Gastric hernia is a condition in which part of the stomach passes into the rib cage. This can be congenital or acquired and develops in patients with long-term gastric problems such as gastritis and ulcers. The most common complaint of patients is that the food they eat comes into the esophagus and mouth with stomach acid and bile.
The stomach valve prevents the food we take from coming back into the esophagus. Enlargement of this valve or sliding a part of the stomach up into the chest disrupts the valve mechanism and causes a disease called Gastroesophageal Reflux (GERD).
This condition causes constant pain and burning in the rib cage and causes a significant deterioration in the quality of life in our patients. Patients should first undergo gastroscopy to determine the condition. In addition, the presence of reflux should also be determined by 24-hour PH monitoring.
Surgery must be performed in patients with gastric hernia and reflux in advanced stages. Laparoscopic Nissen Funduplication surgery as a surgical treatment solves the problems radically. It is not possible for advanced stage patients to recover with drug treatment.
The surgery takes about 2 hours with the closed method. The valve is repaired and food is prevented from coming back into the esophagus. Patients start feeding the next day and are discharged.
Hernias in the groin area are called inguinal hernias. They can be congenital or develop in adulthood as a result of increased intra-abdominal pressure due to heavy lifting, chronic cough and constipation.
The treatment is surgical correction. In patients without treatment, the intestine may suffocate in the hernia sac and patients may have to undergo risky surgical procedures. Open surgical method and closed (laparoscopic) method can be applied.
The closed method should be preferred in appropriate cases because laparoscopic surgery is less painful and there are no incision-related wound problems. In laparoscopic (Total extraperitoneal hernia repair-TEP) surgery, hernia repair is performed through 3 small holes drilled in the midline of the abdominal wall. After the procedure, which takes about 1 hour, patients need to stay in the hospital for 1 day.
Hernia repair is performed with specially produced patches. These patches are compatible with the tissue and become a part of the body over time. Patients are asked not to lift heavy weights for about 3 months after surgery.
Umbilical hernia (Umbilical Hernia)
Umbilical hernias can be congenital and acquired. They develop in advanced ages due to increased intra-abdominal pressure caused by heavy lifting, chronic coughing and constipation.
The treatment is open or closed (laparoscopic) surgery. The main treatment is the safe closure of the opening, for which the patient’s own tissue or appropriate patches are used.
Hernias developing at the surgical sites (Incisional Hernia)
These are hernias that develop over time at the sites of previous abdominal surgeries. They can be of very different sizes. The larger the hernia area, the more difficult the surgery becomes. It must be operated without delay. Intra-abdominal organs (intestines, omentum) are often present in the hernia opening. If the hernia is strangulated, intestinal death may occur and this part of the intestine may need to be cut out.
In the repair process, the patient’s own tissue is sufficient for repair in small hernias, while special patches are required in large hernias.Leave a reply