So what is a hernia anyway?

A hernia occurs when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue called fascia. The pressure pushes the organ or tissue through the opening or weak spot. Sometimes the muscle weakness is present at birth, but more often it happens later in life.⁰ Inguinal and femoral hernias can be caused by weakened muscles, aging, repeated strain on the abdominal and groin areas, physical activity, heavy lifting, obesity, frequent coughing, or constipation.¹ In some cases, the inguinal canals have openings inside the abdomen that typically close before birth, but in some cases, one or both openings remain open, causing a hernia.²

More than 1 million hernia repairs are performed each year in the United States, according to the U.S. Food and Drug Administration (FDA), and worldwide these surgeries are estimated to top 20 million annually.  Click here to learn more about the different types of hernias.

webmd.com ¹ everydayhealth.com ² niddk.nih.gov

THE 6 COMMON TYPES OF HERNIAS

• Epigastric • Femoral • Hiatal • Incisional • Inguinal • Umbilical

75%
Inguinal

Inguinal hernias account for 75% of all abdominal wall hernias. 

Inguinal Hernia Stats:  Inguinal hernia repair is a common surgery in the United States. It is estimated that about 800,000 inguinal hernias are performed annually. Inguinal hernias account for 75% of all abdominal wall hernias.*

% of Men Affected*

25%

Post-Surgery Reports of Complications*

10%

Post-Surgery Reports of Chronic Pain*

10%

"Surgical mesh, designed to support damaged tissue around a hernia while it heals, is not the permanent solution that it was intended to be." - American College of Surgeons


Surgery Options

Having a hernia sucks for sure! There is the pain to deal with along with restrictions to perform even simple activities. For me it was uncomfortable to even walk. In our modern fast-paced lifestyle, it may seem like the easy quick-fix is the best option as most doctors will tell you that hernias cannot be repaired. But before you get cut up, there are some things to consider.

First, to state the obvious, no surgery is a guarantee. Any time you go under the knife there is always a possibility of something going wrong. I am personally always concerned about cutting the fascia* of our bodies and how to repair the damage.  Of course it's up to you to do your own due diligence and take responsibility for your personal healthcare decisions.  This page serves as a simple summary of the information I was able to gather along with my own personal opinion.

*fascia is the tissue that surrounds and connects everything in your body

If you ask your doctor, the majority will state that you have two options:

Open Hernia Surgery

The surgeon makes a cut in the groin to view and repair the hernia. After repairing the hernia, the surgeon uses stitches alone or stitches and a piece of mesh to close the abdominal wall. The mesh is designed to strengthen the weak area of the abdominal wall where the hernia occurred.

Laproscopic Hernia Surgery

The surgeon makes several small cuts in the lower abdomen and inserts special tools to view and repair the hernia. The surgeon typically uses a piece of mesh to close and strengthen the abdominal wall. There are some surgeons who opt for robotic repair, which means they sit at a console controlling robotic arms that perform the surgery.

Alternatives

The other options can get tricky to research. When I first dove into this years ago, I did find a doctor in Canada that would use a steel thread verses the mesh. The steel would still stay in the body, however, the overall damage was less in comparison with the mesh option.

My final solution was Dr. Francesco Guarnieri in Rome, Italy, who used a method that uses your own tissues which eventually become absorbed by your body and is therefore supposed to be minimally invasive. But does the hernia heal?  I don't know.  I cannot make any recommendations on what path you should take, I can only share what I learned from the path that I took once life intervened (thankfully) and I was unable to fly abroad for that surgery.  

More information about the types of surgeries can be found here:  https://www.ncbi.nlm.nih.gov/books/NBK513332    

Surgery Complications

Complications from hernia surgery are not uncommon. The going statistic is that about 10-20% of the procedures have issues that are pretty serious, needing medical attention. While most complications from hernia mesh show up immediately after surgery, some are not apparent until years later. Scar tissue forms around the mesh while the body tries to expel the foreign substance. This leads to further complications if a repair is needed with a follow-up surgery. Synthetic non-degradable mesh compounds this issue.¹
Symptoms Include Pain, Discomfort, Nausea, Lethargy, Constipation, Erectile Dysfunction, Hernia Recurrence, etc.

INFECTIONS

Infections can happen in a hospital, where unhealthy bacteria flourish. They may also occur anywhere along a suture site and can spread to other parts of the body. Antibiotics can treat minor infections, however, deep, chronic infections are more difficult to treat. Antibiotics can also kill your beneficial bacteria, leaving you more vulnerable to other health issues.

Symptoms of infection may include inflammation or fever, but it may take years for signs of these infections to become noticeable. In most cases of deep infections the treatment would be removing the implanted mesh, if possible.

BOWEL COMPLICATIONS

The mesh can cause pressure on the colon, small intestines and the stomach causing gastrointestinal problems such as difficulty passing gas or constipation. It is usually more common with patients who have developed scar tissue from umbilical hernias. 

Constipation can lead to dangerous conditions like fissures, hemorrhoids or bloating. Severe constipation can lead to fecal impaction or rectal prolapse from straining.

Mesh can obstruct the bowel if it moves, trapping loops of intestine. Bowel obstructions are serious and potentially fatal, requiring immediate treatment, removing the mesh and part of the intestine. Recalled hernia mesh is a leading cause of intestinal perforation and blockage.

Symptoms include difficulty passing gas or stool, dehydration, constipation, vomiting, fever and nausea. {Contact your doctor immediately if your are experiencing any of these symptoms after surgery.}

Bowel perforation can happen if the suture fails and the mesh punctures or erodes into the bowels, abdominal walls or other organs. Perforation may also happen when the mesh disintegrates. Although rare, it can cause peritonéum inflammation, leading to sepsis, a life-threatening infection which is often difficult to treat.

MESH COMPLICATIONS

Mesh complications often lead to sexual dysfunction, particularly with inguinal hernia repairs. This can be caused by irritation or inflammation from the mesh or by a nerve that is caught in the device. In some cases, the spermatic cord can attach to the device which can result in impotence.

Men with mesh complications sometimes complain of loss of sensation and difficulty reaching orgasm. Research has also shown that mesh complications may reduce blood supply to the testicles which can lead to a condition that requires testicular removal.²

Mesh Migration is another issue that is not uncommon and can lead to other complications.

There is also Mesh rejection which is the bodies natural tendency. The synthetic mesh rejection rate ranges from 5% to 30%. My guess is that it is at a much higher rate, some people just feel it more.

REWARD VS. RISK

After all of that, there is still a greater than 15% chance that there is a hernia recurrence.¹

So the choice is yours, the quick fix with risks or putting the effort in to support your body's innate healing capacity. There are no guarantees with the surgery, and let’s face it the problem with surgery, as with a lot of our western style of medicine, is that they address the symptom, not the issue. Of course each person's situation is different and you have to decide what's right for you.  I discovered that getting a hernia was an opportunity for me to listen to my body, make needed adjustments to my life and learn how to take better control of my health.

Take Charge of Your Hernia! 

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