E-mail: moc. This article has been cited by other articles in PMC. There is dearth of literature comparing the outcomes of open herniotomy in children using various surgical approaches. This study was aimed at evaluating the efficacy of open herniotomy by comparing external ring incision, hernial sac twisting and whether or not double ligation has benefit over a single suture application. Patients were randomly assigned into four groups: RO had external ring opened, hernial sac twisted and doubly ligated , ST had hernial sac twisted and doubly ligated without opening the ring , DL had double ligation of hernial sac without ring opening nor twisted while SL had single ligation of hernial sac with neither ring opening nor sac twisting. Results: A total of repairs were done.
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Overview A herniorrhaphy refers to the surgical repair of a hernia , in which a surgeon repairs the weakness in your abdominal wall. A hernia occurs when a weak area in the muscles of your abdominal wall allows an internal part of your body to push through. If you have a direct hernia, which bulges from your abdominal wall, the surgeon will push the bulge back where it belongs and then repair the weak spot in your muscle wall by stitching the edges of the healthy muscle tissue together.
When the area of muscle to be repaired is large, surgeons may sew a synthetic mesh over it to reinforce it. This procedure is referred to as a hernioplasty. The chance of a hernia recurring following surgery is low. The likelihood of reoccurrence varies based on the type of hernia and the surgical procedure. Prior to the introduction of mesh, hernias reappeared in roughly 15 percent of people who underwent surgery.
The use of mesh has reduced this number. Surgery procedure Prior to the procedure, your doctor will need to conduct a full examination to confirm that you have a hernia. Let your doctor know if you smoke, have a history of blood clots , or are taking blood thinners or large doses of aspirin. Hernia repair may be accomplished either in an open fashion or laparoscopically key-hole surgery. While the chances of recurrence are similar with either technique, post-operative pain is less with laparoscopic surgery.
The steps of the procedure itself are as follows: You will be given a local or general anaesthetic depending upon the specifics of the surgery. Following anaesthesia, you may need to be shaved to expose the skin. An incision will then be made parallel to the line of your inguinal ligament.
Once the hernia sac has been identified, the surgeon will place the protruding organs back into place and then either stitch your abdominal wall or insert the mesh for larger areas. They will then close their original incision and apply a suitable dressing. You should make arrangements to be collected from the hospital.
Recovery It takes around three weeks to recover from a herniorrhaphy. You should be able to carry out light activities and have sexual intercourse after this time. Strenuous activity should not be undertaken until at least six weeks after the operation. To decrease your risk of hernia recurrence, most surgeons recommend not lifting any weight greater than a gallon of milk for between two to six weeks.
Some swelling is common at the site of the incision following a herniorrhaphy. In order to reduce any pain and swelling, place a clean, thin cloth over the area and apply some ice or a cold pack for around 20 minutes.
This can be done every couple of hours. Contact your doctor if: the incision becomes red and warm the incision is bleeding through your dressing.
Search this website What is Herniotomy The procedure of herniotomy is a surgery of the abdomen, in order to cure a hernia. In the following paragraphs, a more detailed explanation about this procedure has been provided. The hernia is a condition that causes an acute discomfort to people suffering from it. The surgical procedure which is used to cure and basically, rectify hernia is known as herniotomy.
What is Herniotomy
View at Google Scholar A. If the perforation is too big, then the mesh will be able to slide up and down and then it will be possible for the mesh to shift its position resulting in a recurrence. Hernia repair — Wikipedia Absorbable suture for fascia closure. Historical evolution of inguinal hernia repair. Hernia operations have a high success rate. There is a need for a simple technique that does not require the same equipment and training as the laparoscopic hegniotomy but still results in low risk of chronic pain. Data analysis was conducted using a web-based epidemiologic and statistical calculator for public health OpenEpi software version 2.
Open inguinal herniotomy: Analysis of variations
Overview A herniorrhaphy refers to the surgical repair of a hernia , in which a surgeon repairs the weakness in your abdominal wall. A hernia occurs when a weak area in the muscles of your abdominal wall allows an internal part of your body to push through. If you have a direct hernia, which bulges from your abdominal wall, the surgeon will push the bulge back where it belongs and then repair the weak spot in your muscle wall by stitching the edges of the healthy muscle tissue together. When the area of muscle to be repaired is large, surgeons may sew a synthetic mesh over it to reinforce it. This procedure is referred to as a hernioplasty.