Open Hernia Surgery

Open Hernia Surgery

An open hernia repair surgery uses a single long incision to treat the herniated region. An open surgical approach allows the surgeon to reinforce the wounds more firmly with unique meshes. Hence, it is ideal for treating complex hernial growths which is a typical case in ventral, Incisional, Umbilical, Hiatal and recurring hernias. Depending on the type of mesh used to reinforce the abdominal wall, open hernia surgery can be performed in the ways:
  • 2D Open Mesh Repair Surgery
  • Freedom Mesh Repair Surgery
  • Anatomical Repair Without Using Mesh
  • Transversus Abdominis Muscle Release (TAR)

Why & When Is The Open Hernia Surgery Performed?
When a specific spot or region of the membrane wall is thinned or weakened, an organ close to that weak spot can gradually outgrow its space and protrude through the wall and push against the skin, forming a hernia. Such hernial growths can be caused due to various factors obesity, congenitally weak muscles or old age. Each type of hernia has almost unique characteristics and needs to be treated accordingly. Open hernia surgery is usually preferred for:
  • Larger and complex hernial growths which cannot be treated or are riskier to be treated with other noninvasive approaches.
  • Inguinal hernias that are causing pain or other symptoms
  • Incarcerated or strangulated Hernias.
  • Infants and children usually have open surgery to repair an inguinal hernia.

How is Open Hernia Surgery Performed?
Open surgery can be performed under local, spinal, or general anaesthesia, depending on the patient’s condition or surgical needs.
  • First, a single long incision is made over the herniated region.
  • The bulging hernia is pushed back into its original position inside the membrane wall. However, If the hernia is going down the inguinal canal, the surgeon may tie it off and remove it.
  • The hole in the membrane wall will be closed by suturing the surrounding tissues together.
  • After positioning the organ appropriately and closing the wall, a synthetically designed 2D or 3D mesh patch is either sutured or placed over the wound in the abdominal wall to hold the abdomen wall and reinforce it until it heals completely.
  • Finally, the abdominal incisions are closed with sutures.

What To expect after the Open Hernia Procedure?
The patient can leave the hospital on the very same day after being under observation for some time. Until the wound heals, there may be pain and swelling sensations near the incision, which will go away on their own. Most patients can start their routine work within a week after the procedure. It may take around six weeks for one to restart daily activities. One might also feel a tugging or pulling movement in and around the operated area for around a year which is completely normal and nothing to be alarmed about. It is recommended that you attend all follow-up appointments to ensure that you recover safely within three to six weeks.

What Are The Benefits of Open Hernia Surgery?
  • With open surgery, the surgeon can insert two pieces of mesh - one on each side of the hernia to provide additional reinforcement to the weakened muscles.
  • This surgery can also be performed under local or spinal anaesthesia when the patient cannot be put under general anaesthesia.
  • Open surgery costs much less than the laparoscopic treatment, and it involves expensive technology.
  • The chances of the recurrence of hernia are much lesser after open surgery when compared with other minimally invasive approaches.

What Are The Complications Associated With An Open Hernia Surgery? Although proven to be more beneficial than the laparoscopic approach in many ways, open surgery may show certain potential downsides such as:
  • Side-effects from anaesthesia
  • Postoperative bleeding
  • Chances of Infection in the exposed wound
  • Nerve damage
  • Numbness of the skin

Do all surgeons perform both the laparoscopic and open approaches?
No, not all surgeons can perform hernia surgery with both the approaches. Only a few hernia operation hospitals in Pune have surgeons who specialize in both hernia surgeries. Lifepoint hospital in one of those few hernia operation hospitals in Pune where our surgeons are highly experienced and trusted for treating patients with both open surgeries or minimally invasive laparoscopy, depending on what suits the patient’s condition.