Hernia Treatment Options
Most hernias don’t get better on their own, and surgery is usually recommended to repair them. If a hernia is not causing symptoms, your doctor may suggest monitoring the hernia first, while working to improve your overall health and reduce risk factors before considering surgery.
Two Key Steps in Treating a Hernia
Step 1: Reduce Hernia Risk Factors
Before surgery, it is important to lower your risk for complications.
- Quit smoking
- Ensure a healthy weight and proper nutrition
- Manage diabetes
- Treat any active infections
- Manage conditions that strain the belly including chronic cough, constipation and heavy lifting.
Step 2: Surgical Treatment of Hernia
Surgery is often the best way to fix a hernia. During surgery, the doctor returns the tissue to its proper place and repairs the weak spot in your abdominal wall.
There are two common repair methods:
- Sutures (stitches), used to close the opening.
-
Mesh, a medical material placed over the weak spot to reinforce it. Mesh is the most used repair method, as it lowers the chance of the hernia coming back.
Types of Hernia Surgery
Open surgery requires a larger incision and longer recovery, but for some patients it may be a better option compared to the less invasive approaches due to type, size, risk factors and complexity of the hernia.
Laparoscopic surgery uses several small incisions to repair the hernia. Patients usually experience less pain and quicker healing with laparoscopic surgery and is best for certain types and sizes of hernias. Risk factors must also be considered.
Your surgeon will talk with you about which method is safest and most effective for your specific hernia.
Frequently Asked Questions About Hernia Surgery
How do I know if I need hernia surgery?
If you are experiencing any of the symptoms above, surgery may help correct the problem and relieve your discomfort.
Am I a candidate for hernia surgery?
To ensure the best outcome, patients should:
- Quit smoking at least three weeks prior to surgery and not smoke for eight weeks after surgery.
- Have a BMI of less than 35.
- Maintain controlled sugar levels, if diabetic, with an A1C of 7 or less.
- Have no active skin conditions in the affected area.
What if I don't have surgery? Can it get worse?
Hernias will not go away on their own. Over time, they can increase in size or symptoms can worsen. In rare cases, emergent surgery may be required. It's best to be proactive and seek surgical advice early on. Elective surgery is often recommended.
Are there any non-surgical options?
Surgery is the standard of care for hernias. However, depending upon your risk factors, and after consulting with your surgeon, initial or permanent watchful waiting may be an alternative.
How will I know if my insurance covers my hernia consultation and surgery?
Prior to your first appointment, Mercy financial navigators will verify that your care is covered under the conditions of your insurance. If there are any issues, they will contact you.