Do You Need Surgery for a Hernia? Your Options

Q: Do You Need Surgery for a Hernia? Your Options

Hernia： It is the protrusion of tissues or organs within the peritoneal cavity, and occasionally only the subcutaneous fat may protrude. <br>This usually occurs at a defect where the peritoneum should be closed, with the most common types being inguinal hernias and umbilical hern

Does a hernia always require surgery?

I am 35 years old and went to see a doctor for hemorrhoids, during which I discovered that I have a hernia.
Doctor, do I definitely need surgery? If I do not have surgery, will it affect my fertility or childbirth? Please advise me on how to proceed.
Thank you very much.

Ms. Li, 30~39 year old female. Ask Date: 2011/09/22

Dr. Xie Wenhuai reply Surgery

Hernia: It is the protrusion of tissues or organs within the peritoneal cavity, and occasionally only the subcutaneous fat may protrude.
This usually occurs at a defect where the peritoneum should be closed, with the most common types being inguinal hernias and umbilical hernias.
Factors such as increased abdominal pressure due to conditions like ascites from liver disease, benign prostatic hyperplasia, pregnancy, or age-related weakening of the abdominal wall can lead to hernias developing at weaker points in the body.
Typically, the opening is small, and sometimes the protrusion cannot be reduced, which can result in tissue or organ necrosis.
Therefore, surgical intervention is recommended as the best course of action.
There are traditional surgical methods that approach from the outside in, or laparoscopic surgery that approaches from the inside out.
Each method has its own advantages and disadvantages, but the decision to proceed with surgery should be made.
Dr.
Hsiao-Wen Huai.

Reply Date: 2011/09/22

More Info

When it comes to hernias, the decision to undergo surgery is often influenced by several factors, including the type of hernia, its size, symptoms, and potential complications. A hernia occurs when an organ or tissue protrudes through a weak spot in the surrounding muscle or connective tissue. In your case, since you discovered the hernia during a visit for hemorrhoids, it’s important to understand the implications of leaving it untreated.

Do You Need Surgery for a Hernia?
1. Symptoms and Complications: If your hernia is asymptomatic (not causing pain or discomfort), some doctors may recommend a watchful waiting approach. However, if you experience symptoms such as pain, swelling, or discomfort, surgery is typically advised. Additionally, hernias can lead to serious complications, such as incarceration (where the herniated tissue becomes trapped) or strangulation (where the blood supply to the trapped tissue is cut off), both of which require emergency surgery.

2. Impact on Fertility and Pregnancy: Generally, a hernia itself does not directly affect fertility or the ability to conceive. However, if you are planning to become pregnant, it is advisable to discuss your hernia with your healthcare provider. Pregnancy can increase abdominal pressure, potentially worsening the hernia or leading to complications. If surgery is needed, it is often recommended to have it done before pregnancy to avoid complications during pregnancy and delivery.

3. Surgical Options: If surgery is indicated, there are typically two main approaches:
- Open Surgery: This traditional method involves making a larger incision to repair the hernia, often using a mesh to reinforce the area.

- Laparoscopic Surgery: This minimally invasive technique uses smaller incisions and specialized instruments, which can lead to quicker recovery times and less postoperative pain.

4. Recovery and Lifestyle: Post-surgery, most patients can return to normal activities within a few weeks, although heavy lifting and strenuous activities may need to be avoided for a longer period. Following your doctor's advice on recovery is crucial to prevent recurrence.

5. Consultation with a Specialist: It’s essential to have a thorough discussion with a surgeon who specializes in hernia repairs. They can evaluate your specific situation, including the type and size of the hernia, your overall health, and any other medical conditions you may have. This evaluation will help determine the best course of action.

Conclusion
In summary, while not all hernias require immediate surgery, it is essential to monitor your symptoms and consult with a healthcare professional about your options. If surgery is recommended, it can significantly reduce the risk of complications and improve your quality of life. If you have concerns about fertility or pregnancy, discussing these with your doctor will help you make informed decisions regarding your health and family planning. Always prioritize open communication with your healthcare provider to ensure the best outcomes for your situation.

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