Emergency Inguinal Hernia Surgery vs. Elective Inguinal Hernia Surgery

Inguinal hernia is a very common disorder, affecting millions of people in the United States alone. Considered to be a surgical disease, inguinal hernia accounts for thousands of annual operations worldwide.

Although inguinal hernia can occur in both sexes, the disorder predominantly affects men. Also, this type of hernia has the highest incidence in the elderly, people who frequently sustain physical effort and smokers. Inguinal hernia usually occurs on the background of a weak lower abdominal wall, allowing the internal soft tissues to pierce through it. The symptoms of inguinal hernia are: abdominal pain and discomfort (which intensify with intense physical effort or sudden moves), abdominal bloating and nausea. Some people with inguinal hernia are asymptomatic, rendering the process of diagnosing the disorder a lot more difficult.

There are many factors that can lead to the development of inguinal hernia, such as birth defects, internal disorders or acquired weaknesses of the abdominal wall. In the recent past, the majority of patients who were diagnosed with inguinal hernia were suggested to have their disorder surgically corrected as soon as possible. However, nowadays there are many debates over the necessity of surgical intervention when dealing with patients diagnosed with inguinal hernia. Although the surgery for inguinal hernia is a simple procedure, most patients experience a post-operative recurrence of the disorder. Hence, in many cases the surgical treatment for inguinal hernia only provides temporary relief, and most patients who suffer surgical hernia repair are later hospitalized due to complications.

Physicians have begun to doubt the efficiency of most surgical treatments for inguinal hernia and nowadays they only recommend surgical interventions to patients with complicated forms of the disorder. The majority of patients diagnosed with uncomplicated inguinal hernia nowadays have the possibility to decide whether they will have their hernia surgically repaired or not and in many cases, the best option for patients is to delay surgery until it is absolutely required. Statistics reveal that the patients who have their inguinal hernia surgically corrected can in time experience a relapse of the disorder and they are actually more exposed to developing complications than the patients who delay their surgery.

In many cases, the factors that lead to the recurrence of inguinal hernia in patients who suffer surgery are related to native predispositions. It seems that most patients who experience a post-operative recurrence of their inguinal hernia have a weak abdominal wall or other internal physiological abnormalities. The categories exposed to the highest risk of relapse are: people with native defects of the internal organs (gastrointestinal problems), people with physiological abnormalities of the abdominal wall and people whose careers involve intense physical activities. Patients who belong to these categories are advised to delay their inguinal hernia surgery for as long as possible, in order to prevent a recurrence or even an aggravation of the disorder.

Laparoscopic Surgery – A New Approach in the Medical Treatment for Morgagni Hernia

Morgagni hernia is a type of hernia that occurs due to congenital abnormalities at the level of the retroxiphoid area. The congenital abnormalities presented by people with Morgagni hernia involve an unusual positioning of the diaphragm. In patients diagnosed with Morgagni hernia, the diaphragm takes the shape of a triangle, and this triangular region has been called “the foramen of Morgagni”. Morgagni hernia commonly occurs in the right side of the lower abdomen, although the congenital diaphragmatic defect is sometimes bilateral.

The process of diagnosing Morgagni hernia can be very problematic for doctors, as most patients with this type of hernia don’t always have specific symptoms. In some cases, the hernia can generate gastrointestinal or respiratory symptoms, rendering doctors unable to promptly establish a correct diagnose. Sometimes, Morgagni hernia can involve obstruction of the bowel, in which case the disorder is easier to identify. The most common symptoms of hernia in both children and adults are: abdominal pain that intensifies with movement, swollen abdomen, difficulty breathing, nausea and vomiting.

When doctors suspect the presence of Morgagni hernia in patients, they can reveal additional signs of the disorder by performing X-ray tests, computerized tomography, MRI (magnetic resonance imaging), or laparoscopy. In the last few years, laparoscopy has proved to be a very reliable medical procedure, suitable for both diagnosing and treating Morgagni hernia. Laparoscopic surgery is performed via a laparoscope, a thin, tube-shaped medical instrument that has a small camera attached to its lower end. The laparoscope is introduced inside the body through the oral cavity and down the esophageal tract, until it reaches inside the abdominal cavity. The doctors are able to observe the progress of the procedure on a TV screen, receiving real-time images captured by the laparoscopic video-camera.

Laparoscopic surgery has revolutionized the medical treatment for many types of internal disorders and nowadays this modern medical procedure is preferred by surgeons over traditional surgery. Traditional surgery, also referred to as open surgery, requires wide abdominal or thoracic incisions. Open surgery has a high morbidity rate, as patients can develop a wide range of post-operative complications (internal bleeding, infections, etc). People who suffer traditional, open hernia surgery recover slowly and need to remain in the hospital for a few weeks after the operation. Also, patients who suffer traditional surgery remain with large, prominent abdominal scars.

Laparoscopic surgery is much safer than the traditional approach, as the procedure can be performed a lot faster and requires smaller incisions. Laparoscopic surgery minimizes the risks of complications and hence, has a very low morbidity rate. Patients who suffer laparoscopic surgery recover a lot faster and they need a shorter period of hospitalization. Furthermore, thanks to the small incisions required in laparoscopic surgery, patients remain with minimal abdominal scars. Laparoscopic surgery is a reliable medical procedure in the treatment of Morgagni hernia. Due to its various advantages, this modern form of surgery is preferred both by surgeons and patients.