HERNIAS FAQ

1. What is a hernia?A hernia is a tear in the fascia-the thin but strong tissue overlying the muscles – allowing the intestines to bulge through the abdominal wall under the skin, or in the case of a Hiatal hernia, allow the stomach to move partially into the chest.
2. What are the signs and symptoms of a hernia?A bulge and/or pain at the site of the hernia are the most common symptoms of hernia. Hernias generally occur in the umbilical region and groin areas. Hiatal hernia is internal and cannot be diagnosed by physical exam. Severe heartburn, burping and chest pressure are signs of a hiatal hernia which can be demonstrated on upper gastrointestinal endoscopy or CT scan.
3. What causes hernias?All hernias can be caused by forceful pressure on the area. Abdominal wall and groin hernias can develop during pregnancy, or as a consequence of heavy lifting at the job or at the gym. Obesity and chronic cough are contributing factors as are constipation and enlarged prostrate causing difficult defecation and urinating.
4. Will hernias heal themselves?No. the tears in the fascia must be surgically repaired.
5. What are the consequences of hernias left unrepaired?It is possible that a small hernia may not need to be repaired, but hernias generally enlarge with time and become increasingly uncomfortable. Life threatening complications can occur with an unrepaired hernia if the intestines get stuck in the defect (incarceration)causing severe pain, bowel obstruction and occasionally strangulation with compromise of the intestinal blood supply, perforation and death. Small hiatal hernias are common and do not need surgical repair. Large and symptomatic hiatal hernias may need repair especially if CT scan demonstrates a significant portion of the stomach to reside in the chest.
6. Shall I use MESH in the repair?Mesh is a synthetic material that adds strength to the hernia repair and is indicated in patients with poor muscle integrity or in those who lead active lifestyles with extensive lifting. It generally is incorporated in your native tissue without problems but can occasionally cause pain, infection or erode through the skin. Consult a professional regarding the best choice for your hernia repair.