Repair lumbar hernia
CPT4 code
Name of the Procedure:
Repair Lumbar Hernia
Summary
Repairing a lumbar hernia involves surgically correcting a hernia located in the lower back region. This procedure restores normal anatomy and strengthens the affected area to prevent recurrence.
Purpose
Repair lumbar hernia is performed to correct a hernia in the lumbar area, which can cause pain, discomfort, and potential complications if left untreated. The goal is to relieve symptoms, prevent hernia recurrence, and allow the patient to resume normal activities.
Indications
- Persistent lower back pain or discomfort
- Visible bulge or protrusion in the lumbar region
- Symptoms worsened by physical activity or strain
- Diagnosed lumbar hernia via imaging studies
Preparation
- Fasting for at least 8 hours before surgery
- Adjustments in medications as instructed by the healthcare provider
- Pre-operative imaging tests such as MRI or CT scans
- General health assessments including blood tests and physical examination
Procedure Description
- The patient is given general anesthesia.
- An incision is made over the hernia site.
- The surgeon locates and isolates the herniated tissue.
- The herniated tissue is repositioned into the correct anatomical location.
- The weakened area is reinforced with sutures and potentially a mesh to provide extra support.
- The incision is closed with sutures or staples.
Tools and Equipment:
- Scalpels and surgical scissors
- Hernia mesh (if used)
- Sutures or staples
- Imaging guidance tools (if needed)
Anesthesia: General anesthesia is typically administered.
Duration
The procedure usually takes about 1 to 2 hours.
Setting
The surgery is performed in a hospital or surgical center.
Personnel
- Surgeon specialized in hernia or general surgery
- Anesthesiologist
- Surgical nurses and technicians
Risks and Complications
- Infection at the surgical site
- Recurrence of the hernia
- Bleeding or hematoma
- Injury to nearby organs or tissues
- Adverse reactions to anesthesia
- Chronic pain or discomfort
Benefits
- Alleviation of pain and discomfort
- Reduced risk of hernia recurrence
- Improved quality of life and ability to perform daily activities
- Quick return to normal function within a few weeks
Recovery
- Pain management with prescribed medications
- Instructions to avoid heavy lifting or strenuous activity for several weeks
- Monitoring for signs of infection or complications
- Follow-up appointments to ensure proper healing
Alternatives
- Watchful waiting for small or asymptomatic hernias
- Non-surgical treatments like pain management and physical therapy
- Benefits of surgery generally outweigh the risks in symptomatic cases
Patient Experience
- Patients may experience moderate pain and discomfort post-surgery, managed with pain medication.
- Patients can typically resume normal activities within 2 to 6 weeks, depending on recovery progress.
- Support measures include physically comfortable positioning and gradual resumption of activity to ensure proper healing.