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INGUINAL HERNIA

UNDERSTANDING THE PROBLEM

An inguinal hernia occurs when contents of the abdomen - usually fat or part of the small intestine - bulge through a weak area in the lower abdominal wall.
The abdomen is the area between the chest and the hips. The area of the lower abdominal wall is also called the inguinal or groin region.
Inguinal hernias occur at the inguinal canal in the groin region.

Two types of inguinal hernias are:

  • indirect inguinal hernias, which are caused by a defect in the abdominal wall that is congenital, or present at birth
  • direct inguinal hernias, which usually occur only in male adults and are caused by a weakness in the muscles of the abdominal wall that develops over time
UNDERSTANDING WHO SUFFERS
  • Males are much more likely to develop inguinal hernias than females. About 25 % of males and about 2 % of females will develop an inguinal hernia in their lifetimes. A woman may get a hernia while she is pregnant because of the pressure on her belly wall.
  • Some people who have an inguinal hernia on one side will have or will develop a hernia on the other side.
  • People of any age can develop inguinal hernias. Indirect hernias can appear before age 1 and often appear before age 30; however, they may appear later in life.
  • Premature infants have a higher chance of developing an indirect inguinal hernia.
  • The incidence of incarcerated or strangulated hernias in paediatric patients is 12-16%.
  • 50% of these occur in infants aged younger than 6 months.
  • Hernias and hydroceles occur in 1-3% of full-term infants.
  • Direct hernias, which usually only occur in male adults, are much more common in men older than age 40 because the muscles of the abdominal wall weaken with age.
  • People with a family history of inguinal hernias are more likely to develop inguinal hernias. Studies also suggest that people who smoke have an increased risk of inguinal hernias.
POTENTIAL SIGNS AND SYMPTOMS

Inguinal hernia signs and symptoms include:

  • A bulge in the area on either side of the pubic bone, which becomes more obvious when in upright position, especially when coughing or straining.
  • A burning or aching sensation at the bulge
  • Pain or discomfort in the groin, especially when bending over, coughing or lifting
  • A heavy or dragging sensation in the groin
  • Weakness or pressure in the groin
  • Occasionally, pain and swelling around the testicles when the protruding intestine descends into the scrotum

Incarcerated hernia

If not able to push the hernia in, the contents of the hernia can be trapped (incarcerated) in the abdominal wall. An incarcerated hernia can become strangulated, which cuts off the blood flow to the tissue that's trapped. A strangulated hernia can be life-threatening if it isn't treated.

Signs and symptoms of a strangulated hernia include:

  • Nausea, vomiting or both
  • Fever
  • Sudden pain that quickly intensifies
  • A hernia bulge that turns red, purple or dark
  • Inability to move the bowels or pass gas

Signs and symptoms in children

Inguinal hernias in newborns and children result from a weakness in the abdominal wall that's present at birth. Sometimes the hernia will be visible only when an infant is crying, coughing or straining during a bowel movement. He or she might be irritable and have less appetite than usual.
In an older child, a hernia is likely to be more apparent when the child coughs, strains during a bowel movement or stands for a long period.

EXAMINATIONS USUALLY REQUIRED

A health care provider would normally diagnoses an inguinal hernia through:

  • Medical and family history, which may help diagnose an inguinal hernia. Often the symptoms that the patient describes will be signs of an inguinal hernia.
  • Physical exam - may ask the patient to stand and cough or strain so the health care provider can feel for a bulge caused by the hernia as it moves into the groin or scrotum. The health care provider may gently try to massage the hernia back into its proper position in the abdomen.
  • imaging tests, including x rays
PROPOSING TREATMENT AND WHY AIMIS

Surgery for Hernia Repair

If your doctor recommends surgery for a disorder, you may be a candidate for a minimally invasive approach - da Vinci Surgery.
Because it is minimally invasive, the precision of robotic technology is ideal for delicate and complex surgeries around the chest and abdomen AIMIS is an expert in Robotic Surgery for Robotic Assisted Hernia Repair including for:

Inguinal Hernia - Herniorrhaphy, Hernioplasty - Inguinal, Surgical repair with/without grafts, Femoral Hernia - Femorocele repair; Herniorrhaphy; Hernioplasty – femoral, Surgical repair with/ without grafts, Umbilical Hernia - Surgical repair with or without grafts, Ventral Hernia - Surgical repair with grafts and Hiatal Hernia - Surgical repair with/without grafts, Nissen Fundoplasty

Da Vinci Surgery uses state-of-the-art technology to assist doctors in performing a range of delicate operations for hernias and offers several potential benefits over traditional open and laparoscopic surgery, including:

  • Greater precision and Low rate of recurrence
  • Low rate of pain
  • Low conversion rate to open surgery
  • Low rate of major complications
  • Virtually scar less surgery with da Vinci Single Site Surgery®
  • High patient satisfaction
  • Reduced risk of blood loss
  • Shorter hospital stay

To see the procedures we undertake with Robotic Xi Surgery, please click here

GETTING MORE INFORMATION BEFORE MOVING FORWARD
YOU MAY HAVE QUESTIONS LIKE:
  • Can I get more information before I commit to this?
  • Can I get a second opinion from you before I commit to this?
  • How can I find out the cost before I have any obligation?
WHAT AIMIS CAN DO:

AIMIS will provide a full review, diagnosis and potential surgical options for your condition, after receiving the relevant examinations and information from you. They will also provide an estimate for your surgical procedure before you decide.

