Can a Hernia Come Back after Surgery | What is the chance of a Hernia Recurrence - Dr. Parthasarathy
HTML-код
- Опубликовано: 24 авг 2024
- What is the chance of a hernia recurrence? How likely is it that a hernia will come back after surgery? Hernia recurrence risk factors, How do you prevent a hernia from coming back? All hernia questions answered by Dr. Parthasarathy - Best hernia surgeon in Hyderabad, India.
#DrParthasarathy #KIMSHospital #HerniaRecurrenceAfterSurgery #RecurrentHernia
#HerniaRecurrenceAfterMeshRepair #UmbilicalHerniaRecurrence #HerniaRepair
#LaparoscopicHerniaRepairSurgery #OpenHerniaSurgery #HerniaSurgeryHyderabad
#HerniaRepairIndia
Summary:
Another common fear that any patient with hernia has is, “Doctor, you are going to do my hernia operation, will it come back again? I have a relative who is an aunty and who has undergone a hernia operation five years ago. Today, she says that her hernia is back. I have also heard similar stories from my friends. Hence, everyone is discouraging me from going for a hernia operation saying, “What is the point? If you get it done now, it will come back after five or ten years. Will I get back the hernia?”
The short answer is, “It depends”. The long answer is, “It depends on what?” Hernia repair is an operation where we try to re-create the weak abdominal wall using reconstruct from the muscles and also by using a mesh. However, the final success of the operation depends on multiple factors. This is because, when the healing is good, the scar is healthy. If the scar is healthy, the hernia does not come back. What are the factors that will decide how successful the hernia operation is going to be? There are certain factors that depends on the patient himself or herself and there are certain factors that depend on the treatment.
Patient factors include patients with diabetes. They have heavy blood sugar. Their tissues quality is poor and thus, their healing is poorer. If they do not have good sugar maintenance, their scar tissue that is going to be formed will be weak. Patients with diabetes can have a higher rate of a failure of hernia operation in the long run, if they do not maintain a good sugar control.
Obese patients - In the patients who are extremely obese, their muscle mass is thinner and the patient gains a lot of weight following a hernia repair. Due to excess stretching, the scar tissue is stretched or pulled and thereby, the hernia repair can give way.
Smokers - The quality of the cement...the body scar can be referred to as cement. It is the cement that the body produces to heal any wound. The quality of this cement or collagen is directly affected by smoking. If the patient continues to smoke after hernia repair, the quality of the scar is very poor and the hernia can come back again.
Patients who have received various radiation therapies - If they have received radiation therapy for any sort of cancer, the tissues are generally damaged due to radiation and the hernia can recur.
There are other factors too, such as patients who have chronic severe coughing, or patients who do very strenuous activities very early after the hernia operation - these patients can have a weakening of the scar.
The second group depends on the treatment.
What sort of treatment was done - What is the experience of the surgeon, the technique used for the hernia repair and was the technique appropriate for that type of hernia. As I told you earlier, certain hernias are best treated laparoscopically and certain hernias are best treated by open surgery. If the surgeon chooses the right operation for the right patient, the chance of success is very high.
Then, we see if a mesh was put - is a mesh put for the repair of hernia. If it is used, what sort of mesh has been used? These are all the factors that will contribute to the final result whether the hernia is going to be cured forever or whether it will come back after a few years.
There is no simple answer to this question, “If I do a hernia repair now, will it come back again?” It depends on so many of these factors and that will be individualized. Generally, we discuss the result of the operation prior to the surgery, with the patient, where we access all these factors and give them a rough estimate of the chances of the success of the hernia operation.
Say Hello!
