Hernia Concerns: A Young Man's Surgical Questions - Surgery

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18-year-old male, please ask your questions regarding hernias?


I often experience a feeling of discomfort and bloating in my right groin area, which comes and goes.
However, sometimes activities that increase intra-abdominal pressure, like jumping, exacerbate the discomfort.
According to self-examination methods I found online, I do not have any noticeable bulges compared to the non-painful side.
I plan to visit a nearby major hospital for a diagnosis, as this has been ongoing for two years.
The main reason I have been reluctant to seek treatment is my fear of surgery, and I have several significant concerns (since I have never undergone surgery before):
1.
I am afraid of having a synthetic mesh implanted, as I worry I will feel a foreign body sensation.
2.
It seems that there may be sutures placed in the pubic periosteum, but even pressing on my own periosteum causes discomfort, so I am concerned that sutures in that area would be unbearable (perhaps this is a psychological issue).
3.
If laparoscopic surgery, which involves smaller incisions, is performed, one incision is made at the navel, which is my second sensitive and uncomfortable area.
Even light touch around that area causes significant discomfort.
Is it absolutely necessary to make an incision at the navel?
4.
After surgery, how many months will it take before I can resume jogging, swimming, and doing push-ups? I usually have an active lifestyle, but since I am preparing for exams in my senior year of high school, I have decided to visit the clinic now.
I thought that if I need surgery, it would be best to do it now so that I can have more freedom after graduation.
However, I am still troubled by the first three major concerns and kindly ask for your guidance.
Thank you.

A Bao, 10~19 year old female. Ask Date: 2015/01/27

Dr. Yu Mingchang reply Surgery


Please visit the surgical outpatient clinic to clarify any misunderstandings.
Changhua Hospital cares about you.

Reply Date: 2015/01/27

More Info


When it comes to concerns about hernia surgery, especially for a young man like yourself, it's completely understandable to have questions and apprehensions. Let’s address your concerns one by one, while also providing some medical context to help you feel more informed.

1. Fear of Artificial Mesh: Many patients express concern about the use of synthetic mesh during hernia repair. It’s important to understand that the use of mesh is quite common in hernia surgeries, particularly in tension-free repairs. The mesh is designed to provide additional support to the abdominal wall and reduce the risk of recurrence. While some patients report feeling the mesh post-operatively, many do not. The sensation of having a foreign object in the body can be unsettling, but most patients adapt over time. If you have a strong aversion to the idea of mesh, discuss this with your surgeon. They can explain the benefits and risks, and in some cases, alternative techniques may be available.

2. Concerns About Sutures Near the Pubic Bone: It’s natural to worry about discomfort from sutures, especially in sensitive areas. Surgeons are trained to minimize discomfort and complications during the procedure. The sutures used in hernia repair are typically absorbable, meaning they dissolve over time and do not need to be removed. If you have a history of sensitivity in that area, make sure to communicate this with your surgeon. They can take extra care during the procedure to ensure that the sutures are placed in a way that minimizes discomfort.

3. Incision Locations in Laparoscopic Surgery: Laparoscopic surgery is known for its minimally invasive approach, which usually results in smaller incisions and quicker recovery times. While the umbilicus (belly button) is a common site for one of the incisions, it is not the only option. Your surgeon may be able to use other locations based on your specific anatomy and the complexity of the hernia. Discuss your concerns about sensitivity in that area with your surgeon, as they may have alternative strategies to address your hernia without causing unnecessary discomfort.

4. Post-Operative Activity Restrictions: Recovery times can vary based on the type of surgery performed and individual healing rates. Generally, after laparoscopic hernia repair, many patients can return to light activities within a few days, but more strenuous activities like running, swimming, or doing push-ups may require a longer recovery period—typically around 4 to 6 weeks. Your surgeon will provide specific guidelines based on your progress and the nature of your surgery. It’s crucial to follow their advice to ensure proper healing and reduce the risk of complications.

In summary, it’s commendable that you are taking the initiative to seek medical advice regarding your hernia symptoms. The discomfort you are experiencing, especially during activities that increase abdominal pressure, is a common sign of a hernia. It’s wise to consult with a healthcare professional who can provide a thorough examination and discuss the best treatment options tailored to your situation.

Before your appointment, consider writing down your questions and concerns. This can help ensure that you cover everything you want to discuss with your doctor. Remember, it’s your body, and you have the right to understand the procedures and make informed decisions about your health. Good luck with your appointment, and I hope you find the answers and reassurance you need!

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