What is the chance of a hernia recurrence? How likely is it that a hernia will come back after surgery? Hernia recurrence risk factors, How do you prevent a hernia from coming back? All hernia questions answered by Dr. Parthasarathy - Best hernia surgeon in Hyderabad, India.
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Summary:
Another common fear that any patient with hernia has is, “Doctor, you are going to do my hernia operation, will it come back again? I have a relative who is an aunty and who has undergone a hernia operation five years ago. Today, she says that her hernia is back. I have also heard similar stories from my friends. Hence, everyone is discouraging me from going for a hernia operation saying, “What is the point? If you get it done now, it will come back after five or ten years. Will I get back the hernia?”
The short answer is, “It depends”. The long answer is, “It depends on what?” Hernia repair is an operation where we try to re-create the weak abdominal wall using reconstruct from the muscles and also by using a mesh. However, the final success of the operation depends on multiple factors. This is because, when the healing is good, the scar is healthy. If the scar is healthy, the hernia does not come back. What are the factors that will decide how successful the hernia operation is going to be? There are certain factors that depends on the patient himself or herself and there are certain factors that depend on the treatment.
Patient factors include patients with diabetes. They have heavy blood sugar. Their tissues quality is poor and thus, their healing is poorer. If they do not have good sugar maintenance, their scar tissue that is going to be formed will be weak. Patients with diabetes can have a higher rate of a failure of hernia operation in the long run, if they do not maintain a good sugar control.
Obese patients – In the patients who are extremely obese, their muscle mass is thinner and the patient gains a lot of weight following a hernia repair. Due to excess stretching, the scar tissue is stretched or pulled and thereby, the hernia repair can give way.
Smokers - The quality of the cement...the body scar can be referred to as cement. It is the cement that the body produces to heal any wound. The quality of this cement or collagen is directly affected by smoking. If the patient continues to smoke after hernia repair, the quality of the scar is very poor and the hernia can come back again.
Patients who have received various radiation therapies – If they have received radiation therapy for any sort of cancer, the tissues are generally damaged due to radiation and the hernia can recur.
There are other factors too, such as patients who have chronic severe coughing, or patients who do very strenuous activities very early after the hernia operation - these patients can have a weakening of the scar.
The second group depends on the treatment.
What sort of treatment was done - What is the experience of the surgeon, the technique used for the hernia repair and was the technique appropriate for that type of hernia. As I told you earlier, certain hernias are best treated laparoscopically and certain hernias are best treated by open surgery. If the surgeon chooses the right operation for the right patient, the chance of success is very high.
Then, we see if a mesh was put – is a mesh put for the repair of hernia. If it is used, what sort of mesh has been used? These are all the factors that will contribute to the final result whether the hernia is going to be cured forever or whether it will come back after a few years.
There is no simple answer to this question, “If I do a hernia repair now, will it come back again?” It depends on so many of these factors and that will be individualized. Generally, we discuss the result of the operation prior to the surgery, with the patient, where we access all these factors and give them a rough estimate of the chances of the success of the hernia operation.
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Dr.G.Parthasarathy | Best Gastroenterologist in Hyderabad | Hernia & Gall Bladder Specialist
31, KIMS Hospitals, 1-8, 1, Minister Rd, Krishna Nagar Colony, Begumpet, Hyderabad, Telangana 500003
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