Our Website: bit.ly/DrPartha
Book Appointment: bit.ly/3g2qNJ0
Call us:+91 73309 90044
Contact: bit.ly/2RdKoO8
Follow us:
Facebook : bit.ly/DrParthaFB
Instagram: / gastrosurgeonindia
Twitter: DrParthasarthy
Location:
Dr.G.Parthasarathy | Best Gastroenterologist in Hyderabad | Hernia & Gall Bladder Specialist
31, KIMS Hospitals, 1-8, 1, Minister Rd, Krishna Nagar Colony, Begumpet, Hyderabad, Telangana 500003
Phone: +91 73309 90044
Email: dr.gpartha@gmail.com
Google Map: bit.ly/DrPartha...
Good video. I met with my surgeon two weeks before my surgery and I'll share what I learned from him. He told me the biggest difference between laparoscopic and open repair would be in time to return to physical activity (two weeks for laparoscopic versus minimum 6 weeks for open). Both involve some level of post surgery pain and and both share similar recurrence rates of 1 to 3% according to him. Laparoscopic is less invasive and thus has a shorter painful period following surgery and recovery time. The biggest factor for recurrence (all other things aside like patient health and compliance with healing restrictions, lifestyle, surgeon experience etc) is mesh versus no-mesh. That is the one decision a patient can make to lessen likelihood of recurrence regarding options for inguinal surgery besides resting for 6 weeks -- opting for mesh. The downside of using mesh is there is an apparent higher likelihood of some chronic pain that ranges from minor to debilitating although the debilitating chronic pain is becoming less likely given advances in techniques and mesh material. So I am now ten days into my recovery having had open inguinal mesh surgery (and I had a small umbilical hernia repaired since I was under anesthesia that did not require mesh due to small size). I am just walking around the house but not lifting anything to allow to heal. I am using stool softener to lessen straining with bowel movements. I am an active person who works out every day and remind myself that the most people who come to RUclips and watch hernia videos and make comments are those who are nervous or who had problems (the 1 to 3% plus the nervous people like me). I will continue to heal slowly like Dr P suggests, taking care of myself and comfort myself that my decision to use mesh was wise as it significantly reduces the likelihood of recurrence. In 6 weeks I will go back to the gym to continue being healthy and fit and my surgeon says from that point on to cut my weight training in half then slowly build up over time and I should return to normal with minimal likelihood of recurrence (100% - 1 to 3% = 97%). Optimism.
Thanks ❤
This is amazing the best explanation in simple words covering all details. Dr You are a blessing Thank you for the explanation. Best wishes
very clear and helpful, thank you sir!
Excellent presentation, Dr. Parthasarathy. Thank you.
Very well explained. Thank you
I am 8 weeks post surgery for upper gastric meshhernia repair. I think the importance is to if possible find out what the initial cause was? For me it was severe ibs and my stomach swelled so bad that the inner pressure tore open an area in my upper stomach and out came a lipid hernia. From now on I watch my diet, eat small and regular and avoid stress. I also think the after care is most important on whether or not the hernia repair heals properly. I have not forced my self to lift things that were heavier than around 7lbs, the first 6 weeks I would even lift my cat or a 4pint of milk. Fortunately I have home help. Also getting up out of bed the correct way and lying flat when sleeping to ensure your abdomen relaxes and this helps heal the incision area. Just being gentle with yourself. 😊
Two years and mine is back......but not exactly in the same spot
No heavy lifting,no coughing,no diabetes here: i am quite devastated!
I do not want a second op, i am 56 years old and have been taking it slowly since i knew there was a bigger chance for me to get a recurrence.
No good at all....but that's just the way it goes!
I’m 73 and I stopped my wife from falling in shower but I got one now
Not sure what to do with no one to help her around and do all the housekeeping and everything
Wat the hell
I guess the best thing you can do after hernia operation is to lose belly fat and avoid heavy lifting pass three months.
I avoided weight lifting for 4 years...still came back :(
@@HummusLad 1.2 cm. Desarda No Mesh Open Surgery.
