Hernia repair surgery is one of the most common and most successful major operations.  Your
best insurance against potential serious complication is to have your hernia repaired as soon as
the diagnosis has been made.

                                       WHAT IS A HERNIA?

A hernia, commonly call a “rupture”, occurs where the outer wall weakens and bulges, or tears
apart.  The inner lining then pushes through the opening and forms a balloon-like protrusion
called a sac.  Picture a worn tire that contains an inter tube.  If there is a tear or weakness in the
tire wall, the inner tube will push its way through the opening, forming a bulge on the surface of
the tire.  The human body is composed of a number of compartments or cavities that are
constructed some what like a tire.  Each cavity is enclosed by layers of muscle and connective
tissue.  This outside wall has several reinforced openings that allow for the passage of blood
vessels and such structures as the spermatic cord.  The inside of the cavity is lined with a thin
membrane call the peritoneum, which is similar to the tire’s inner tube.  Hernias can happen to
anyone at any age.  Children’s hernias are almost always congenital, the result of a weakness
present at birth.  In adults, most hernias are acquired- that is, they are caused by wear and tear
and strain over the years.

Whenever a hernia develops, it is usually easy to recognize.  You have probably noticed a
bulge under your skin and you may feel pain when you lift heavy object, cough, or strain during
urination or bowel movements.

Once a hernia appears, the abdominal organs and tissues continue to push into the hernia sac,
causing the hernia to increase in size eventually result in serious complications.  If the contents
of the hernia sac can slip back easily in to your abdominal cavity when you lie on your back,
you are not in immediate danger.  Although this type of hernia is said to be reducible, prompt
surgical correction is still needed.  If the contents of the sac cannot slip back into place, it is
called a non-reducible hernia.  In this case, the intestine or tissue can become trapped (or
incarcerated) and can seriously disrupt your digestion.  If the bowel get trapped very tightly,
(strangulated) the intestinal loop will eventually die because its blood supply has been cut off.  
This creates an intestinal obstruction that can endanger your life.  Emergency surgery is then
required to relieve the obstruction and repair the hernia.

It is important to see your doctor as soon as you suspect a hernia so that an accurate diagnosis
can be made before problems or serious complications develop.  Your doctor can usually
diagnose a hernia with a physical examination.  Nonsurgical treatment, especially a truss can
not cure a hernia.  Although a truss may relieve your discomfort temporarily, it is only a delaying
measure that will weaken and scar the muscles around the hernia.  Ultimately, the use of a
truss will make the necessary surgery more difficult.

and begin making plans for surgery.  Because hernia repair is often same day surgery, you may
be able to go home within several hours.  Once you’re at home, it’s up to you to make your
recovery as quick and as comfortable as possible by easing slowly back into your daily routine.  
Soon after surgery, you’ll be able to get back to work and the activities you enjoy.


Ask The Doctor

           Reconstructive Abdominal Wall
                 surgery now available locally

                            No more recurring hernias

A hernia may be likened to a failure in the sidewall of a tire.  The tire’s inner tube
behaves like the organ and the sidewall like the body cavity wall providing the
restraint. A weakness in the sidewall allows a bulge to develop, which can
become a split, allowing the inner tube to protrude, and leading to the eventual
failure of the tire. Hernias may present either with pain at the site, a visible or
palpable lump, or in some cases by more vague symptoms resulting from
pressure on an organ which has become “stuck” in the hernia,sometimes
leading to organ dysfunction. The most common types are:

• Inguinal hernia - the intestine
or the bladder protrudes through
the abdominal wall or into the inguinal
canal in the groin. About
80 percent of all hernias are inguinal.
• Incisional hernia - the intestine
pushes through the abdominal
wall at the site of previous abdominal
• Femoral hernia - occurs when
the intestine enters the canal
carrying the femoral artery into
the upper thigh.
• Umbilical hernia - part of the
small intestine passes through
the abdominal wall near the navel.
• Hiatal hernia - happens when
the upper stomach squeezes
through the hiatus, an opening
in the diaphragm through which
the esophagus passes.

Ultimately, all hernias are caused
by a combination of pressure and
an opening or weakness of muscle
or fascia: The pressure pushes
an organ or tissue through the
opening or weak spot.

Hernias are typically easy to resolve
with a laparoscopic surgery
procedure. Unfortunately
there are some people who suffer
with recurring hernias, even
after multiple surgeries.

Alas, there is good news for patients with recurring hernias.  These patients can
now elect to have the abdominal wall reconstructed.  Results from this surgery
procedure are highly successful at preventing the hernia from recurring. The
weak area of the abdominal wall is surgically closed and reconstructed during
this type of procedure.

There are few surgeons who accept the challenging recurring hernia cases and
perform the reconstructive surgery.  Until recently, people suffering from this
condition had to be transferred out of the area for this life changing surgery.
Fortunately, Charlotte County surgeon Dr. Alvaro Bada has completed and
received certification from the Comprehensive Solutions in Complex Abdominal
Wall Reconstruction Master class in Nevada, and can perform this surgery his
patients are now hernia free.

If you suffer from recurring hernias and other doctors or surgeons have been
unsuccessful at keeping them away, abdominal wall reconstruction may be the
answer you have so desperately been seeking. For an evaluation to see if you
would be a candidate for this procedure, call us for an appointment at
(941) 255-0069