A hernia is when an internal organ is dislocated from its normal anatomical position, through a congenital or acquired opening. Hernias most commonly affect the abdominal wall, this is because the abdominal wall is made up of superimposed muscle flaps and weakness in these muscles, combined with increased pressure within the abdomen, can contribute to the protrusion of abdominal organs, hernia formation. In such a case, the thin part of the colon or the fat covering the abdominal cavity usually protrudes. The hernia is not life-threatening, but it cannot go away on its own, which is why it is worth choosing surgery as soon as possible to avoid further complications. The vast majority of abdominal hernias are inguinal hernias, while other hernias include umbilical hernias, hernias around the navel, hernias resulting from previous surgery, and hernias of the groin and pelvic area. It can also be partly genetic, being more common in some families, but there are also predisposing conditions such as obesity, smoking and pregnancy.
Laparoscopic surgery is a branch of endoscopy in which surgery is performed in the abdominal cavity. The laparoscope has a thin tube with a camera at the end, so that an image can be followed through an optical device inside the body. A series of small incisions (1-1.5 cm / 0.3-0.5 inch) are made through which the laparoscope and surgical instruments are inserted to perform each step of the operation. The operation is made easier by inflating the abdominal cavity with carbon dioxide gas during hernia surgery to facilitate easier access and successful surgery.
The development of a hernia may be accompanied by shooting, pulling, straining, dull pain, together with a small to large bulging of the affected area. There are also cases where the hernia is painless. The size of the bump may vary and may become worse with more intense movement.
The hernia contents can usually be reinserted into the abdominal cavity through the hernia gate. However, without treatment, there is a risk of hernia exclusion. If the hernia contents cannot return to the abdominal cavity, the blood supply to the blocked section of the intestine may be compromised, creating an emergency situation with the risk of life-threatening intestinal necrosis, which can only be treated by urgent acute surgery.
Hernia exclusion may be accompanied by severe abdominal, abdominal, abdominal pain, cramps, nausea, vomiting. To avoid this serious condition, it is also recommended to undergo hernia removal surgery as soon as possible.
The surgery is performed under general anaesthesia to avoid the discomfort of the operation. During laparoscopic hernia surgery, the surgeon makes a few small incisions along the line of the damaged area to remove excess tissue and covers the hernia cap with direct sutures or by inserting a plastic, partially absorbable mesh. The procedure varies from person to person, depending on the size of the hernia.
The definitive solution for hernias is surgery. There are alternatives to laparoscopic surgery, such as open abdominal hernia surgery. In this procedure, a larger straight incision is made depending on the size of the hernia. As it involves a larger incision and requires a larger operation, it can be associated with more post-operative pain and slower wound healing.
The day after surgery, the patient can return home, but physical rest is important for a few weeks, followed by gradual exercise and a balanced lifestyle to ensure a speedy recovery, which should allow the patient to return to a normal lifestyle after 1-2 weeks. The skin wound will take 7-10 days to heal and the stitches will be removed.
Complete relief from symptoms is expected in about 4 weeks, by which time you will be able to play more active sports.
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Dr. Dániel Czeller
general surgeon specialist
Hungarian, English
Doctors Hungarian, English language
18+
Patients 18+ from ages and up
Dr. Tamás Hidas
surgeon, hernia specialist
Hungarian, English, German
Doctors Hungarian, English, German language
15+
Patients 15+ from ages and up
