What is a hernia and how is it diagnosed. When should you seek medical attention for hernia symptoms. What are the different types of hernia repair procedures. How to choose the right hernia surgeon. What to expect during hernia surgery recovery. How much does hernia repair typically cost. Are there any non-surgical treatment options for hernias.

Understanding Hernias: Types, Causes, and Symptoms

A hernia occurs when an organ or tissue protrudes through a weak spot in the surrounding muscle or connective tissue. While hernias can develop in various parts of the body, they most commonly affect the abdominal area. Let’s explore the main types of hernias and their characteristics:

Inguinal Hernia

Inguinal hernias are the most common type, accounting for approximately 96% of all cases. They occur when a portion of the intestine or abdominal fat pushes through a weak spot in the lower abdominal wall, often in the inguinal canal. This canal is located in the groin area and serves different purposes in men and women:

• In men: It contains the spermatic cord, which connects the testicles to the abdominal cavity.
• In women: It houses a ligament that supports the uterus.

Inguinal hernias are more prevalent in males due to the natural weakness in the abdominal wall where the spermatic cord passes through.

Hiatal Hernia

A hiatal hernia involves the upper part of the stomach protruding through the diaphragm, the muscle that separates the chest cavity from the abdominal cavity. This type of hernia is less common but tends to affect individuals who are:

• Over 50 years old
• Overweight or obese
• Pregnant

Hiatal hernias can lead to gastroesophageal reflux disease (GERD) and other digestive issues.

Other Types of Hernias

While inguinal and hiatal hernias are the most common, other types include:

• Femoral hernias: Occur in the upper thigh, more common in women
• Umbilical hernias: Develop near the navel, often seen in newborns and obese adults
• Incisional hernias: Form at the site of previous abdominal surgery
• Epigastric hernias: Appear between the breastbone and navel

Recognizing Hernia Symptoms and When to Seek Medical Attention

Identifying hernia symptoms early can lead to more effective treatment and prevent potential complications. Here are some common signs and symptoms to watch for:

• A visible bulge or lump in the affected area
• Discomfort or pain, especially when lifting, coughing, or straining
• A feeling of heaviness or pressure in the abdomen
• Weakness or aching in the groin or abdominal area
• A burning or tingling sensation
• Nausea or vomiting (in severe cases)

Is immediate medical attention necessary for all hernia symptoms? Not always, but it’s crucial to consult a healthcare professional if you experience any of the following:

• Sudden, severe pain or swelling in the hernia area
• Difficulty passing gas or having bowel movements
• Fever accompanied by hernia symptoms
• Redness or discoloration of the skin over the hernia
• Inability to push the hernia back in (if it was previously reducible)

These symptoms may indicate a strangulated or incarcerated hernia, which requires immediate medical intervention to prevent serious complications.

Hernia Diagnosis and Evaluation Process

Accurate diagnosis is crucial for effective hernia treatment. Here’s what you can expect during a hernia evaluation:

Physical Examination

The primary method for diagnosing a hernia is a physical examination. Your doctor will:

• Visually inspect the affected area for any bulges or abnormalities
• Palpate the area to feel for any protrusions or tenderness
• Ask you to cough or strain while standing, which may make the hernia more noticeable

Medical History

Your doctor will inquire about your symptoms, their duration, and any factors that may increase your risk of developing a hernia, such as:

• Previous abdominal surgeries
• Family history of hernias
• Chronic cough or constipation
• Pregnancy
• Obesity

Imaging Studies

In some cases, additional diagnostic tests may be necessary to confirm the diagnosis or assess the extent of the hernia. These may include:

• Ultrasound: A non-invasive imaging technique that can visualize soft tissues and detect hernias
• CT scan: Provides detailed cross-sectional images of the abdominal area
• MRI: Offers high-resolution images and is particularly useful for diagnosing sports hernias

Treatment Options for Hernias: Surgical and Non-Surgical Approaches

The treatment approach for hernias depends on various factors, including the type, size, location, and severity of the hernia, as well as the patient’s overall health and preferences. Let’s explore both surgical and non-surgical options:

Non-Surgical Management

Can hernias be treated without surgery? In some cases, yes. Non-surgical approaches may be considered for small, asymptomatic hernias or when surgery is not immediately necessary. These methods include:

• Watchful waiting: Monitoring the hernia for any changes or worsening symptoms
• Lifestyle modifications: Maintaining a healthy weight, avoiding heavy lifting, and quitting smoking
• Wearing a hernia truss: A supportive undergarment that can help hold the hernia in place (only recommended under medical supervision)

It’s important to note that non-surgical management does not cure the hernia but may help manage symptoms and prevent progression in some cases.

