Dr Durmush and Dr Ozmen perform many types of hernia surgeries, usually with minimally invasive techniques such as laparoscopic or keyhole hernia surgery or hernia mesh surgery.
A hernia happens when one of your organs pushes through a thin spot in the surrounding muscle and creates a bulge.
There are hundreds of muscles in your body that provide strength and enable movement. Some of them do another job too – they create a dense, strong wall that holds your organs in place.
Sometimes, that muscle wall develops a weakness and the organ behind it begins to push through, creating a hernia. Most hernias occur in your chest, abdomen, upper thigh or groin area.
Some hernias are more painful than others but all need treatment, which usually means surgery.
Hernias tend to be described by the part of your body they appear in. Here are some of the most common types.
An umbilical hernia develops when part of your intestine pushes through a hole in the muscles near your belly button (navel).
If your baby develops a bulge near their belly button when they cry, it’s a good chance that they’ve got an umbilical hernia. This may close up by itself by their 2nd birthday or it may remain open until age 5 or above. We can help you decide whether surgery is the right option.
You should always seek emergency medical attention if your baby has an umbilical hernia and seems to be in pain, is vomiting, and if the hernia site becomes tender, swollen and discoloured.
If you develop an umbilical hernia as an adult, it’s more likely to need surgical repair. Adult umbilical hernias tend to be more common in women, especially if your abdominal wall has been weakened by multiple pregnancies, previous abdominal surgery or excess weight.
An epigastric hernia appears in your chest, in the midline area between your ribs. It’s caused by fat or other abdominal contents pushing through a weaker part of your abdominal wall and forming a lump. You’ll often feel pain when that fat is pinched by your abdominal wall.
Surgery is one of the only way to repair the hernia, relieving pain and preventing complications.
An inguinal hernia happens when a piece of your intestine or your abdominal cavity lining pokes through a weak spot in the muscles near your groin.
Babies can develop inguinal hernias but they’re most common in men over the age of 40 due to the gradual weakening of their abdominal muscles over time. Women are less likely to get inguinal hernias because the uterus supports and protects the inguinal canal.
Symptoms of an inguinal hernia include:
Without surgical repair, inguinal hernias may lead to serious, even life-threatening, complications.
Femoral hernias are uncommon but come about when tissue pushes through a weak spot in the muscle wall of your groin or inner thigh. It might happen if you strain while exercising, coughing or going to the toilet or if you’re overweight. Giving birth can also cause a femoral hernia.
You might notice a lump in your inner thigh or groin, often accompanied by discomfort and sometimes by vomiting and stomach pain.
Femoral hernias can be very serious so it is important to see a doctor without delay.
If you’ve had abdominal surgery and your scar hasn’t fully healed, you may develop an incisional hernia. They’re surprisingly common, occurring after about 15-20% of abdominal surgeries that involve an incision. They can occur any time after surgery but most commonly appear about 3-6 months after your operation.
The most obvious symptom is a bulge near the incision site that becomes more visible when you strain your muscles by coughing, lifting or standing up. Incisional hernias can also cause pain, nausea, vomiting, fever, constipation and diarrhea, and can speed up your heartbeat.
Go to emergency if the bulge darkens or turns purple or if you’re in severe pain. Incisional hernias can cause serious complications that are life-threatening in some cases.
Before your oesophagus connects to your stomach, it passes through a small opening in your diaphragm known as the hiatus. A hiatal hernia happens when your stomach pushes up through that opening and into your chest.
If you have a small hiatal hernia, you may never even know it’s there. A larger one, though, can cause heartburn because food and stomach acids are passing back up into your oesophagus. Medication and lifestyle changes may help treat these symptoms but a very large hiatal hernia may need surgery.
Hernias usually get worse, not better, and may cause serious complications.
Surgery is the recommended treatment for most hernias. Once your surgeon has examined you and diagnosed your type of hernia, you’ll discuss the recommended operation and be able to ask any questions you may have.
We offer the following types of hernia surgery at Life Weight Loss Centre.
This is a minimally invasive procedure that involves three small incisions to:
Laparoscopic hernia repair is carried out in an operating theatre. You’ll be given a general anaesthetic so will be unconscious throughout the procedure.
Because this operation involves three small holes instead of one larger incision, you may experience less pain after surgery, a shorter recovery time and less scarring.
This can be done under general, local or spinal anaesthesia. Open hernia repair involves making an incision near the hernia to put the organ back in its place and repair the weakened muscle. Mesh may be used to reinforce your abdominal wall and reduce the risk of future hernias.
You may be sent home on the same day as your surgery but will need to allow time for recovery. It may take about 2 weeks before you can drive, 3 weeks to recover enough to undertake light activities and 6 weeks until strenuous exercise is possible.
Both open and laparoscopic hernia surgery can be done with or without mesh, though, in many cases, mesh is beneficial.
Surgical mesh is often used to give extra support to weak tissues. It’s usually made from synthetic materials or animal tissue. Hernias are less likely to recur if mesh is used to support the weakened muscle and prevent the organ from bulging through again.
That said, mesh isn’t necessarily suitable for every patient. It’s something to discuss with your surgeon.
You may be wondering why obesity surgeons are performing hernia operations.
Firstly, because hernia repairs are a common type of surgery, which we are trained to perform to a high standard.
Secondly, although people of all ages, body types and fitness levels can develop hernias, carrying excess weight places you at higher risk. As weight loss surgeons, we understand how your weight affects your body and we understand your surgical risk profile. We’re ideally placed to treat your hernia and discuss weight-loss strategies with you if this is something you’d find helpful.
So, please get in touch. We’re ready to assist.
Request a callback from one of our friendly Practice Managers