Hernia Repair (Inguinal)

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Procedure Description

Inguinal hernia repair is a surgical procedure designed to treat hernias in the groin area, where the abdominal contents, typically fat or part of the intestine, push through a weak spot in the lower abdominal wall. This type of hernia is most common in men but can also occur in women, often resulting in a noticeable bulge in the groin that can cause discomfort or pain, especially when bending, lifting, or coughing. Hernias do not resolve on their own, and in many cases, surgery is recommended to prevent complications like incarceration or strangulation, where blood flow to part of the intestine is compromised.

There are two primary approaches to inguinal hernia repair: open hernia repair and laparoscopic (minimally invasive) hernia repair. In an open hernia repair, the surgeon makes an incision near the hernia and pushes the protruding tissue back into the abdomen. A mesh is usually placed to reinforce the abdominal wall, reducing the likelihood of recurrence. In laparoscopic hernia repair, small incisions are made, and a camera is used to guide the surgeon in placing the mesh internally. Laparoscopic procedures typically result in quicker recovery times and smaller scars but may not be suitable for all patients depending on the hernia's specifics.

In addition to these, robotic-assisted hernia repair is an emerging option that combines the precision of robotic technology with minimally invasive techniques, offering enhanced visualization and flexibility in complex cases. Each approach has its indications and potential benefits, with the choice depending on the patient's unique condition, health status, and preferences.

Procedure Duration

The duration of an inguinal hernia repair procedure varies based on the type of surgery performed and the complexity of the hernia. On average, open hernia repair takes about 45 minutes to an hour, while laparoscopic or robotic-assisted hernia repair may require one to two hours. Before the procedure, the patient undergoes pre-operative assessments, including blood tests, imaging, and medical history reviews, which help the surgical team prepare for any complexities.

Recovery time after inguinal hernia repair differs for each patient but generally spans from a few days to several weeks. Many patients are able to return to light activities within one to two weeks, though complete recovery may take up to six weeks for open surgeries. For minimally invasive procedures, patients typically resume normal activities within two weeks. However, heavy lifting and intense physical activity should be avoided for several weeks to ensure the surgical area heals fully and to prevent recurrence.

In the post-operative phase, patients may experience mild to moderate pain, which can be managed with prescribed medication. The risk of infection or other complications is generally low but can vary depending on individual health factors. Regular follow-up appointments are crucial to monitor recovery and to address any concerns, ensuring optimal healing and long-term outcomes.

Benefits

  • Minimally Invasive Options: Laparoscopic and robotic-assisted approaches result in smaller incisions, reduced scarring, and quicker recovery times.
  • Prevention of Complications: Surgery significantly reduces the risk of hernia incarceration and strangulation, which can lead to serious complications if untreated.
  • Pain Relief: The procedure alleviates discomfort and pain associated with hernias, especially during physical activities.
  • Improved Quality of Life: Patients often experience enhanced physical functionality and overall quality of life post-surgery.
  • Reduced Recurrence Rates: Use of mesh reinforcement in repairs lowers the chance of hernia recurrence, providing long-term stability.

Potential Destinations

  • India: Known for its cost-effective healthcare solutions and advanced facilities, India offers experienced surgeons specializing in minimally invasive hernia repairs. Many medical tourists opt for India for its affordability and high-quality care standards.
  • Turkey: With a rapidly growing reputation in medical tourism, Turkey offers state-of-the-art medical facilities, particularly in cities like Istanbul. High standards of patient care, combined with competitive pricing, make it a preferred destination for hernia repairs.
  • Mexico: For patients in North America, Mexico is a convenient option that offers both open and laparoscopic hernia repair surgeries at competitive prices. Cities like Tijuana and Cancun have modern healthcare facilities catering to international patients.
  • Thailand: Thailand is a top medical tourism hub with hospitals known for their hospitality and quality of care. Bangkok and Chiang Mai offer advanced surgical options, including laparoscopic hernia repairs, in facilities staffed with English-speaking medical professionals.
  • United Arab Emirates: With advanced healthcare infrastructure, especially in Dubai and Abu Dhabi, the UAE is increasingly popular among medical tourists. The hospitals offer cutting-edge surgical technology and a range of services, catering to international standards of care.

Risks & Considerations

  • Recurrence: Although rare, there is a small risk of hernia recurrence, especially if the abdominal wall remains weak or if the patient engages in strenuous activities prematurely.
  • Infection: Post-operative infections, though uncommon, may occur. They are typically managed with antibiotics but can delay recovery in some cases.
  • Chronic Pain: Some patients experience chronic pain after surgery, often due to nerve irritation or scar tissue formation. In most cases, this can be managed with medication or physical therapy.
  • Mesh Complications: In cases where a mesh is used, complications such as mesh migration or adhesion may occur, though advanced techniques have minimized these risks.
  • Anesthesia-Related Risks: Both open and laparoscopic surgeries typically involve general or local anesthesia, which carries risks such as allergic reactions, breathing difficulties, or cardiovascular complications.

How to Choose the Right Doctor and Hospital

When choosing a doctor and hospital for inguinal hernia repair, consider the surgeon's experience and success rate with similar procedures, especially if you are considering a minimally invasive approach. Look for surgeons certified by reputable medical boards and with specialized training in hernia repairs.

Equally important is selecting a hospital with a strong focus on patient care, post-operative support, and infection control standards. International accreditations and reviews from other medical tourists can provide valuable insights into the quality and reliability of the facility, helping you make a well-informed decision.

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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The stem cells used for treatment of a thin endometrium include mesenchymal stem cells. In addition, successful repair of the endometrium in pregnancy with stem cells has been reported previously.

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