Surgical Repair

Surgery is the only way to definitively repair a hernia. There are two main approaches to hernia surgery:

1. Open Hernia Repair

In this traditional method, the surgeon makes an incision near the hernia site to push the protruding tissue back into place. The weakened area is then reinforced using sutures or mesh. Open repair may be preferred for large hernias or when there’s a need for extensive tissue reconstruction.

2. Laparoscopic Hernia Repair

This minimally invasive technique involves making several small incisions through which a camera and surgical instruments are inserted. The hernia is repaired from the inside using mesh. Laparoscopic repair often results in less post-operative pain and faster recovery times.

The choice between open and laparoscopic repair depends on various factors, including the hernia type, size, and the surgeon’s expertise.

Choosing the Right Hernia Surgeon: Factors to Consider

Selecting the right surgeon is crucial for a successful hernia repair. Here are some factors to consider when choosing a hernia specialist:

Experience and Expertise

Look for a surgeon who:

• Specializes in hernia repairs and performs them regularly
• Has experience with various hernia types and surgical techniques
• Stays updated on the latest advancements in hernia treatment

Board Certification

Ensure the surgeon is board-certified in general surgery or a related specialty, indicating they have met rigorous training and competency standards.

Hospital Affiliation

Consider the reputation and quality of the hospital where the surgeon performs hernia repairs. Look for facilities with low complication rates and high patient satisfaction scores.

Patient Reviews and Testimonials

Read reviews from previous patients to gain insights into the surgeon’s bedside manner, communication skills, and overall patient care.

Communication and Comfort Level

Choose a surgeon who takes the time to explain your condition, treatment options, and potential risks clearly. You should feel comfortable asking questions and discussing your concerns.

Preparing for Hernia Surgery: What to Expect

Proper preparation can help ensure a smooth surgery and recovery process. Here’s what you need to know:

Pre-operative Evaluation

Your surgeon will conduct a thorough evaluation, which may include:

• Physical examination
• Blood tests
• Electrocardiogram (ECG)
• Chest X-ray

Medications

Inform your surgeon about all medications, supplements, and herbal products you’re taking. You may need to stop certain medications, such as blood thinners, before surgery.

Lifestyle Changes

Your surgeon may recommend:

• Quitting smoking at least two weeks before surgery
• Maintaining a healthy diet
• Engaging in light exercise to improve overall fitness

Fasting Instructions

You’ll typically be instructed to avoid eating or drinking anything for 8-12 hours before surgery.

Arrange for Post-operative Care

Plan for someone to drive you home after surgery and assist you during the initial recovery period.

Recovery After Hernia Surgery: Timeline and Tips

Understanding the recovery process can help set realistic expectations and ensure proper healing. Here’s a general timeline of what to expect:

Immediate Post-operative Period (1-3 days)

• You may experience some pain and discomfort, managed with prescribed pain medications
• Rest is crucial, but short walks are encouraged to promote circulation
• Follow your surgeon’s instructions regarding wound care and activity restrictions

First Week

• Gradually increase your activity level as tolerated
• Continue to avoid heavy lifting and strenuous activities
• Follow a healthy diet to support healing and prevent constipation

Weeks 2-4

• Most patients can return to work and light activities
• Continue to avoid heavy lifting (typically anything over 10-15 pounds)
• Attend follow-up appointments with your surgeon

1-3 Months

• Gradually resume normal activities and exercise routines
• Most patients can return to full activities without restrictions by 6-8 weeks

Remember that recovery times can vary depending on the type of hernia, surgical technique, and individual factors. Always follow your surgeon’s specific instructions for the best outcomes.

