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An umbilical hernia occurs when a tissue bulges out through an opening in the muscles in the abdomen near the navel or belly button (umbilicus). About 10% of abdominal hernias are umbilical hernias and find Hernia Surgeon in Ahmedabad
Watchful waiting is generally not recommended for adults with an umbilical hernia. You may be able to wait to repair umbilical hernias that are very small, reducible (can be pushed back in) and not uncomfortable. There is a risk of the intestines being squeezed in the hernia pouch and blood supply being cut off (strangulation). If this happens, you will need an immediate operation. Piles Doctor in Ahmedabad
The type of operation depends on hernia size and location, and if it is a repeat hernia (recurrence). Your health, age, and the surgeon’s expertise are also important. An operation is the only treatment for a hernia repair. Your hernia can be repaired either as an open or laparoscopic approach. The repair can be done by using sutures only or adding a piece of mesh.
The surgeon will make several small punctures or incisions in the abdomen. Ports or trocars (hollow tubes) are inserted into the openings. Surgical tools and a lighted camera are placed into the ports. The abdomen is inflated with carbon dioxide gas to make it easier for the surgeon to see a hernia. Mesh may be sutured or fixed with staples to the muscle around the hernia site. The port openings are closed with sutures, surgical clips, or glue.
Watchful waiting is not usually recommended except for very small umbilical hernias. A surgical repair is recommended for adults who have symptoms, incarceration, thinning of the skin, or uncontrollable ascites. Because abdominal muscles weaken with age, the hernia can increase in size, and there is a risk of incarceration and strangulation. Abdominal binders that apply pressure and push back the bulge will not repair a hernia.
Bring a list of all of the medications, vitamins, and any over-the-counter medicines that you are taking. Your medications may have to be adjusted before your operation. Some medications can affect your recovery and response to anesthesia. Most often, you will take your morning medication with a sip of water.
Let your anesthesia provider know if you have allergies, neurologic disease (epilepsy, stroke), heart disease, stomach problems, lung disease (asthma, emphysema), endocrine disease (diabetes, thyroid conditions), or loose teeth; use alcohol or drugs; take any herbs or vitamins; or if you have a history of nausea and vomiting with anesthesia. An identification (ID) bracelet and allergy bracelet with your name and hospital/clinic number will be placed on your wrist. These should be checked by all health team members before they perform any procedures or give you medication. Your surgeon will mark and initial the operation site.
If you smoke, you should let your surgical team know, and you should plan to quit. Quitting before your surgery can decrease your rate of respiratory and wound complications. Quitting also increases your chances of staying smoke-free for life. Resources to help you quit may be found at www.facs.org/ patient education or www.lungusa.org/stop-smoking
If you have local anesthesia, you will usually go home the same day. You may stay overnight if you have a repair of a large or incarcerated hernia. A laparoscopic repair may result in a longer anesthesia time. Complications such as severe nausea and vomiting or an inability to pass urine may also result in a longer stay
An identification (ID) bracelet and allergy bracelet with your name and hospital/clinic number will be placed on your wrist. These should be checked by all health team members before they perform any procedures or give you medication. Your surgeon will mark and initial the operation site.
An intravenous line (IV) will be started to give you fluids and medication. For general anesthesia, you will be asleep and pain-free during the operation. A tube may be placed in your throat to help you breathe during the operation. For spinal anesthesia, a small needle with medication will be placed on your back alongside your spinal column. You will be awake during the operation but pain-free
You will be moved to a recovery room where your heart rate, breathing rate, oxygen saturation, blood pressure, and urine output will be closely watched. Be sure that all visitors wash their hands.
Movement and deep breathing after your operation can help prevent postoperative complications such as blood clots, fluid in your lungs, and pneumonia. Every hour, take 5 to 10 deep breaths and hold each breath for 3 to 5 seconds. When you have an operation, you are at risk of getting blood clots because of not moving during anesthesia. The longer and more complicated your surgery, the greater the risk. This risk is decreased by getting up and walking 5 to 6 times per day, wearing special support stockings or compression boots on your legs, and, for high-risk patients, taking a medication that thins your blood.
Always wash your hands before and after touching near your incision site.
Avoid straining with bowel movements by increasing the fiber in your diet with high- fiber foods or over-the-counter medicines (like Metamucil® and FiberCon®). Be sure you are drinking 8 to 10 glasses of water each day
The amount of pain is different for each person. The new medicine you will need after your operation is for pain control, and your doctor will advise how much you should take. You can use throat lozenges if you have sore throat pain from the tube placed in your throat during your anesthesia
Contact your surgeon if you have :
Everyone reacts to pain in a different way. A scale from 0 to 10 is used to measure pain. At a “0,” you do not feel any pain. A “10” is the worst pain you have ever felt. Following a laparoscopic procedure, pain is sometimes felt in the shoulder. This is due to the gas inserted into your abdomen during the procedure. Moving and walking help to decrease the gas and the shoulder pain. 3 Extreme pain puts extra stress on your body at a time when your body needs to focus on healing. Do not wait until your pain has reached a “10” or is unbearable before telling your provider. It is much easier to control pain before it becomes severe
Narcotics or opioids are used for severe pain. Possible side effects of narcotics are sleepiness; lowered blood pressure, heart rate, and breathing rate; skin rash and itching; constipation; nausea; and difficulty urinating. Some examples of narcotics include morphine, oxycodone (Percocet®/Percodan®), and hydromorphone (Dilaudid®). Medications can be given to control many of the side effects of narcotics.
Most non-opioid analgesics are classified as non-steroidal anti-inflammatory drugs (NSAIDs). They are used to treat mild pain and inflammation or combined with narcotics to treat severe pain. Possible side effects of NSAIDs are stomach upset, bleeding in the digestive tract, and fluid retention. These side effects usually are not seen with short- term use. Let your doctor know if you have heart, kidney, or liver problems. Examples of NSAIDs include ibuprofen, Motrin®, Aleve®, and Toradol® (given as a shot).
Splinting your stomach by placing a pillow over your
abdomen with firm pressure before coughing or movement can help reduce the pain.
Distraction helps you focus on other activities instead of your pain.
Listening to music, playing games, or other engaging activities can help you
cope with mild pain and anxiety. Splinting Your Stomach
Guided imagery helps you direct and control your emotions. Close your
eyes and gently inhale and exhale. Picture yourself in the center of somewhere
beautiful. Feel the beauty surrounding you and your emotions coming back to your
control. You should feel calmer. Visit Now for More Information: Best Hernia
Surgeon in Ahmedabad
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