Ventral Hernia: Symptoms, Surgery, and Recovery Time

Ventral Hernia

Hello Doctor, I am currently abroad and have been experiencing upper abdominal pain for the past two months.
Initially, the doctor diagnosed it as gastritis, but the pain has worsened day by day, accompanied by loss of appetite and severe constipation (having a bowel movement only once every five days).
The pain has also radiated to my chest, ribs, and back (sharp pain).
During the last examination, the doctor found that pressing about 2.5 cm above my navel caused significant pain, leading to a diagnosis of "ventral hernia," which requires surgical treatment.

If I return to Taiwan for surgery, which department should I consult? Regarding the surgery for "ventral hernia," how many days will I need to be hospitalized? How long will I need follow-up treatment after the surgery? After the surgery, how long should I wait before taking a long-haul flight (to the United States)?

Selina, 30~39 year old female. Ask Date: 2007/01/15

Dr. Xu Kaixi reply Surgery

Dear Selina,
Dr.
Hsu Kai-Hsi from the Tainan Hospital, Department of Surgery, would like to inform you that the surgical approach for a ventral hernia is determined by its size.
Larger ventral hernias typically require the use of a prosthetic mesh for repair, which can be performed via traditional open surgery or laparoscopically.
The usual hospital stay is around 3 to 4 days.
Postoperatively, intensive follow-up is not necessary, but long-term monitoring is required due to the possibility of recurrence, which ranges from 10% to 40%.
After surgery, if there are no other issues, you may fly long distances once discharged.
Sincerely,
Department of Surgery, Tainan Hospital

Reply Date: 2007/01/15

More Info

A ventral hernia, also known as an abdominal hernia, occurs when an organ or tissue protrudes through a weak spot in the abdominal muscles. This condition can lead to various symptoms, including localized pain, discomfort, and in some cases, complications such as incarceration or strangulation of the herniated tissue. Given your symptoms of increasing abdominal pain, loss of appetite, severe constipation, and pain radiating to the chest and back, it is understandable that your physician suspects a ventral hernia.

Symptoms of Ventral Hernia
The symptoms of a ventral hernia can vary but typically include:
- A noticeable bulge or lump in the abdominal area, especially near the site of the hernia.

- Pain or discomfort, particularly when lifting heavy objects, coughing, or straining.

- Nausea or vomiting, particularly if the hernia is causing obstruction.

- Constipation or changes in bowel habits, which can occur if the hernia affects the intestines.

Surgical Treatment
Surgery is often the recommended treatment for ventral hernias, especially if they are symptomatic or if there is a risk of complications. The surgical procedure typically involves:
1. Hernia Repair: The surgeon will push the protruding tissue back into place and repair the weakened area of the abdominal wall. This can be done using sutures or mesh to reinforce the area.

2. Types of Surgery: The surgery can be performed as an open procedure or laparoscopically, depending on the size and location of the hernia and the surgeon's expertise.

Recovery Time
- Hospital Stay: Most patients undergoing hernia repair surgery can expect to stay in the hospital for 1 to 2 days, depending on the surgical method used and their overall health.

- Postoperative Care: After surgery, you will need to follow up with your surgeon for wound checks and to ensure proper healing. Typically, follow-up visits are scheduled within a week or two after surgery.

- Activity Restrictions: Patients are usually advised to avoid heavy lifting and strenuous activities for at least 4 to 6 weeks post-surgery. Light activities can often be resumed within a few days, but this should be guided by your surgeon.

Travel Considerations
Regarding your question about flying, it is generally recommended to wait at least 2 to 4 weeks after surgery before taking a long flight. This allows your body to heal adequately and reduces the risk of complications such as blood clots. However, individual recovery can vary, so it is essential to discuss your specific situation with your surgeon.

Specialist Consultation
For your surgery in Taiwan, you should consult a general surgeon or a surgeon specializing in hernia repairs. They will be able to evaluate your condition, discuss the best surgical options, and provide you with a comprehensive plan for your treatment and recovery.

Conclusion
In summary, ventral hernias can cause significant discomfort and may require surgical intervention for relief. Recovery times can vary, but with proper care and adherence to your surgeon's advice, most patients can return to their normal activities within a few weeks. Be sure to communicate openly with your healthcare provider about your symptoms and any concerns you may have regarding your surgery and recovery.

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