Name of the Procedure:

Repair recurrent inguinal hernia, any age; reducible

• Common names: Hernia surgery, Hernia repair
• Medical terms: Recurrent inguinal herniorrhaphy, Recurrent inguinal hernioplasty

Summary

This surgical procedure repairs a recurring hernia in the groin area, known as an inguinal hernia, which can be pushed back into the abdomen (reducible). The surgery typically involves reinforcing the weakened area to prevent the hernia from occurring again.

Purpose

• Medical Condition: Recurring inguinal hernia
• Goals: To repair and strengthen the weakened area of the abdominal wall, preventing the hernia from recurring.

Indications

• Persistent groin pain or discomfort
• Visible bulge in groin area that can be pushed back
• Previous inguinal hernia surgery with recurrence
• Symptoms such as aching, sharp pain, or a dragging sensation in the groin

Preparation

• Fasting: Typically required for 8 hours prior to surgery
• Medications: Adjustments may be needed; blood thinners are often stopped
• Diagnostics: Physical examination, possibly imaging tests like an ultrasound or CT scan
• Pre-Surgery Instructions: Shower and use antiseptic soap, do not shave the surgical area

Procedure Description

1. Anesthesia: General or regional
2. Incision: Small cut in the groin area
3. Hernia Sac: The hernia sac is identified and reduced
4. Repair: The abdominal wall is repaired and reinforced, often with mesh
5. Closure: The incision is closed with sutures or staples

Duration

The procedure typically takes about 1 to 2 hours.

Setting

Performed in a hospital or surgical center, often on an outpatient basis.

Personnel

• Surgeon
• Surgical nurses
• Anesthesiologist

Risks and Complications

• Common: Infection, bleeding, pain at the surgical site
• Rare: Recurrence of the hernia, injury to nearby blood vessels, nerves, or organs

Benefits

• Relief from pain and discomfort
• Restored abdominal wall strength
• Reduced risk of hernia recurrence
• Benefits are typically realized within a few weeks to months

Recovery

• Post-procedure: Pain management, wearing supportive garments
• Instructions: Limit physical activity for several weeks, avoid heavy lifting
• Recovery Time: Typically 4-6 weeks for full recovery
• Follow-up: Appointments to monitor recovery and ensure proper healing

Alternatives

• Watchful Waiting: Monitoring the hernia over time without immediate surgery
  • Pros: Avoids surgical risks
  • Cons: Higher risk of complications like hernia strangulation
• Non-Surgical Methods: Trusses or supportive garments
  • Pros: Non-invasive
  • Cons: Ineffective for long-term management

Patient Experience

• During: Expect anesthesia, possible anxiety managed with sedatives
• After: Mild to moderate pain, managed with prescribed painkillers
• Comfort: Ice packs, limited movement initially, gradual return to normal activities