3 Surgical treatment

A herniaDerived from the Greek word “hérnos” (bud, sprout, protrusion). Hernia with congenital or acquired gap in the abdominal wall or diaphragm (hernial orifice) through which the peritoneum (hernial sac), possibly together with parts of the intestines, protrudes. must always be operated on since the hernia opening will never close on its own. Furthermore, surgery should be performed as soon as possible to prevent the dangers posed by strangulation of portions of the intestines and/or omentum. There is no other treatment option. Even if under certain circumstances the hernial sacEvagination of the peritoneum that protrudes through a hernial orifice. It may contain hernia contents. is repositionReturn to its original site.ed in the abdominal cavityLatin term: cavitas abdominalis. The region of the trunk situated between the diaphragm and pelvis containing the abdominal organs. The abdominal cavity is lined with the peritoneum., it will be pushed forwards through the hernia opening once again the next time there is a rise in abdominal pressure, for example when coughing, thus expanding the latter. The use of conservative treatment methods, such as wearing a hernia trussBelt-like device used as a conservative treatment method for abdominal wall hernias. This is supposed to keep the intestines in place within the abdominal cavity, preventing them from protruding outwards through the hernial orifice. (a belt-like device intended to keep abdominal structures in place within the abdominal cavity) have not only not proved very useful, but have even turned out to be harmful. On using a hernia truss, the abdominal muscles can retract, making the abdominal wallThe anterior tissue structures (skin, subcutaneous adipose tissue as well as muscle layers) enclosing the abdominal cavity. more unstable and thus increasing the risk of further hernias. Moreover, under certain circumstances serious injuries can be caused by the pressure exerted on the skin beneath the hernia truss.
Hernia operations are the most commonly conducted type of surgical procedures. Certain surgical techniques have proved useful whereby the surgeon repositions the hernia contentsThe components of the abdominal cavity, such as intestines or greater omentum, contained within the hernial sac. in the abdominal cavity, closes the hernia opening and stabilizes the tissue. Which surgical method is the most appropriate will depend on the nature and extent of the hernia as well as on the patient’s everyday demands and age. There are various methods to close hernia openings – for example merely suturing methods where sutures are used to treat and stabilize the hernia, or methods using a synthetic meshFor some surgical techniques used to treat hernias, an artificial mesh is implanted for additional stabilization of the tissue in the region of the hernial orifice.. In principle, it is possible to perform the operation in a conventional open surgery method or by means of an endoscopic (also called laparoscopic or minimally invasive) technique.