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BAJAJ FINSERV HEALTH LIMITED
Open Inguinal Hernia Repair
Find the best hospitals for Open Inguinal Hernia Repair on the Bajaj Finserv Health platform.
Minimum Cost
₹13,000
Average Cost
₹60,100
Maximum Cost
₹2,25,000
- Surgery Time: 1-2 hours
- Recovery Time: 2-4 weeks
- Hospitalization Days: <1 days
- Chances of Recurrence: Low
- Success Rate: High
Quick links
- What is Open Inguinal Hernia Repair Surgery?
- Types of Open Inguinal Hernia Repair Operation
- When is Open Inguinal Hernia Repair Surgery Required
- How to Prepare for Open Inguinal Hernia Repair Surgery?
- What Happens Before Open Inguinal Hernia Repair Surgery?
- What Happens During Open Inguinal Hernia Repair Procedure?
- Summary
- Methods/Techniques Used for Performing Open Inguinal Hernia Repair Surgery
- Post Procedure Details
- Risks and Complications Associated with Open Inguinal Hernia Repair Surgery
- Why Bajaj Health?
What is Open Inguinal Hernia Repair Surgery?
Open inguinal hernia repair surgery is a medical procedure performed to address inguinal hernias, which occur when soft tissue protrudes through a weak spot or tear in the abdominal muscles. Inguinal hernias commonly manifest as bulges in the groin area and can cause pain and discomfort. Open surgery involves making an incision in the groin to access the hernia and repair the weakened abdominal wall. During the procedure, the surgeon carefully pushes the protruding tissue back into place and reinforces the abdominal wall with sutures or mesh. Open inguinal hernia repair is typically conducted under general anesthesia, and the incision site may vary depending on the specific type of hernia or the surgeon's preference.
Types of Open Inguinal Hernia Repair Operation
Bassini Repair:
One of the earliest methods developed for inguinal hernia repair, the Bassini technique involves suturing the inguinal floor to reinforce the weakened abdominal wall. Although less common today, it may be considered for certain patients based on individual circumstances.
Shouldice Repair:
The Shouldice technique is a popular open hernia repair method that focuses on reconstructing the natural anatomy of the inguinal region using multiple layers of sutures. This meticulous approach aims to provide durable repair and reduce the risk of recurrence.
McVay (Cooper Ligament) Repair:
McVay repair involves attaching the inguinal ligament to the Cooper ligament in the pelvis to create a secure closure. This method is often employed for femoral hernias, which occur lower in the groin and are less common than inguinal hernias.
Lichtenstein Repair:
A modern approach to open hernia repair, the Lichtenstein technique uses a flat mesh to reinforce the weakened area, reducing tension and promoting a quicker recovery. This method has become popular due to its simplicity and effectiveness. In summary, open inguinal hernia repair surgery encompasses various techniques, each with its own advantages and considerations. The choice of method is made as per factors such as the patient's health, the type of hernia, and the surgeon's expertise.
When is Open Inguinal Hernia Repair Surgery Required
Open inguinal hernia repair surgery becomes necessary when an individual is diagnosed with an inguinal hernia—a condition where soft tissue, commonly a portion of the intestine, protrudes from a weakened spot in the abdominal muscles. The decision to opt for surgical intervention is often influenced by factors such as the size of the hernia, the severity of symptoms, and the overall health of the patient.
Size and Severity of the Hernia:
Large Hernias: When the hernia is large and causes significant discomfort or pain, surgery may be recommended to prevent complications and improve the patient's quality of life. - Irreducible Hernias: If the hernia cannot be pushed back into the abdominal cavity, it is termed irreducible. This condition may lead to a strangulated hernia, cutting off blood supply to the protruding tissue; this is a medical emergency that needs immediate surgical intervention.
Persistent Symptoms:
Pain and Discomfort: Individuals experiencing persistent pain or discomfort associated with the hernia are candidates for surgery. This is particularly true if the pain is interfering with daily activities or if over-the-counter pain medications provide only temporary relief. - Bulging and Swelling: Visible bulging or swelling in the groin area, especially during activities like lifting or straining, is an indication that the hernia is not resolving on its own.
