehensive response to your questions based on medical knowledge and common practices in post-operative care.

1. Stretching and Increased Abdominal Pressure: Stretching, such as yawning or reaching, typically does not significantly increase abdominal pressure to the extent that it would cause a hernia mesh to shift or lead to a recurrence of the hernia. The body is designed to handle normal movements, and the mesh used in hernia repairs is intended to remain stable during such activities. However, it is essential to avoid excessive or forceful stretching, especially in the early stages of recovery, as this could potentially strain the surgical site.

2. Sleeping on Your Side: Sleeping on your side is generally safe after TEP hernia surgery. While it is important to avoid putting direct pressure on the surgical site, most patients find that they can comfortably sleep on their side without risking a recurrence. If you experience discomfort while lying on your side, it may be beneficial to use a pillow for support or to adjust your position to ensure that you are not putting undue pressure on the repair site.

3. Using a Squat Toilet: Using a squat toilet should not inherently increase the risk of hernia recurrence. However, it is crucial to be cautious with any activity that involves straining or excessive abdominal pressure. If you find that using a squat toilet causes discomfort or requires significant effort, it may be wise to avoid it until you feel more comfortable and have fully healed. Listening to your body is key; if something feels wrong, it’s best to consult your healthcare provider.

4. Use of a Supportive Garment: The use of a supportive garment, such as a binder or abdominal support, is often recommended for a limited time post-surgery, typically around one month. This can help provide additional support to the abdominal wall as it heals. However, it is essential to follow your surgeon's specific recommendations regarding the duration and type of support garment to use, as individual needs may vary based on the extent of the surgery and the patient's overall health.

Additional Recovery Tips:
- Follow-Up Appointments: Regular follow-up appointments with your surgeon are crucial for monitoring your recovery. If you have any concerns about pain, swelling, or changes in your condition, do not hesitate to reach out to your healthcare provider.

- Gradual Return to Activities: It is important to gradually return to your normal activities. Start with light activities and slowly increase intensity as you feel comfortable. Avoid heavy lifting or strenuous exercise until you receive clearance from your doctor.

- Pain Management: It is normal to experience some discomfort after surgery. Over-the-counter pain relievers can help manage this, but consult your doctor if you have any concerns about pain levels or if the pain worsens.

- Watch for Signs of Complications: Be vigilant for signs of complications, such as increased redness, swelling, or discharge from the surgical site, fever, or severe pain. If you experience any of these symptoms, contact your healthcare provider immediately.

In conclusion, while it is natural to have concerns after hernia surgery, following your surgeon's advice and listening to your body can help ensure a smooth recovery. Always prioritize communication with your healthcare team to address any specific concerns or questions you may have during your recovery process.

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