Hernia Surgery Costs and Insurance Coverage

The cost of hernia surgery can vary widely depending on several factors:

• Type of hernia and surgical technique used
• Geographical location
• Hospital or surgical center fees
• Surgeon’s fees
• Anesthesia costs

Does insurance typically cover hernia surgery? In most cases, yes. Hernia repair is generally considered a medically necessary procedure and is covered by most health insurance plans. However, coverage details can vary, so it’s essential to check with your insurance provider regarding:

• Deductibles and co-payments
• In-network vs. out-of-network coverage
• Pre-authorization requirements
• Coverage for potential complications or follow-up care

For those without insurance or with high deductibles, many hospitals and surgical centers offer payment plans or financial assistance programs. It’s worth discussing these options with the healthcare provider’s billing department.

While the cost of hernia surgery can be significant, it’s important to consider the potential long-term health and quality of life benefits of addressing the hernia promptly. Delaying treatment due to financial concerns may lead to more severe complications and potentially higher costs in the future.

Hernia Repair Specialist

If you have an inguinal hernia, recurrent inguinal hernia, femoral hernia, incisional hernia, sports hernia, suffer from mesh complications or have chronic pain following a hernia repair, you need to contact the Hernia Center of Ohio. Dr. Grischkan, the medical director, has achieved remarkable success even in cases where other surgeons were unwilling or unable to undertake a complex hernia repair. Thousands of patients from all over the United States as well as Europe, the Middle East, Mexico and South America have benefitted from the expertise of Dr. Grischkan’s updated Canadian Shouldice repair (non-mesh) and for select cases, the Modified Shouldice repair (special mesh). Advantages in most cases include:

• Sedation anesthesia-not general anesthesia
• 20-30 minute surgical procedure
• Surgical repair performed only by Dr. Grischkan-not trainees
• Resume all activities three days following the procedure
• Safest method compared to other more invasive techniques

Dr. Grischkan has been specializing in hernia surgery for over twenty years. He is a recognized expert in the traditional non-mesh Shouldice method of hernia repair having attended medical school and surgery training in Canada.

He pioneered the Modified Shouldice repair, which incorporates a special mesh for those unique cases where the extent of tissue damage precludes a pure tissue reconstruction. Dr. Grischkan has repaired over 20,000 hernias to date and is regarded as one of the leading hernia specialists in this country. Hence the outstanding results delivered at the Hernia Center of Ohio.

Dr. Grischkan has lectured and trained surgeons in many university centers in the United States and Europe. He has also been a sought after expert in legal malpractice cases involving hernia surgery. In the early 1990’s, he was a lead researcher for the development of a GoreTex mesh that was more tolerant to host tissue.

More recently he was honored to partner with the Shouldice Clinic in Canada to research and publish articles on chronic pain following removal of hernia mesh implanted by other surgeons.

The tremendous growth of the Hernia Center of Ohio under Dr. Grischkan has been due to the singular focus on the patient and delivering superior results in hernia surgery. For these reasons many doctors from all over the country have sought Dr. Grischkan for their own hernia repairs.

Hernia Surgery Doctor: Everything You Need to Know

Hernias are a complexing problem for the world, mainly because people do not know all the repair options available. According to Medtronic, over five million people are dealing with hernias each year. Of these instances, nine out of every ten get found in males.

In this article, we explain the following questions and topics:

• What is a hernia?
• What kind of doctor repairs hernias?
• What is a good hernia doctor to visit in the Dallas – Fort Worth area?
• When should you go to the doctor for a hernia?
• What happens if a hernia is left untreated?
• Can you push a hernia back in?
• Can you die from a hernia?
• What hernia surgery entails
• Hernia surgery cost
• Whether or not insurance covers hernia surgery

What is a Hernia?

A hernia occurs when the abdominal muscle outer wall experiences a
tear or weakness. The abdominal muscle wall serves an essential function
because it protects the inner lining of the abdomen as well as the organs
within it. When a hernia happens, it forces the lining to protrude outward and
create a pouch.