Complications:
Strangulation: Strangulation occurs when the blood supply to the herniated tissue is compromised. This is a serious complication which should be immediately addressed to prevent tissue damage and potential infection. - Obstruction: If the hernia is causing a blockage in the intestine, leading to symptoms like nausea, vomiting, problem in passing gas or stool, surgery may be necessary to relieve the obstruction.
Patient's Overall Health:
Age and Health Status: The decision to perform open inguinal hernia repair surgery also considers the patient's age and overall health. Younger, healthier individuals may undergo surgery more easily, but the procedure can be adapted for older adults or those with pre-existing medical conditions.
How to Prepare for Open Inguinal Hernia Repair Surgery?
Medical Evaluation:
Consultation with the Surgeon: A detailed discussion with the surgeon will include a review of the patient's medical history, current medicine schedule and any allergies. This helps in assessing the overall health and determining the most suitable surgical approach.
Preoperative Testing:
Blood Tests and Imaging: The surgeon may prescribe blood examinations and/or other medical tests (such as ultrasound or CT scans) to evaluate the hernia's size and assess the surrounding structures. These tests aid in planning the surgery and anticipating potential challenges.
Medication Management:
Adjustment of Medications: Certain medications may need to be stopped for the time being, such as blood thinners; this is done to reduce the risk of bleeding during and after the procedure. Patients should follow their surgeon's instructions regarding medication management.
Fasting Instructions:
NPO (Nothing by Mouth): Typically, patients are instructed not to eat or drink anything after midnight on the night before the surgery. This fasting period is crucial to minimize the risk of complications related to anesthesia.
Home Arrangements:
Postoperative Support: Patients are advised to arrange for someone to accompany them to the hospital on the day of surgery and to assist with transportation back home. Having a support system in place for the initial days of recovery is essential.
Preoperative Instructions:
Hygiene and Skin Preparation: Following any specific preoperative hygiene instructions provided by the surgeon is important to minimize the risk of infection. This may include using a special soap or cleanser on the day of the surgery.
Clothing and Personal Items:
Comfortable Clothing: Wear loose, comfortable clothing on the day of surgery to make it easier to change into a hospital gown. Patients should also pack personal items, such as toiletries, for their hospital stay.
Final Consultation:
Final Q&A with the Surgeon: Before the surgery, patients typically have a final consultation with the surgeon to address any remaining questions or concerns. This is an opportunity to clarify postoperative care instructions and discuss the expectations during recovery.
What Happens Before Open Inguinal Hernia Repair Surgery?
Before undergoing open inguinal hernia repair surgery, patients typically go through a series of preparatory steps to ensure a safe and effective procedure. The following outlines the key aspects of what happens before the surgery:
Medical Assessment:
Consultation with the Surgeon: Patients meet with their surgeon for a detailed consultation. This involves discussing the patient's medical history, current medications, and any allergies. The surgeon evaluates the size and severity of the hernia, considering individual factors that may impact the surgical approach.
Diagnostic Tests
Blood Tests and Imaging: Depending on the surgeon's recommendations, patients may undergo blood tests and imaging studies, such as ultrasound or CT scans. These diagnostic tests provide crucial information about the hernia's characteristics and aid in surgical planning.
Medication Review:
Adjustment of Medications: Certain medications, especially blood thinners, may need to be stopped temporarily before the surgery to lower the risk of excessive bleeding during and after the procedure. Patients receive clear instructions regarding medication management.
Fasting Instructions:
NPO (Nothing by Mouth): To reduce the risk of complications related to anesthesia, patients are typically instructed to not eat/drink anything after midnight on the night before the surgery. This fasting period ensures an empty stomach during the procedure.
Preoperative Hygiene:
Special Cleansing Instructions: Patients may be provided with specific instructions for preoperative hygiene to minimize the risk of infection. This may involve using a special soap or cleanser on the day of the surgery.
Anesthesia Consultation:
Meeting with Anesthesiologist: In cases where general anesthesia is administered, patients meet with the anesthesiologist before the surgery. The anesthesiologist reviews the patient's medical history, discusses anesthesia options, and addresses any concerns the patient may have.
Discussion of Risks and Benefits:
Informed Consent: Before the surgery, the surgeon explains the potential risks and benefits of the open inguinal hernia repair procedure. This discussion ensures that the patient is fully informed and can provide informed consent for the surgery.