I work in a desk job no lifting whats so ever and got an umbilical hernia from idk how lol, i think we grew up in the assumption that only heavy lifting or being active can cause a hernia
yeah. I had a hernia all of the sudden@@robinalvarez6840
Five months post laprascopic non mesh surgery and it’s back. Maybe at 80 years of age I was just too old. I thought my surgeon was excellent so not blaming her. I had virtually no pain after surgery but the diet before and after was horrible. So now I’m back to morning jumps etc. I won’t have surgery again and I don’t think anyone would want to do it. My hernia was 12 cm so very large. Evidently half my stomach was in my chest which caused really bad breathlessness. I couldn’t walk but virtually sat and did nothing for months. I’m coping now but disappointed .
Three months before I had umbilical hernia surgery. Again my belly button protruded and did ultrasound and detected hernia. No idea how it came back . Maybe stress , constipation etc. Anyway surgeon advice for LP. Hope I will get well after this.
Hi, I also had umbilical hernia lap without mesh 1 week before....!
Was your hernia repair mesh/non-Mesh 1st & 2nd time ?
Well Done! Thank you.
Actually well explained.
Hello doctor... in 2019 I did umbilical hernia surgery... it was open typed surgery, for first 2 years I didn't had any problem. In 2021 I delivered my baby girl, soon after that I was able to notice a small bump like a pimple, in my stomach where the surgery was done. Initially I was able to see only 1, now in 2023 I can visibly see 6 bump in my stomach 1 after another in a straight line.. I can feel sharp pain whenever someone touches my stomach or I got hit..
Very interesting and doubt-clearing video.
Excellent advice.
My first one lasted 32yrs w/mesh.
Very informative video..thank u soo much doctor
After surgery, the intestines are always pressing against the groin. The intestines will find eventually find a weak spot push there, in time resulting in a breakthrough.
The person can feel the intestines pushing, and should take preemptive action.
Coughing frequently could result in a hernia protruding.
Why though? Why would the intestines do that?
remember -- farting strong and loud will also add into that
what sort of pre-emptive action are you suggesting?
Much needed video thank you so much❤❤❤what if after laparoscopic hernia surgery I started smoking weed and cigarettes, and what If I stop smoking for few months, will the healing resume in a better way??
If smoke life is mishrable
I had hernia repair l refused the mesh l was offered bio mesh but it wasn't needed .lm in alot of pain a day later but l will be fine.
I had inguinal open surgery both side hernia. After two years I feel burning pain around thighs sometimes why? Also a bit pain sometimes.
how long did u have swelling for? im 2 weeks post open incision surgery and ive got a buldge still abve the incision site
@@Connor-kc2ns yes brother and in my case the area where the open Sergery is done becams numb and so many times start paining its been 6 weeks and i started walking after 5 weeks but now it pains sometimes plz reply 🙏🏼🙏🏼
I had inguinal hernia surgery 4 months ago and I feel soreness right below my below button where the groin area is. I keep reading that it takes 3 to 6 months for the new tissue to form with the mesh and that can be the cause of it for me. I am going for a CT Scan next Friday. Nervous as heck.
@douglasmoore5192 how was it and how are you now
Suddenly after 3 months I am having pain ,I did little bit of workout for 2 days and pain came back
hernia k operation k baad agar chakar aane lagay to kya medicine use krni chahiye
WWE superstar Roman Reigns also done hernia operation in year 2014 , and he doing regular Gym and lifting weights, tho usko kuch effect kyun nahi hua batao
Not in every body like that
This doctor was in speed surgery video
Thanks!
Hello sir, please explain risks during esophageal dilatation
For a diabetic senior person is it better to chose a hernia belt instead of a surgery?If surgery is a must what are the precaution to be taken?
Thank you Doctor.Would like to know if can do squats exercises after hiatus hernia surgery with a mesh used
Very informative , thank you.. Its been 10 days i got my bilateral inguinal hernia.. I am having mild pain in my testicles , especially when I am sitting , touching also gives pain ..kindly guide what i should do , I am worried about any further operation .. can i use Ice pack to help reduce the pain.. should I wait for few more days and observe if pain reduces.. kindly help
My hernia was operated when I was 5 years old. Now I'm 31. Can the hernia relapse again? As of late I have pain in the groin region but there is no swelling. Please answer
I was told you can’t work and you just wait for it to break
After how many years after umbilical hernia open surgery repair is it okay to get pregnant?
