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Anyone who experiences pain or gastrointestinal problems following a C-section should go to the emergency room. A study of , women in Australia found that just 0. The likelihood of hernia repair surgery increased with the number of C-sections. Another study of women in Denmark estimated that 0. The risk was higher in the first 3 years after the birth. A doctor should usually be able to diagnose a hernia by examining the area.
Sometimes a hernia is only visible in certain positions, or when coughing, so a doctor may touch the incision and ask the individual to bend forward or cough. A person may also need treatment for the side effects of a complex hernia, which may include bowel perforations or infections. They may require additional surgery, antibiotics , or monitoring in the hospital.
Even if a hernia is not yet strangulated, most doctors still recommend removal to prevent this from occurring in the future. This type of surgery is called elective surgery, and people can schedule it at their convenience. Emergency hernia removal requires general anesthesia. The person will be fully asleep and unaware of what is happening. Sometimes, local anesthesia may be sufficient for elective hernia removal, depending on the hernia and its location. With local anesthesia, the individual is awake, but the area around the hernia is numb.
A surgeon may perform the hernia removal through either a cut in the stomach or keyhole surgery, also called laparoscopic surgery. Laparoscopic surgery uses a tiny incision, often in the bellybutton. These incisions tend to heal more quickly and allow a more rapid recovery. It is important to discuss the relative merits of each type of surgery with a doctor. In some cases, it may only be possible to treat the hernia through a large incision. Most people recover quickly from hernia repair surgery.
Unless the hernia was large or complex, they are usually able to walk around and go home on the day of surgery. Experiencing pain and tenderness following the procedure is normal. Remaining active following surgery can help to speed up healing and reduce the risk of complications such as blood clots.
People should notify their doctor if they develop a fever , notice excessive bleeding, or experience extreme pain. People who work in offices can usually return to work within a week or two. Those who work in more physically demanding environments may need to wait longer. A doctor will discuss the recovery time and restrictions with the individual before surgery. Certain factors increase the likelihood of a person experiencing an incisional hernia after a C-section.
The risk of having a hernia is higher among women who have multiple C-sections. According to a study , having two C-sections makes a hernia three times more likely, while having five C-sections increases the risk sixfold. A hernia can occur any time after the C-section, but it is more likely in the 3 years after surgery. People who have a history of abdominal hernias may be more likely to experience a hernia after having a C-section, as there may be an existing weakness in the abdominal wall.
However, because hernias are rare, no recent research has shown a direct link between previous hernias and the likelihood of an additional one. It is important to discuss risk factors with a doctor. People who have had hernia surgery previously should ensure that their doctor is aware of this.
In some cases, a small hernia can heal on its own. However, there is a risk of the hernia becoming trapped or strangulated, so it is essential to seek medical care. The primary complication of a hernia is strangulation, which can be life-threatening. It may cause problems such as:. Some people go into shock when experiencing a strangulated hernia. People awaiting elective surgery for a hernia should ask their doctor about the warning signs and symptoms of a strangulated hernia.
If they experience any of these, they must seek emergency medical care. Surgical repair of hernias following a C-section is usually effective, but people should discuss the possibility of recurrence with a doctor.
According to the American College of Obstetricians and Gynecologists ACOG , people who attempt a vaginal birth following a previous C-section have a 60—80 percent chance of success. Therefore, a person who is concerned about experiencing another hernia may prefer to avoid surgery and attempt a vaginal delivery instead.
Hernias are rare after a C-section, so there is little data available on the rate of recurrence. It is not possible to predict whether or not a person will develop another hernia. In most cases, your doctor will be able to determine whether you are in fact suffering from a hernia, whether it is an inguinal or a femoral hernia, simply by looking and by gently palpating the affected area. These imaging tests can help to show the hole in the muscle wall, along with the tissue protruding from it.
Inguinal and femoral hernias that have no symptoms may not require any treatment at all. Your doctor will discuss your options with you regarding surgery or watchful waiting. Hernias that are causing discomfort or have incarcerated, usually require surgical repair to relieve the discomfortas well as to prevent complications.
There are two types of surgical hernia repair: open and minimally invasive surgery. During this procedure, your surgeon will make a small incision into your groin, and then push the protruding tissue back into your abdomen. Your surgeon will then sew up the weakened area. In some cases, your surgeon will use a synthetic mesh to reinforce that weakened area.
Open surgery can be performed either with general anesthesia or with sedation or local anesthesia. During this procedure, your surgeon will make a few small incisions in your abdomen. Your surgeon will then inflate your abdomen, using a special gas, in order to make your internal organs easier to see.
Your surgeon will then insert a small, narrow tube into one of the incisions in your abdomen. This tube has a tiny camera, or laparoscope, at the end of it. That camera serves as a kind of guide for your surgeon, who is then able to insert surgical instruments through the other incisions in your abdomen. Your surgeon will repair the hernia using mesh. Because minimally invasive surgery allows the surgeon to avoid scar tissue from earlier hernia repairs, it may be an especially good option for people who have had their hernias recur following traditional hernia surgery.
It may also be a good option for people with bilateral hernias, or hernias on both sides of the body. Patients who choose minimally invasive surgery may experience less scarring and discomfort following surgery than those who choose open surgery. Patients may also be able to return more quickly to their normal activities. Your doctors will speak with you in detail about all of your treatment options and will recommend a course of action best suited to your individual needs.
Updated visitor guidelines. Groin Hernias. Inguinal Hernias Inguinal hernias, also known as groin hernias, occur when a bit of tissue protrudes through a weak spot in the muscles between the upper thigh and the lower abdomen. Symptoms The primary symptom of an inguinal hernia is a lump or bulge in the area of the groin.
Causes Inguinal hernias can be caused by any one of the following, or by a combination of factors: Chronic coughing Chronic sneezing Increase of pressure in the abdomen Pregnancy Straining during bowel movements Strenuous activity Weak spot in the abdominal wall The cause of an inguinal hernia, however, is not always immediately apparent.
Risk Factors Certain populations seem to be at greater risk of developing inguinal hernias than others. Risk factors include the following: Aging: Muscles grow weaker with age. Being male: Men are more likely to develop inguinal hernias than women. Chronic constipation , which usually causes excessive straining during bowel movements.
Chronic cough , particularly when caused by smoking. Family history: If you have had a parent or sibling with an inguinal hernia, you may be at greater risk of developing one yourself. Premature birth and low birth rate are both associated with greater incidences of inguinal hernias. Previous inguinal hernia or hernia repair: Those who have already suffered an inguinal hernia are at greater risk of developing another one. Complications In some cases, an inguinal hernia can result in additional complications.
These may include: Incarcerated hernia: A hernia can grow to obstruct the bowel if its contents become trapped in the weak area of the abdominal wall. An obstructed bowel will result in nausea, vomiting, an inability to pass gas or have a bowel movement, and severe pain.
Increased pressure on surrounding tissue: If not treated promptly with surgery, most inguinal hernias will grow larger over time. In men, this means that a hernia may extend into the scrotum, resulting in swelling and pain.
Strangulation: An incarcerated hernia may block the flow of blood to part of your intestine. That strangulation can result in the death of the affected bowel tissue. A strangulated hernia requires immediate surgery; it is life threatening. Femoral Hernias Femoral hernias occur when a bit of tissue bulges through the lower belly and into the upper thigh, in the area just below the groin crease.
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