Most people think that hernias derive from a specific cause or activity, but that is not the case. People are born with a weakness in their abdomen, which causes it to give away after prolonged use.

Inguinal Hernia

An inguinal hernia is when the intestines or bladder get pressured through the inguinal canal in the groin or the abdominal wall section next to the groin area. The inguinal wall is a location where the spermatic cord connects the abdomen to the scrotum in men.

For women, it holds the ligament that supports the uterus. This kind of hernia occurs in almost 96% of the cases.

Hiatal Hernia

The hiatal hernia gets associated with diaphragm complications. This case occurs when the hernia causes the stomach to stick out and interfere with your diaphragm, which is the muscle that works to separate your abdomen from your chest.

Hiatal hernias are less common but usually affect those with obesity and over the age of 50.

Hernia Symptoms that Warrant Medical Attention

The biggest question among who deal with this issue is: 

When should you go to the doctor for a hernia to get it treated or diagnosed?

Only 20% of people end up taking this step because they do not understand all the options.

Another concern is that some hernias have no symptoms. But if you do have symptoms they normally include:

• Weakness in the area overall
• A dull ache
• Pressure
• Tingling
• Heaviness
• Burning feeling in the abdomen, scrotum, or groin

Things could also get worse for your hernia if you stand upwards for extended periods, lift heavy objects or children, participating in physical activity or sports, or experience lower bowel movement.

Apart from the various symptoms you might feel, it is also crucial to look at your body.

Look for softer bulges that are located in your scrotum or groin area. You will usually be able to push it back in with gentle pressure, or it will go away when you lie down. The bulge might become more significant gradually when you strain, cough, lift or bend.

Best Type of Medical
Professional to Address and Perform on a Hernia

Once you determine the right time to get treated, you need to find the best hernia doctor. Primary care doctors usually diagnose and treat most hernias from the beginning, but definitive treatment will mean surgery.

But what kind of doctor repairs hernias?

Depending on location, the hernia surgery and repair will get performed by a general surgeon. These doctors completed medical school and received five years of intensive training in surgery and learning the anatomy of the body. 

They are highly knowledgeable about the different strategies to fix a hernia.

Finding the best hernia doctor, for both regular and umbilical cases, is an important step in the process.

So, what is the name of a hernia specialist?

When you look for the best hernia doctor in the Dallas – Fort Worth area, a trustworthy name for a specialist is John Bayouth, MD. He is a general surgery doctor that performs work at the DFW Metroplex.

To contact his office for an appointment or consultation for any hernia-related issues or problems, call (817) 601-7736.

Consequences of Not Seeking Medical Attention for a Hernia

So, what happens if a hernia is left untreated?

Most people think that a hernia will go away itself, but that is not the case.

If a hernia is left untreated, the tear will get bigger. As the damage becomes more substantial, you will need a more complicated and elaborate surgery to fix it.

As you continue to ignore the hernia, discomfort, or pressure can
transform into a pain. This feeling has the potential to carry into the back,
hip, leg, and even genitals.

Some people ask: can you push a hernia back in?

If you develop a reducible hernia, it can get pushed back into the original opening that it traveled through, but this does not fix the issue.

For irreducible hernias, it is a different story. This type occurs
when the abdominal tissues fill the hernia sac. As the pain of a hernia
increases, the protruding loop of the intestine or tissue can become stuck
outside of the abdominal wall muscle. When this event happens, a hernia can no
longer get pushed back inside.

Can you die from a hernia?

Your life may be at risk if you start to experience a strangulated hernia. When a portion of the organ or tissue gets tucked inside the hernia, the blood supply gets cut off.

With an absence of blood supply, the trapped tissue will swell up, decease, and get infected.

There are multiple signs when the hernia is life-threatening, and it is time for you to go to the emergency room.

You will begin to have a fever, experience chills, nausea, or vomiting, see blood in your stool, or can no longer pass gas. The bulge will start to turn purple, dark, or red.

What Happens During the Surgical Operation for a Hernia?

