Hernia can happen at any age. Here's how to identify and best treat hernia, according to professional surgeon
8 September 2020
| Last updated on 28 April 2021Hernia can occur at any age and requires specialist care. It may restrict one’s lifestyle and may require emergency surgery if left untreated over a long period of time.
Professor Amir Nisar, Consultant General Surgeon and Head of Department of Surgery at Mediclinic Parkview Hospital in Dubai, explains what hernia is, what type of surgery is available for hernia, and the expected recovery time.
What is hernia?
Hernia is a weakness in the abdominal or stomach wall, which leads to a bulge in the area.
Most hernias are found in the middle of the abdomen; the groin, or around the upper abdomen.
Hernias may not present any complaints or issues to a person initially; however, pain and enlargement of the hernia lump generally occurs over some period of time. Some small hernias can cause pain without any obvious lump.
A hernia can present at any age; in a new born or elderly. It's recommended that a person should get advice from a surgeon with specialist interest experience in hernia surgery.
The hernia diagnosis will be confirmed and appropriate advice will be provided to the patient regarding conservative or surgical treatment.
In the past, hernia surgery was carried out by trainee surgeons without supervision, which led to a high recurrence (hernia reappearing after the initial operation) of hernias.
Groin or Inguinal hernia surgery is one of the most common operations performed in the United Kingdom. More than 100,000 operations are carried out yearly.
The UK's National Institute of Clinical Excellence's (NICE) guidelines advised surgeons and patients:
- Laparoscopic Hernia Surgery being superior to open hernia surgery
- This was also recommended that surgery should be performed with Laparoscopic approach for bilateral and recurrent inguinal hernias; especially TEP (Totally ExtraPeritoneal) approach was endorsed
- It was recommended that surgeons who are well trained and possess good experience in Laparoscopic hernia surgery should carry out these repairs
Where can you find surgery for hernia in Dubai?
The General Surgery Department at Mediclinic Parkview Hospital offers world class hernia treatment with Professor Amir Nisar’s laparoscopic approach covering:
- First time one sided Inguinal hernia
- Inguinal hernia on both sides
- Recurrent hernia
- Complex groin hernias
- Femoral hernia
- Obturator hernia
- Umbilical hernia (large hernias)
- Incisional hernia (small or large hernias)
The options also include mini-scarless surgery, a new innovation Professor Amir Nisar is providing in Dubai at Mediclinic Parkview Hospital’s General Surgery Department.
This has by far proven the best cosmetic results, with quick and relatively pain-free recovery.
The accumulative length of the incisions for this operation is 1.1cm (11mm or 0.4 Inch). In scarless surgery, the inside is the same as the standard Totally Extra Peritoneal (TEP) repair, which is minimally invasive and generally considered as a Gold standard globally; accumulative incision length of 4 cm (40mm or 1.6 inches).
This is also the only-surgical approach for hernia repair which generally does not require any post-operation restrictions on mobility, exercise or lifting weight.