Arrangements for Postoperative Care:
Support System: Patients are advised to arrange for someone to accompany them to the hospital on the day of surgery and to assist with transportation back home. Having a support system in place for the initial days of recovery is essential.
Final Consultation:
Q&A Session: Before the surgery date, patients often have a final consultation with the surgeon. This is a chance to address any remaining questions/concerns, clarify postoperative care instructions, and discuss what to expect during the recovery period.
What Happens During Open Inguinal Hernia Repair Procedure?
The open inguinal hernia repair procedure is a surgical intervention aimed at correcting the hernia by reinforcing the weakened abdominal wall. The following steps outline what typically happens during the open inguinal hernia repair procedure:
Anesthesia Administration:
Induction of Anesthesia: The patient is taken to the operating room, and anesthesia is administered. The choice of anesthesia may include general anesthesia or local/regional anesthesia, which numbs the specific area while the patient remains awake.
Incision:
Groin Incision: The surgeon makes an incision in the groin, directly over the hernia site. The size and location of the incision is based on factors such as the type and size of the hernia, as well as the surgeon's preference.
Hernia Exposure:
Identification of Hernia Sac: After the incision, the surgeon carefully exposes the hernia sac, which contains the protruding tissue. The sac is then examined to assess its contents and determine the appropriate course of action.
Reduction of Hernia Contents:
Pushing Hernia Contents Back: The surgeon gently pushes the hernia contents, typically a portion of the intestine, back into the abdominal cavity. This process is called reduction.
Repairing the Hernia Defect:
Suturing or Mesh Placement: The surgeon reinforces the weakened abdominal wall by either suturing the tissues together or placing a mesh patch over the hernia defect. The choice of method depends on the size of the hernia and the surgeon's preference.
Closure of Incision:
Suture Closure: The incision in the groin is meticulously closed with sutures. In some cases, absorbable sutures may be used, eliminating the need for their removal in the postoperative period.
Dressings and Bandages:
Application of Dressings: The surgical site is covered with sterile dressings, and a supportive bandage may be applied to provide additional protection and minimize swelling.
Postoperative Monitoring:
Recovery Room Stay: After the procedure, the patient is moved to the recovery room for monitoring. Vital signs are closely observed.
Pain Management:
Pain Relief Measures: Pain management is initiated to ensure that the patient is comfortable during the recovery period. This may involve the use of medicines through intravenous (IV) lines or oral medications.
Postoperative Instructions:
Patient Education: Before discharge, the surgical team provides the patient with postoperative care instructions, including information on activities to avoid, wound care, and signs of potential complications. Follow-up visits are scheduled for observing the patient's progress.
Summary
open inguinal hernia repair surgery involves a thorough preoperative preparation phase, ensuring that the patient is in optimal condition for the procedure. During the surgery, the hernia is identified, hernia contents are reduced, and the weakened abdominal wall is repaired. Postoperatively, patients receive appropriate care and guidance to facilitate a smooth recovery process.
Methods/Techniques Used for Performing Open Inguinal Hernia Repair Surgery
Open inguinal hernia repair surgery employs various methods and techniques to address the hernia and reinforce the weakened abdominal wall. The choice of method depends on factors like the size and type of hernia, the surgeon's expertise, and the patient's overall health. Here are some common methods:
Bassini Repair:
One of the earliest techniques, the Bassini repair involves suturing the inguinal floor to strengthen the abdominal wall. While less common today, it may be considered for specific cases.
Shouldice Repair:
The Shouldice technique focuses on multi-layered suturing to reconstruct the natural anatomy of the inguinal region. This meticulous approach aims to provide durable repair and reduce the risk of recurrence.
McVay (Cooper Ligament) Repair:
McVay repair involves attaching the inguinal ligament to the Cooper ligament in the pelvis to create a secure closure. This method is often employed for femoral hernias, occurring lower in the groin.
Lichtenstein Repair:
A modern approach, the Lichtenstein technique uses a flat mesh to reinforce the weakened area. This method reduces tension on the repair site, promoting a quicker recovery. It has gained popularity for its simplicity and effectiveness.
Modified Shouldice Repair:
An adaptation of the traditional Shouldice repair, this method combines sutures with mesh reinforcement. It aims to balance the durability of the repair with the advantages of mesh in certain cases.
