Discovering a lump in your abdomen or learning you have a hernia can be alarming, and the thought of surgery may seem unavoidable. While it’s true that surgery is the only permanent solution for a hernia, there’s some reassurance in knowing that hernia surgeries are among the most frequently performed surgical procedures.
What is Hernia?
A hernia happens when an organ pushes through a gap in the muscle or tissue that normally contains it. For instance, the intestines might protrude through a weakened spot in the abdominal wall. While hernias commonly develop in the abdomen between the chest and hips, they can also occur in the upper thigh and groin regions. Although most hernias aren’t life-threatening right away, they won’t heal on their own. In some cases, surgery may be necessary to prevent serious complications.
Types of Hernia
There are 2 main types of hernia:
- Inguinal Hernia
Inguinal hernias, the most common type, occur when the intestines push through a weak spot in the lower abdomen, often in the inguinal canal. This canal is located in the groin and is more susceptible in men due to incomplete closure after the testicles descend at birth. - Umbilical Hernia
Umbilical hernias can occur in children and babies when the intestines push through the abdominal wall near the belly button, often noticeable as a bulge when the child cries. This type of hernia usually resolves on its own by age 1 or 2, as the abdominal muscles strengthen. If it persists beyond age 5, surgery may be needed.
If you think you have a hernia, your first step is to book an appointment with your doctor. Hernias don’t heal on their own, so it’s crucial to consult with a surgeon hernia specialist who can assess your situation and create a personalized treatment plan.
Is surgery always necessary for a hernia?
Recognizing hernia symptoms and consulting a doctor is crucial. Untreated hernias don’t resolve on their own and can lead to serious complications. A doctor can evaluate your hernia and recommend appropriate treatment. While lifestyle changes and early medical care can help manage symptoms, surgery is the only definitive treatment. Various hernia repair surgeries exist, and a surgeon will suggest the best option for you. The prognosis after surgery is generally positive, though the hernia might recur depending on your condition and health.
Here are 2 signs that it’s time to see a doctor about a possible or confirmed hernia.
- You have a bulge
If you have a hernia, you may notice a bulge that becomes more visible when coughing or straining. Symptoms can range from mild to severe pain or pressure in the area, which may worsen during activities like lifting or straining. - You are feeling ill
If you have a hernia and start feeling unwell, it could indicate a serious complication like strangulation, where part of the intestine or tissue is trapped and lacks blood supply. Seek emergency care immediately if you experience fever, nausea, vomiting, chills, blood in stool, or difficulty with bowel movements and passing gas.
Can You Postpone or Avoid Hernia Surgery?
After your doctor evaluates your condition, they will determine if surgery is necessary. In some cases, your doctor may recommend monitoring the hernia rather than immediate surgery if:
● The hernia is small and isn’t causing pain or discomfort.
● The symptoms are minor and don’t significantly impact your daily life.
● You can easily push the hernia back in place.
● The hernia disappears when you lie flat on your back.
The Bottom Line
Deciding whether to undergo hernia surgery is usually straightforward, but it’s important to make this decision with the guidance of an experienced hernia surgeon, like those at our practice. We invite you to contact us to schedule a consultation with one of our surgeons. During your visit, you’ll understand your options clearly, including the potential risks and benefits of waiting versus proceeding with surgery.
Authored by Dr. Patta Radhakrishna
