Epigastric Hernia Repair

Accurate diagnosis is crucial for effectively treating and managing an epigastric hernia. Diagnosing epigastric hernias typically involves a comprehensive medical history review and a physical examination by a gastroenterology consultant. This process often includes physical examinations and imaging tests like ultrasound or CT scans to confirm the hernia’s presence and extent. Ultrasound, a non-invasive method, is particularly useful for detecting hernias not visible during a physical examination. These techniques provide detailed images of the abdominal area, aiding in accurate diagnosis and treatment planning.

Early diagnosis can prevent complications and ensure timely intervention. This consultation is vital for planning surgery and addressing potential issues beforehand.

Preparing for surgery

Proper preparation is crucial for a smooth epigastric hernia surgery and recovery. This involves a thorough preoperative consultation and following specific pre-surgery instructions to minimise risks and ensure the best outcomes. Losing weight, getting as fit as you can a stopping smoking are all ways you can minimise complications of the surgery that may lead to the hernia coming back.

Being well-prepared can make a significant difference in the surgical experience and recovery process. Patients are typically advised to stop eating and drinking after midnight the night before surgery, with exceptions for necessary medications. You might be advised to stop certain medications, such as blood thinners and anti-inflammatory drugs, several days before the procedure to reduce the risk of complications.

Epigastric hernia surgery is performed under general anaesthesia, ensuring comfort and pain-free experience throughout the procedure.

In some cases, epigastric hernias may necessitate emergency surgery if symptoms indicate incarceration or strangulation.

The surgical procedure begins with a small incision between the belly button and the sternum, allowing the surgeon to access the hernia. Using either open or laparoscopic techniques, the surgeon will then reposition the herniated tissue back into the abdominal cavity and repair the defect using sutures or a mesh patch for reinforcement.

This method ensures a robust repair and reduces the risk of recurrence.

Mesh versus Suture Repair

In epigastric hernia repair, the choice between mesh and suture repair depends on the size and complexity of the hernia. Suture repair involves stitching the muscle layers together, suitable for smaller hernias, but has the downside of having a higher rate of further hernia. Mesh repair, which uses a synthetic patch to reinforce the abdominal wall, is preferred for larger or complex hernias due to its lower recurrence rates, however mesh is not without potential complication.

Both techniques have their benefits, and the decision is often made based on individual patient factors and will be discussed with you by the surgeon involved in your care.

Recovery after epigastric hernia repair varies per individual, but most patients can resume light activities within a few weeks. Prompt treatment of epigastric hernias, especially when causing pain or discomfort, can prevent complications and enhance recovery outcomes. It’s important to follow the surgeon’s advice on post-operative care, which may include pain management, wound care, and physical activity restrictions.

Immediate Post-Surgery Care

After surgery, patients can expect some soreness and tenderness around the surgical site, which can be managed with painkillers provided by the hospital. Bruising and tenderness are common but typically resolve within a week.

It is essential to monitor the surgical site for signs of infection, such as redness, discharge, or increased pain. Additionally, there is a risk of a strangulated hernia, which occurs when the blood supply to the affected tissue is cut off, making it a life-threatening condition that requires emergency surgery. Symptoms of a strangulated hernia include severe pain, nausea, and redness around the hernia site, and it is crucial to seek medical attention promptly if these symptoms arise.

Long-Term Recovery

Long-term recovery from epigastric hernia surgery generally involves a gradual return to normal activities within a few weeks. Most epigastric hernias are asymptomatic but may require surgical intervention if pain or other complications occur. Patients are typically advised to avoid heavy lifting and strenuous activities for about four to six weeks to allow the abdominal wall to heal properly.

Gentle exercises like walking are encouraged to promote healing, while those with physically demanding jobs may need to take additional time off work.