Which type of hernia is more complicated?

Complex hernias include those involving abdominal wall reconstruction and recurrent hernias, which include all hernias that reappear after a previous repair. Hernias that require abdominal wall reconstruction are the most complex and, therefore, of most concern.


Which hernia is more complicated?

Hiatal Hernias

Surgery to repair this type of hernia is usually more complicated and may require a longer stay in hospital.

Which is worse direct or indirect hernia?

Indirect inguinal hernias are more likely to cause bowel obstruction than direct inguinal hernias. This is because that tunnel described above, the inguinal canal, can be narrow. The narrow area enlarges as the canal travels downward. The narrow area can strangulate the tissue which is further herniated down the canal.


What is complicated and uncomplicated hernia?

Abdominal hernias are either complicated or uncomplicated. Uncomplicated hernias are reducible, meaning the loop of intestine that is bulging through the abdomen wall can be massaged back into place. Uncomplicated hernia will need surgery at some point to repair the opening in the abdominal wall.

What is complicated inguinal hernia?

Complicated inguinal hernia: an inguinal hernia that is either irreducible (incarcerated) or associated with mechanical bowel obstruction and/or strangulation. Occult inguinal hernia: an inguinal hernia that is not identifiable on physical examination.


What to Know About Complicated Hernia Repairs



How to differentiate between direct and indirect inguinal hernia?

A direct inguinal hernia shows a bulge from the posterior wall of the inguinal canal, whereas an indirect inguinal hernia passes through the inguinal canal or the groin. In the indirect inguinal canal, it is difficult to feel the defect as it occurs behind the external oblique muscle fibers.

What are the 3 types of hernias?

Common types of hernias include umbilical hernia, inguinal hernia, and femoral hernia.

Which hernia does not require surgery?

You may be able to wait to have surgery if: Your hernia goes away when you lie down, or you can push it back into your belly. This is called a reducible hernia. It's small, and causes few -- or no -- symptoms (these may never need surgery)


What type of hernia requires surgery?

About Incisional Hernias

In most occurrences, only the abdominal lining protrudes, making incisional hernias less severe than other types. However, incisional hernias do not heal on their own and require surgical treatment to repair.

Is hernia complicated surgery?

Large or complex abdominal wall hernias are a challenging surgical problem. Abdominal wall reconstruction is an advanced surgical procedure that restores the normal function of the abdominal wall. It is recommended for patients with advanced hernias and requires specialized surgical expertise.

Which hernia has highest risk of strangulation?

Incarceration of inguinal hernia occurs in approximately 10% of cases which in turn can lead to intestinal obstruction, strangulation and infarction. Among these complications, strangulation is the most serious with potentially lethal sequelae.


Which type of hernia is painful?

Typically, patients with ventral hernias describe mild pain, aching or a pressure sensation at the site of the hernia. The discomfort worsens with any activity that puts a strain on the abdomen, such as heavy lifting, running or bearing down during bowel movements. Some patients have a bulge but do not have discomfort.

Which type of hernia is painless?

However, many hernias do not cause pain. An inguinal hernia isn't necessarily dangerous. It doesn't improve on its own, however, and can lead to life-threatening complications. Your doctor is likely to recommend surgery to fix an inguinal hernia that's painful or enlarging.

How serious is an inguinal hernia?

Inguinal hernias are dangerous because they tend to keep getting larger and your intestine can get trapped inside the bulge and lose its blood supply. This is called a strangulated inguinal hernia, and surgery may be needed to correct the problem.


What is severe hernia?

Hernias often involve organs in your digestive system, from your stomach to your intestines. If your hernia is severe, the affected organ can get trapped in your muscle wall. It's called an incarcerated hernia, and it can cause digestive issues like nausea, upset stomach, and vomiting.

Which hernia is easiest to incarcerate?

Femoral hernia - Originating below the inguinal ligament, a femoral hernia passes through the transversalis fascia and through the femoral canal; it presents a high risk of incarceration.

Can you live with a hernia without surgery?

Hernias don't go away on their own. Only surgery can repair a hernia. Many people are able to delay surgery for months or even years. And some people may never need surgery for a small hernia.


How long is a hernia surgery?

The operation usually takes about 30 to 45 minutes to complete and you'll usually be able to go home on the same day. Some people stay in hospital overnight if they have other medical problems or live on their own.

How long is recovery from hernia surgery?

Most people are able to return to work within 1 to 2 weeks after surgery. But if your job requires that you do heavy lifting or strenuous activity, you may need to take 4 to 6 weeks off from work. You may shower 24 to 48 hours after surgery, if your doctor okays it. Pat the cut (incision) dry.

Is hernia surgery low risk?

Overall, the risk for complications in inguinal hernia repair is low (2.9–8%). If complications occur, then in 78% of all cases they are manageable by conservative means (Clavien-Dindo grades I and II).


What is the best medicine for hernia?

Abdominal Hernias Medication
  • Antibiotics.
  • Local Anesthetics.
  • General Anesthetics.
  • Antianxiety Agents.
  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
  • Analgesics.


Which surgery is best for hernia open or laparoscopic?

Recent studies have shown that in the short term laparoscopic repair is superior to open repair in terms of less blood loss, fewer perioperative complications, and shorter hospital stay. Long-term outcomes such as recurrence rates are yet unknown.

Which type of hernia is life threatening and requires immediate surgery?

A strangulated hernia occurs when blood can no longer reach the herniated tissue. In this case, the tissue is in danger of dying. Strangulation is considered a very dangerous condition, and emergency surgery is required as soon as possible.


What type of hernia is rare?

Internal hernia is a rare type of hernia in which the abdominal content herniates through the defect in the peritoneal cavity, which is found either congenitally or is acquired.

What is the most common abdominal hernia?

An inguinal hernia is the most common of the abdominal hernias and occurs when a portion of the bowel protrudes out through an opening in the abdominal muscles into the groin. The bulge may contain abdominal tissue, fatty tissue or a loop of intestine.