Aoa.maine 1 month phale hernia iguinal surgery krwai hai bt ab mera pait swell ho gya hai aur uthty hue bed se boht pain hoti hai
I need 2nd surgery today.1st surgery was great.had mesh inserted.less than 1 year my hernia ruptured after I lifted 17 lbs.it popped sound i knew it came back . right now ,not wanting to repeat a surgery.2020 was bad,covid,gallstone surgery,colonoscopy,and 2 deaths, all within 6 months,now my hernia has expanded and now has pain.pain is a 7-8 right now what to do,any advice?
Do I have to do the surgery again
Sir my mom and family members are not allowing me to have chicken and protein and milk like important matters.
Is it ok not to have nonveg after sergery ?
Sir , and advice please! Im right obese (165cms height and 95 kgs). recently in one year i gained weight ! i have ingunal hernia! should i proceed with surgery or should i take time , reduce my weight and do the surgery! pls reply!
Dr ki umbilical hernia open surgery k bad pregnancy possible ha?agar pregnancy ho to us Ka Kia asar pary ga
i had surgery 2 weeks ago left side is hanging fine but right side is fixed near the upper part of scrotum. Please give suggestions anyone.
Dear doctor, laproscopic bilateral inguinal hernia mesh repair and laproscopic choolecysctomy done on 03/02/2023.I am having pain on the right thaigh .please advise .
Likely that is some nerve damage or stressed muscles based on how you are walking and sleeping post-op. It will likely subside in a few more weeks. If it worsens I would get in contact with your physician.
Hello and thank you for the video. 4 weeks after an operation of complicated ingual hernia - a great pain came back after the person climbed the stairs. What can be the explanation of this? The pain is deep. And intense. Now it has lasted for 10 days. What is likely the cause?
How many floor he climbed??
How are you now..same thing happened to me
@@mrmaddy6889 brother can you explain, does it also start paining?
Really good explanation but I’m afraid with the NHS there was no following consultation infact released within 2 hours with no pain relief. 1 / 5 / 22 apart from knowing the mesh is there one year later still holding back the inguinial hernia. The mesh is uncomfortable but not as bad as carrying a hernia
Hi sir, this is mallikarjuna Reddy. I was done inguinal hernia laparoscopy.so right now 45days completed, my problem is where as mesh located in that place was muscle full tighting (swelling).what do sir.
How are you now. My surgery is coming. Please answer
How is it now
I had the right inguinal hernia operation, and my testicles are swollen. Is it going to be the same, or will the swelling come down? Please tell me I'm worried.
is it okay now
@@sourabhkumar6359 its ok now
I had repeated in one year itself
Sir i had open harnia surgery 2 weeks ago. I am feeling not so much now but my tactical at right side is kind of pulled upward. Whereas left side is normal as there is no pulling i am feeling. Please suggest me is it reoccurring of hernia at right side again?
I also had the open hernia Sergery 6 weeks ago i started walking after 5 weeks but now it starts paining sometimes and the place of sergery it gets numb do you feel any thing like me brother? plz reply 🙏🏼🙏🏼
You are from
India ke doctor hi aise hai mainly defence hospital ke doctor meri mother ka 3 times operation kiya mesh Dali phir remove ki nd phir dobara ho gya corruption kro bare level ka nd bhar operate krwao yha ke bas ki nhi hai treat krna
Sir with incisional hernia i can be pregnant or not
Usually small incisional hernias will not be a problem during pregnancy . It is best you consult a surgeon and get it checked before planning the pregnancy .