AIMIS’ mission is to the provision of “true” healthcare for those who require it. It provides world leading surgeons using state of the art procedures to optimize potential surgical outcomes, whilst taking care of all arrangements so as to allow concentration on recovery.

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AFFORDABILITY

AIMIS provide competitive prices for state of the art procedures. We also work with a large range of Insurance companies where your policy allows you to have surgery abroad.

 

FURTHER INFORMATION ON THE PROBLEM:

If hernia is small and not bothering, the doctor might recommend watchful waiting. In children, the doctor might try applying manual pressure to reduce the bulge before considering surgery. Enlarging or painful hernias usually require surgery to relieve discomfort and prevent serious complications.

There are three general types of hernia operations - open hernia repair, laparoscopic repair and Robotic. In Open hernia repair, after general anaesthesia, the surgeon makes an incision in the groin and pushes the protruding tissue back into the abdomen, often reinforcing it with a synthetic mesh (hernioplasty) before the opening is then closed with stitches, staples or surgical glue.

Laparoscopy and Robotic Surgery, are both minimally invasive procedure after general anaesthesia, the surgeon operates through several small incisions in the abdomen. Guided by the camera, the surgeon inserts tiny instruments through other incisions to repair the hernia using synthetic mesh.

In the case of Robotic single site surgery the surgeon can operation through the belly button only providing virtually scar less surgery

FURTHER INFORMATION ON INCREASED RISK GROUPS

Factors that contribute to developing an inguinal hernia include:

  • Being male. Men are eight times more likely to develop an inguinal hernia than are women.
  • Being older. Muscles weaken as you age.
  • Being white.
  • Family history. Having a close relative, such as a parent or sibling, who has the condition
  • Chronic cough, such as from smoking.
  • Chronic constipation. Constipation causes straining during bowel movements.
  • Pregnancy. Being pregnant can weaken the abdominal muscles and cause increased pressure inside the abdomen.
  • Premature birth and low birth weight.
  • Heavy lifting
  • Obesity
  • Previous inguinal hernia or hernia repair. Even if the previous hernia occurred in childhood, there is a higher risk of developing another inguinal hernia.
FURTHER EXAMINATION THAT MAYBE REQUIRED OR REQUESTED

Imaging tests.

A health care provider does not usually use imaging tests, including x rays, to diagnose an inguinal hernia unless he or she:

  • is trying to diagnose a strangulation or an incarceration
  • cannot feel the inguinal hernia during a physical exam, especially in patients who are overweight
  • is uncertain if the hernia or another condition is causing the swelling in the groin or other symptoms

Tests may include the following:

  • Abdominal x ray.
  • Computerized tomography (CT) scan.
  • Abdominal ultrasound.
WHY AIMIS FOR THIS SURGERY

AIMIS is an expert in Robotic Surgery for Robotic Assisted Hernia Repair including:

Inguinal Hernia - Herniorrhaphy, Hernioplasty - Inguinal, Surgical repair with or without grafts, Femoral Hernia - Femorocele repair; Herniorrhaphy; Hernioplasty – femoral, Surgical repair with or without grafts, Umbilical Hernia - Surgical repair with or without grafts, Ventral Hernia - Surgical repair with grafts and Hiatal Hernia - Surgical repair with/without grafts, Nissen Fundoplasty
and other minimal invasive procedures involving the best American and International surgeons who are experts in the field.

Da Vinci Surgery uses state-of-the-art technology to assist doctors in performing a range of delicate operations for Hernia Repair and offers several potential benefits over traditional open and laparoscopic surgery, including:

  • Greater precision and Low rate of recurrence
  • Low rate of pain
  • Low conversion rate to open surgery
  • Low rate of major complications
  • Virtually scar less surgery with da Vinci Single Site Surgery®
  • High patient satisfaction
  • Reduced risk of blood loss
  • Shorter hospital stay

Some procedures can be achieved through the belly button traditional single incision laparoscopy or da Vinci® Single-Site® Surgery. The da Vinci System features a magnified 3D high-definition vision system and flexible Single-Site instruments. These features enable your doctor to operate with enhanced vision and precision and provide virtually scar less surgery.

OTHER SERVICES PROVIDED BY AIMIS

In addition to its Innovative Healthcare, AIMIS provides seamless service along the way. From the start of your journey you'll know the best flights to take, where you'll be staying, what paperwork you will need. You will have a personal assistant assigned; from your pick up at the airport, to your accommodation, continuous assistance at your pre-consultation, through surgery and in your postsurgical care. Our Patients have said that they feel they have become "part of our family" and some even asked to stay a little longer! AIMIS is here to assist you in an all you requirements, allowing you to focus on your health and recovery.

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