Epigastric Hernia Surgery

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Procedure Description

Epigastric hernia surgery is a common procedure performed to repair hernias that form between the navel and the lower part of the sternum. Epigastric hernias occur when fatty tissue or part of the intestine pushes through a weakness in the abdominal wall’s muscles, leading to a small bulge or swelling in the upper abdomen. This type of hernia is particularly prevalent among adults, often linked to obesity, heavy lifting, or abdominal strain. Surgery is usually recommended to alleviate pain, prevent complications, and repair the weakened area, restoring the abdomen's structural integrity.

The surgical approach can vary based on the hernia’s size, the patient’s health, and the surgeon’s preference. Common techniques include open surgery and laparoscopic (minimally invasive) surgery. In open surgery, the surgeon makes an incision over the hernia site, identifies the hernia sac, and pushes the herniated tissue back into place. A synthetic mesh is often used to reinforce the abdominal wall and prevent recurrence. In laparoscopic surgery, small incisions are made, and specialized instruments, along with a camera, allow the surgeon to visualize and repair the hernia internally. Both methods aim to achieve the same outcome but differ in recovery time and potential complications.

For patients with minimal symptoms or small hernias, a "watchful waiting" approach may be suggested initially. However, in cases where the hernia is causing discomfort or complications such as strangulation or obstruction, surgery becomes essential. Strangulation, a serious complication where the blood supply to the herniated tissue is compromised, is a primary reason why many patients opt for prompt surgical repair. Epigastric hernia surgery thus not only relieves pain but also safeguards against potentially life-threatening complications.

Procedure Duration

The duration of epigastric hernia surgery varies depending on the chosen method. For open surgery, the procedure typically lasts between 30 minutes to one hour. Laparoscopic surgery, due to the use of specialized instruments and careful maneuvering within smaller incisions, can sometimes extend the duration slightly. Despite these differences, both types of surgeries are generally considered outpatient procedures, meaning most patients can go home the same day.

Recovery time also depends on whether open or laparoscopic surgery was performed. Patients who undergo laparoscopic surgery may experience less postoperative pain and a shorter recovery time compared to those who have open surgery. Typically, most patients can resume light activities within one to two weeks. However, full recovery can take up to four to six weeks, especially for individuals with physically demanding jobs. During recovery, patients are advised to avoid heavy lifting, strenuous activities, and excessive bending to allow the abdominal wall to heal effectively.

Beyond the physical recovery, follow-up appointments are essential to ensure successful healing and monitor for any signs of recurrence or complications. Patients may need to visit their surgeon once or twice post-surgery, usually within the first month. Adhering to post-surgical guidelines and gradually reintroducing physical activities play a critical role in minimizing the chances of recurrence and achieving a successful recovery.

Benefits

  • Reduced Pain and Discomfort: Alleviates the abdominal pain associated with the hernia.
  • Prevention of Complications: Reduces the risk of strangulation, obstruction, or other severe complications.
  • Improved Abdominal Strength: Restores integrity to the abdominal wall, enhancing strength and stability.
  • Minimally Invasive Options Available: Laparoscopic methods provide a less invasive alternative, leading to faster recovery.
  • Long-Term Solution: With reinforcement techniques like mesh placement, the likelihood of hernia recurrence is significantly minimized.

Potential Destinations

  • Thailand
    Known for its high-quality healthcare at competitive prices, Thailand is a preferred destination for epigastric hernia surgery. Medical tourists benefit from advanced technology, internationally accredited hospitals, and highly skilled surgeons, particularly in major cities such as Bangkok.
  • India
    India offers world-class hernia treatment facilities, often at a fraction of the cost found in Western countries. Hospitals in cities like Mumbai, Delhi, and Bangalore are renowned for their expertise in laparoscopic procedures and have dedicated facilities catering to international patients.
  • Turkey
    Turkey’s medical tourism sector has grown significantly, with Istanbul and Ankara being hotspots for hernia surgeries. Many Turkish hospitals hold international accreditations and offer comprehensive services, from advanced surgical techniques to post-operative care, often with attractive medical tourism packages.
  • Mexico
    As a popular choice for North American patients, Mexico provides a convenient and affordable destination for hernia repair surgeries. With modern hospitals and highly trained surgeons in cities such as Tijuana and Mexico City, patients can expect quality care within a reasonable travel distance.
  • United Arab Emirates
    The UAE, particularly Dubai and Abu Dhabi, has a reputation for state-of-the-art medical facilities. Hospitals here offer luxury-level care, highly skilled surgeons, and minimally invasive hernia repair options, making it an appealing choice for those seeking a blend of quality care and comfort.

Risks & Considerations

  • Infection Risk: Though rare, infections at the incision site or around the mesh implant can occur. Preventative antibiotics and careful post-operative hygiene help minimize this risk.
  • Recurrence: There’s a slight chance of hernia recurrence, particularly in cases where large hernias or certain lifestyle factors are present. Mesh reinforcement reduces this risk but does not eliminate it entirely.
  • Chronic Pain: Some patients may experience chronic pain at the hernia site due to nerve irritation. Pain management techniques and follow-up care can help address this complication if it arises.
  • Mesh Complications: In cases where mesh is used, potential complications include mesh movement or rejection, which can require additional intervention.
  • Anesthesia Risks: As with any surgery, there is a minor risk of adverse reactions to anesthesia. A pre-operative evaluation minimizes these risks.

How to Choose the Right Doctor and Hospital

When selecting a doctor and hospital for epigastric hernia surgery, prioritize facilities with a proven track record in hernia repair. Look for hospitals that offer minimally invasive techniques, as they often lead to quicker recovery times and lower complication rates. It is also essential to verify the surgeon’s credentials and experience with hernia repair surgeries, particularly if you are considering laparoscopic options.

A quality facility will offer comprehensive pre- and post-operative care, including consultations, imaging services, and follow-up appointments. In addition, patient-centered services, such as translation assistance, flexible scheduling, and aftercare support, are valuable for international patients undergoing medical treatment abroad.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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