Question 1

What is Hernia Treatment?

Accepted Answer

Regardless of its location, the treatment of hernia is surgery. It cannot be treated with any medication or regressed on its own.

Patients may feel relief in their complaints with hernia tie, corset, sports underwear, but these methods do not contribute to the treatment of hernia; It also does not protect against disease-related risks. Moreover, these apparatus, which are used for a long time, may cause difficulties during the surgical intervention as they will cause adhesions in the region.

Question 2

What Happens If It Is Not Treated?

Accepted Answer

Since the organ that bulges from the abdominal wall is often the intestines, if it gets stuck in the hernia sac, its circulation is impaired, the operation becomes an emergency, and this part of the intestine, which has deteriorated and gangrenous during the operation, may need to be removed.

The amount of botulinum toxin and the application area are important in the stomach botulinum toxin process. With the right amount of dose and the right application area, the procedure helps to successfully manage the weight loss process.
After 30-45 minutes, liquid food intake is provided and the patient is discharged. A special nutrition program for botulinum toxin modified in accordance with the daily life and eating habits of the patient, and a nutrition follow-up program are provided. At appropriate intervals, the patient’s nutrition program is followed by a dietitian.

Question 3

Inguinal Hernia Treatment

Accepted Answer

Regardless of the location, the aim in hernia surgery is to close the weak area of the abdominal wall with synthetic/composite/biological patch material (mesh). form of repair; can be classified according to the layer where the patch is located. The patch is placed on the muscle; It can be placed on the back of the muscle or directly into the abdomen.

Question 4

-Laparoscopic (Closed) Inguinal Hernia Repair

Accepted Answer

These are surgeries performed under general anesthesia. Like all laparoscopic surgeries, carbon dioxide gas is used in the procedure. These are the surgeries performed with special devices and camera-guided through 3 entrances of 0.5-1 cm in size placed on the abdominal wall. The hernia area is reached from behind by entering between the abdominal wall and the peritoneum. A large workspace is created. A larger patch material is placed than the open repair. This patch material can be self-adhesive and 3-dimensional, as well as many patch types made from different raw materials.

The patient group in which it is most advantageous is bilateral and recurrent hernias. However, it is applied in all hernia cases in clinical practice. It usually requires 1 night of hospitalization. It does not require restriction of movement after discharge. No stitches or dressings are required.

Question 5

Tension Free Inguinal Hernia Repair (Open Method)

Accepted Answer

It is a repair usually performed with spinal (needle anesthesia from the waist). In open repair, after the skin and subcutaneous layers are passed, the muscle sheath is opened and the hernia area is reached. The peritoneum, called the hernia sac, is separated from the testicular canal and vascular structures and separated up to the abdominal wall. At this point, the peritoneum is tied and a flat surface is obtained. The patch covering potential hernia areas is laid on this flat surface and attached to the inguinal tendon and muscle layer with sutures. It usually requires 1 night of hospitalization. It requires movement restriction for the safety of the sutures for 4-6 weeks after discharge. No stitches or dressings are required.

Question 6

Why Laparoscopic Inguinal Hernia Repair?

Accepted Answer

Postoperative patient comfort is higher than in open repairs.
Post-operative pain is less.
Work, exercise and return to normal life are faster.
Chronic pain, which can be seen due to compression of the nerves in the region after open surgeries, is less common after closed repairs.
Compared to open repairs, the disease is less likely to recur.

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