49570 Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure)

Name of the Procedure:

Repair of Epigastric Hernia (e.g., preperitoneal fat); Reducible (separate procedure)

Summary

In this procedure, a surgeon repairs an epigastric hernia, which is a protrusion of fat or tissue through a weak spot in the abdominal wall between the breastbone and the belly button. The hernia is reducible, meaning it can be pushed back into the abdomen manually.

Purpose

Epigastric hernia repair addresses the protrusion of tissue or fat from the abdominal wall. The main goals are to eliminate pain, prevent complications like obstruction or strangulation of the hernia, and restore the normal function of the abdominal wall.

Indications

• Visible bulge or lump in the upper abdomen
• Pain or discomfort, especially when straining or lifting
• A reducible mass that can be pushed back into place
• No response to non-surgical treatments
• Patients in good general health without contraindications for surgery

Preparation

• Fasting for at least 6-8 hours prior to the procedure
• Adjustments to medications as recommended by the healthcare provider
• Pre-operative physical examination and possibly imaging tests such as an ultrasound or CT scan

Procedure Description

1. The patient is given local anesthesia, sedation, or general anesthesia depending on the case specifics.
2. A small incision is made over the site of the hernia.
3. The protruding fat or tissue is identified and pushed back into the abdominal cavity.
4. The weak spot in the abdominal wall is repaired, often using sutures or a mesh to strengthen the area.
5. The incision is closed with stitches or surgical glue.

Duration

The procedure typically takes about 30 minutes to 1 hour.

Setting

The procedure is usually performed in a hospital or outpatient surgical center.

Personnel

• Surgeon
• Surgical nurse
• Anesthesiologist (if general anesthesia is used)
• Surgical technician

Risks and Complications

• Infection at the incision site
• Bleeding
• Recurrence of the hernia
• Pain or discomfort in the surgical area
• Complications related to anesthesia

Benefits

• Relief from pain and discomfort
• Reduced risk of hernia-related complications
• Strengthened abdominal wall Benefits are usually seen immediately after recovery from the surgery.

Recovery

• Patients may go home the same day or require a short hospital stay.
• Pain management with prescribed medications
• Avoiding strenuous activities and heavy lifting for several weeks
• Follow-up visits to monitor healing and ensure the hernia does not recur
• Full recovery typically occurs within 4-6 weeks.

Alternatives

• Watchful waiting if the hernia is not causing significant symptoms
• Use of a truss or supportive garment
• Minimally invasive techniques if appropriate for the patient's condition

Patient Experience

During the procedure, anesthesia ensures that the patient does not feel pain. Post-surgery, the patient might experience some discomfort and soreness, which can be managed with medications. Following postoperative care instructions diligently helps in healing and recovery.