Hernia Surgery Options
While many surgeons typically recommend surgical repair for hernias, the option of “observation only” may be considered in specific situations. If you’re experiencing pain or other symptoms from a hernia, it’s generally advisable to address it unless the surgical risks or potential recurrence outweigh the benefits. However, if you have no symptoms, waiting until symptoms develop might be an option. It’s crucial not to make this decision independently but rather after consulting with a surgeon. The experienced surgeons at DeKalb Surgical Associates are open to discussing nonsurgical options, especially as you age.
For individuals in their younger years, it may make more sense to proceed with surgery, given the longer life expectancy. On the other hand, if you’re in your 70s or 80s, experiencing no pain, and managing other health concerns, it could be worth considering waiting for symptoms. While there’s a small chance of developing an incarceration (where the hernia contents get stuck), it doesn’t happen frequently. If you choose not to have it fixed, there is a slight vulnerability to this possibility, and if it occurs, urgent or emergent surgery may be necessary.
How Do You Fix a Hernia?
Various techniques are now accessible for hernia repair, with a rich history describing hundreds of approaches over the decades. The diversity in techniques can involve differences in incision locations, the use of sutures or mesh, if any, and the type of anesthesia, among other factors.
Conveniently, the current options can be classified into three primary categories: (1) Open, (2) Laparoscopic, and (3) Robotic approaches.
Open Mesh Hernia Repair
In the open technique, an incision is typically made directly over the hernia defect, extending through the muscle layers where the defect is situated. In most instances, a piece of mesh is employed to reduce the likelihood of hernia recurrence. The incision is typically around 1½ – 2 inches long. An advantage of the open technique is that it can be performed with twilight sedation instead of general anesthesia. The risk of recurrence is minimal, close to 0%. The time required to return to work depends on the strenuousness of your job.
Interested in an Open Mesh Hernia Repair?
Dr. John Kennedy is an expert in open mesh hernia repair.
Interested in an Open Mesh-Free Hernia Repair?
Dr. John Kennedy is an expert in open mesh-free hernia repair.
Open Mesh-Free Hernia Repair
Mesh has been a standard component in hernia repairs for many years, consistently reducing the risk of recurrence, and it is a routine part of our procedures. However, for patients who prefer a hernia repair without mesh, rest assured that we provide mesh-free options based on your preference.
Laparoscopic Hernia Repair
An alternative approach involves laparoscopy, where instruments are inserted into the abdominal cavity behind the weakened area. Mesh is then placed from within to cover the weak area, as opposed to on top as in open surgery. This technique necessitates the use of general anesthesia. While the risk of recurrence is likely slightly higher than with an open repair, it remains very low. On average, post-surgery pain is expected to be less than with an open repair. The timeline for returning to work is similar to that of open surgery.
Interested in a Laparoscopic Hernia Repair?
Dr. Michael Champney is an expert in laparoscopic hernia repair.
Interested in a Robotic Hernia Repair?
Dr. Michael Champney is an expert in robotic hernia repair.
Robotic Hernia Repair
There are some misunderstandings regarding the term “robotic” repair. Rest assured, the surgeon is the one performing the repair. It’s referred to as robotic because it employs tools that are managed by an advanced machine. The surgeon, who is stationed at a console, can accurately control and maneuver these tools. A laparoscope is utilized just like in the laparoscopic method, and the mesh is positioned similarly. The postoperative discomfort is comparable to that of a laparoscopic repair.
Our team of surgeons provides all the different methods for hernia repair, and we would be pleased to discuss the most suitable repair method for your hernia. Dr. Champney has the most expertise in our team with the robotic and laparoscopic methods, while Dr. Kennedy has the most experience and interest in open and mesh free hernia repairs.
There isn’t a single optimal method to fix a hernia — it varies. We are more than willing to converse about the alternatives with you to determine the most suitable one for you.