Wednesday 12 February 2020

Post operative care after Laparoscopic Hernia Repair

What is a Hernia?
Hernia is a disease that develops when an organ, fatty tissue or intestine protrudes through a weak spot or a hole in the surrounding muscle. Hernias mostly occur at the abdominal wall.  Sometimes it can be visible as a bulge externally especially when bearing down or straining.

 Hernia

Patients are recommended to take any prescribed pills for pain only when they really need it. Avoid prescription pills that consist of codeine (e.g. Co-codamol). Paracetamol is often as effective. Other non-steroidals are fine which does not provide contraindications.

Treatment Options for Hernias
Hernia repairs are very common—more than one million hernia repairs are performed each year. Around 800,000 of these are inguinal hernia repair and the rest are for other types of hernias.1

Non-Surgical

Watchful Waiting – In this method your surgeon will test and identify the size of the hernia and make sure that it is not causing problems or getting larger. Watchful waiting can be an option for people who are suffering from hernia only if they do not have complications, and if prescribed by their surgeon.

Surgical
  1. Laparoscopic - The surgeon makes several small cuts in the abdomen that access surgical tools inside the openings to repair the hernia. Laparoscopic Hernia Repair usually requires use of surgical mesh except in paediatric age group.
  2. Open Repair - The surgeon makes a cut around the hernia and the weak muscle area is repaired. Open repair can be performed both without surgical mesh and with surgical mesh. Open repair uses the sutures without mesh which is referred to as primary closure. Primary closure helps to repair inguinal hernias in infants, strangulated, small hernias or infected hernias.
Wound care
The body temperature will rise right after the operation; it may persist for a day or so which is normal. Patients are recommended to  bathe daily after the successful operation. A plastic see-through dressing covers the wound and it is peeled off around 7 days after the operation. Clean bathing water will not harm the wound at all.


Dr. Nikhil Agnihotri is well known surgeon for Hernia treatment at Max Super specialty Hospital, New Delhi. It has all the required tools and best healthcare facilities needed for such cases.

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Blog reviewed by: Dr.Nikhil Agnihotri
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