Plug and Patch Repair:
This technique involves placing a synthetic plug into the hernia defect and reinforcing it with a mesh patch. It provides additional support to prevent recurrence.
Desarda Technique:
The Desarda technique is a tissue-based repair that involves using a strip of external oblique aponeurosis to reinforce the inguinal floor. It is considered an innovative alternative to mesh-based repairs.
Open Tension-Free Repair:
Similar to the Lichtenstein repair, this approach uses a mesh to reinforce the abdominal wall without placing tension on the repair site. It is designed to minimize postoperative pain and enhance recovery.
Post Procedure Details
After undergoing open inguinal hernia repair surgery, patients enter a postoperative phase that involves careful monitoring, pain management, and gradual return to normal activities. Here are the key post-procedure details:
Recovery Room Stay:
After the surgery, patients are taken to the recovery room for close monitoring. Vital signs, such as oxygen levels, heart rate and blood pressure are observed to ensure a smooth transition from anesthesia.
Pain Management:
Pain relief measures are implemented to manage postoperative discomfort. This may include the use of pain medications through intravenous (IV) lines or oral medications. The goal is to keep the patient comfortable during the initial recovery period.
Postoperative Instructions:
Patients receive detailed postoperative care instructions from the surgical team. These instructions cover aspects such as wound care and restriction of routine activity.
Follow-up Appointments:
Scheduled follow-up appointments are arranged to monitor the healing process. During these visits, the surgeon assesses the surgical site, addresses any concerns or questions the patient may have, and adjusts the postoperative care plan as needed.
Resumption of Activities:
Patients can gradually resume normal activities, avoiding strenuous physical exertion during the initial recovery period. Light activities may be encouraged as tolerated, with a gradual increase in intensity based on individual recovery progress.
Wound Care:
Proper wound care helps prevent infection. Patients are instructed on how to care for the incision site. Any signs of infection, such as more redness or swelling, should be promptly reported to the medical team.
Dietary Guidelines:
Patients may receive dietary guidelines to support recovery, including eating a balanced diet rich in nutrients and staying well-hydrated. Good nutrition plays an important role in the healing process.
Activity Restrictions:
Temporary restrictions on certain activities, such as heavy lifting or strenuous exercises, are commonly advised during the initial recovery phase. These restrictions help prevent strain on the repaired abdominal wall and reduce the risk of complications.
Risks and Complications Associated with Open Inguinal Hernia Repair Surgery
Infection:
There is a risk of infection at the surgical site. Strict adherence to preoperative hygiene measures and postoperative wound care guidelines helps minimize the risk of infection.
Bleeding:
Excessive bleeding could happen during or after the surgery. Preoperative assessment of medications that can affect bleeding, and careful surgical technique helps minimize the risk of bleeding.
Hematoma or Seroma Formation:
Collection of blood (hematoma) or fluid (seroma) at the surgical site. Proper closure of incisions and minimizing tissue trauma during surgery can lower the risk of hematoma or seroma formation.
Recurrence of Hernia:
In some cases, the hernia may recur after surgery. The choice of an appropriate surgical technique, proper mesh placement, and patient compliance with postoperative care instructions contribute to reducing the risk of recurrence.
Chronic Pain:
Some patients may feel chronic pain at the surgical site. Techniques that minimize tension on the repair site, such as tension-free repairs, are designed to reduce the risk of chronic pain.
Nerve Damage:
Injury to nerves in the vicinity of the surgical site, leading to temporary or permanent sensory changes. Careful dissection and identification of nerves during surgery help minimize the risk of nerve damage.
Mesh-related Complications:
Complications associated with the use of mesh, such as infection or mesh migration. Proper placement and fixation of the mesh, along with adherence to sterile techniques, help reduce the risk of mesh-related complications.
Anesthetic Complications:
Adverse reactions to anesthesia, respiratory issues, or cardiovascular complications. Thorough preoperative assessment and collaboration with an experienced anesthesiologist help minimize the risk of anesthetic complications.
Urinary Retention:
Difficulty in emptying the bladder following surgery. Adequate fluid management and monitoring of urinary function during the postoperative period can help prevent urinary retention.
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DisclaimerThe cost of open inguinal hernia repair depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.