Hernias

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Q. Glen, How are Hernias Treated?

A. Although not all hernias need to be repaired, hernias that cause symptoms or become larger should be repaired by a surgeon. The technique used to repair your hernia depends on its type, size and location. There are many options, including standard surgery, surgery using mesh plugs or patches, and surgery done using a telescope through a small incision (laparoscopic surgery). If you are considering having a hernia repaired, you and your surgeon will discuss which technique is most appropriate for you.

Hernias that become incarcerated or strangulated require immediate medical attention. Your doctor will try to push the hernia back through the hole in which it is stuck. If this can't be done, emergency surgery may be needed. Otherwise, most hernia repairs can be done on an outpatient basis at a convenient place and time.

Umbilical hernias usually are not treated surgically unless the hernia continues past the child's third or fourth birthday, becomes larger, causes symptoms or strangulates. Umbilical hernias are more likely to need surgery if the opening through which the hernia passes is greater than 2 centimeters.

Hiatal hernias that are not causing symptoms of acid reflux do not need to be treated. When symptoms occur, treatment is designed to decrease reflux. Surgery may be recommended for large hiatal hernias that cause continuing symptoms, or for hernias that become stuck inside the chest.

Any personal health questions or problems mental or physical or before starting any diet or exercise program. Please consult your physician !

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Yours in good health

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