From the Guidelines
I strongly advise against attempting to perform a hernia repair surgery without proper medical training and credentials, as it can lead to serious complications and even death. Hernia repair (herniorrhaphy or hernioplasty) requires surgical expertise, sterile operating conditions, anesthesia, specialized equipment, and proper patient care protocols 1. If you're experiencing symptoms of a hernia, such as a bulge in the abdomen or groin that may disappear when lying down, pain or discomfort at the site, or worsening pain when lifting or straining, you should consult with a healthcare provider. They can properly diagnose your condition and refer you to a surgeon if necessary.
Importance of Proper Medical Training
Attempting to treat or repair a hernia without proper medical training would be extremely dangerous and could lead to serious complications including:
- Infection
- Organ damage
- Death It is crucial to seek medical attention from a qualified healthcare professional for proper diagnosis and treatment.
Laparoscopic Approach
In some cases, a laparoscopic approach may be used for hernia repair, particularly for incarcerated hernias without strangulation or suspicion of bowel resection 1. However, this approach should only be performed by experienced surgeons in a sterile operating environment.
Key Takeaways
- Hernia repair surgery should only be performed by qualified medical professionals with appropriate training and credentials.
- Attempting to treat or repair a hernia without proper medical training can lead to serious complications and even death.
- If you're experiencing symptoms of a hernia, consult with a healthcare provider for proper diagnosis and treatment.
From the Research
Hernia Repair Overview
- Inguinal hernia repair is a common general surgical procedure, with various techniques available, including suture- and mesh-based methods, as well as open and minimally invasive approaches 2.
- The choice of procedure depends on factors such as the patient's sex, hernia type, and symptoms, with laparoscopic or endoscopic procedures often preferred for hernias in women and bilateral hernias 2, 3.
Surgical Techniques
- The totally extraperitoneal patch plasty (TEP), transabdominal preperitoneal patch plasty (TAPP), and Lichtenstein techniques are recommended by international guidelines for inguinal hernia repair 3.
- Surgeons should be proficient in both open and laparo-endoscopic techniques to provide tailored treatment for patients with inguinal hernias 2, 3.
- Laparoscopic repair is associated with shorter recovery time, less pain, and lower recurrence rates compared to open repair 4.
Diagnosis and Management
- Inguinal hernias can be diagnosed by physical examination, while ultrasonography or magnetic resonance imaging may be necessary for women or in cases of suspected recurrence or complications 4.
- Watchful waiting is a reasonable option for men with asymptomatic or minimally symptomatic inguinal hernias, but not recommended for patients with symptomatic hernias or nonpregnant women 4.
Specific Hernia Types
- Umbilical hernias can be repaired using open, laparoscopic, or robotic approaches, with mesh recommended to decrease recurrence rates 5.
- Laparoscopic ventral hernia repair is a safe and effective approach for both elective and emergent repair, with preoperative technical considerations including assessment of incarceration and potential for extensive adhesiolysis 6.