Sir my gynecology advice at delivery time she will do surgery of hernia.one surgeon said at pregnancy it will be problem what should i do.pls advice
Sir I have recently open surgery 20days back. But in that place very heat feeling sir. Is there any problem in mash
Same here but after 2 years. Merko burning ho rahi sometimes pairo jhango me. Kabhi kabhi
Brother after how many days did you start walking and what kind of operations you had done ? Plz reply
I started walking after 1.5 months after my open hernia repair but sometimes the place of sergery it becames numb and sometimes hurts too plz give me any suggestions 🙏🏼🙏🏼🙏🏼
@@GustavoFring5187 i started walking after 1 day
@@GustavoFring5187 it wil stay numb for 6 months
@@hellobrother8169 in 1 days!? Did you had open Sergery? By walking i meant going outside like school/college or anywhere else for long
Can a hernia recurr 40 years after repair
Depends on many factors
Hlo sir
My belly button is paining like before the surgery I had laparoscopic umbilical hernia surgery but it is paining as well so I think I came again
Is there any chance to have surgery again
Answer please
Is it mesh free surgery? If yes,chances are there.
Let me know the size of hernia and method of surgery (open/lapro)
@@RaveeKumaar
ya sir laparoscopic surgery
Dr told me mesh was fixed and I am feeling still pain and uncomfortable after surgery still my belly button is outie and occasionally bulging and painful about 5 cms radius of belly button and belly muscle is paining majorly right side of bellybutton muscle is paining regularly and I am unable to eat mouthful of food and if I eat a little bit also feeling heavy and if I eat heavy my stomach was paining
and majorly I don't like my outie tummy
so please guide me what to do sir
is there any chances to have surgery again
reply me
@@saradhi1109 How are you?
Not well sir
@@RaveeKumaar sir doctor diagnosed that the hernia again came back
When come to surgery while diagnosing Dr didn't found any evidence of mesh and Dr recommended me to have surgery again
I have recently laproscopy surgery of hitaus hernia but without mesh, is it safe
how are you feeling now? any side effects? or post surgical complications?
Hi, any complications now...?
Smokers not reason hernia
Lifting weights increases your chance of recurrence by 85%. Surgeons won't tell you that. Best thing to do is yoga, walking, hiking, swimming, pilates, etc. Do not go back to lifting weights. Crossfit is probably the worst thing you can do.
how many we should not lift weights
WWE superstar Roman Reigns also done hernia operation in year 2014 , & from last 8 years he lifting weights how?
The first thing surgeons tell you is about lifting weights 😂
@@harshaff6214 until you are 80
what does 'crossfit' mean?
How much long time we have to wear abdominal binder after harnia surgery
I don't think it's necessary to wear abdominal binder
Hlo sir
I have been operated upon the right side ok inguinal hernia laproscopically with a mesh...
After 5 days of the operation there appeared a swelling on the hernia site. Although there is not much pain in that I suspected it to be the failure of the operation. My surgeon told me that it's a seroma formation that will take about 2 months to get disolved on its own. But I m still not convinced... Kindly guide if there is anything to worry?
And today its the 26th day after the surgery, the seroma or whatever it is, still persists as it ws earlier.
Brother do you feel numb the hernia Sergery site or not ? My operation is done 6 weeks ago but now it starts paining as i started walking...
Hi, I had my surgery completed 2 weeks back. Could u tell me when was ur seroma swelling gone?
Sir mujhe tha hernia 2016 me surjury hui and now mjhe fir dubara surjury krwani pd rhi h and right now i m 23 yr old. But i can't understand me na to koi heavy weight nhi lift kr rha tha i just quit gym after that and koi bhi diabetes nahi h.
@Naqueeb Alam bro how are you now...same thing happened with me
@@mrmaddy6889 same thing is with me i had surgery 2 weeks ago left side is hanging fine but right side is fixed near the upper part of scrotum. Please give suggestions anyone.
@@Sardaar_manpreet everything will be fine. Take rest, it's took 4 to 6 month to go
@@mrmaddy6889 bro i have same problem my right side testicle is up and left side is hanging normally , i had surgery on 31 august 2022 , will it become normal??
@@Tarunbhatt28 bro I don't know when it get normal....
Hukkah S bhI