The goal of hernia surgery, also known as herniorrhaphy, is to return
the altered tissues to their original, proper place. The hernia repair doctor
sews a surgical mesh patch across the infected or weakened region of the
tissue. The hernia usually gets fixed through a hole that gets sewn into the
muscle wall, which closes it.

The type of surgery performed by the hernia repair doctor is either open surgery or laparoscopic.

For the minimally invasive option, laparoscopic is chosen. When the intestines migrate into the scrotum, open surgery is the best strategy.

You can expect a recovery time of about six weeks after the operation.

Do urologists treat hernias?

When a hernia occurs, the fluid occupies a sac in the scrotum within the penis in the inguinal canal. The urologist will repair this area by sewing the canal shut and fixing the muscle ring.

Do all hernias need surgery?

In some cases of reducible hernias, surgery might not be the option that is needed. The hernia will be able to get pushed back into its original opening. But if the problem causes excruciating pain or grows in size, the doctor will suggest operating.

What Does Hernia Surgery Cost?

Depending on the size and complexity of the operation, the hernia surgery cost can range from $5,800 to $10,000.

According to amino.com, the average price is $7,743. A good reminder is to call the medical center or office where you are getting the surgery. Ask them for an estimate of what you will need to pay after your insurance company pays its amount.

Does insurance cover hernia surgery?

Your insurance company will most likely be able to cover your expenses for the operation but make sure to call them and find out all details. Also, remember to read the necessary information about what your surgery insurance will cover.

Conclusion: Stay
Educated and Be Aware of Hernia Signs

Hernias are dangerous because most people don’t know when it is time to ask for help. Finding the best hernia doctor can be an easy process if you know how to research.

Always stay curious and pay attention to the various symptoms and sightings of a hernia.

As you can see, if this pain is brushed off, it can lead to painful and dire consequences. You will thank yourself for seeking extra information and resources instead of trying to bear the discomfort and uncertainty on your own.

Hernia Surgery & Repair: Larascopic Inguinal Hernia Operation

A hernia occurs when fatty tissue or an organ pushes through a weak place in the surrounding connective tissue or muscle wall. Hernias usually don’t get better on their own. They tend to get bigger. In rare cases, they can lead to life-threatening complications. That’s why doctors often recommend surgery. But not every hernia needs immediate treatment. It depends on the size and symptoms. If it doesn’t become symptomatic, it may not need treatment at all.

A surgical hernia repair involves pushing the bulge back inside the body part that should contain it using mesh, and keeping it there.

Do I Need Hernia Surgery?

Your doctor will likely recommend it if any of these things happen:

• Tissue (such as the intestine) becomes trapped in the abdominal wall. This is called incarceration. If left untreated, it may lead to strangulation. That’s when the blood supply to the tissue gets cut off.
• The hernia becomes strangulated. This can cause permanent damage and is a surgical emergency. Strangulated organs, usually your intestines, will die, and if not removed quickly, you can become seriously ill. Call your doctor right away if you have a fever or nausea, sudden pain that gets worse, or a hernia that turns red, purple, or dark.
• The hernia causes pain or discomfort, or it’s growing larger.

You may be able to wait to have surgery if:

• Your hernia goes away when you lie down, or you can push it back into your belly. This is called a reducible hernia.
• It’s small, and causes few — or no — symptoms (these may never need surgery)

Talk to your doctor. They’ll monitor your hernia during your yearly physical.

Nearly all children and adults can have hernia surgery. If you’re seriously ill or very frail, you may choose not to have an operation. Your doctor can help you weigh the benefits of the procedure against your ability to recover.

Types of Hernia Surgery

Your doctor can remove your hernia in one of two ways. Both are done at a hospital or surgery center. You’ll usually go home within a few days. In many cases, you’ll be able to go home the same day as your procedure.

Open surgery: You will receive general anesthesia before having open surgery. The surgeon makes a cut (incision) to open your skin. They’ll gently push the hernia back into place, tie it off, or remove it. Then they’ll close the weak area of the muscle — where the hernia pushed through — with stitches. For larger hernias, your surgeon may add a piece of flexible mesh for extra support. It’ll help keep the hernia from coming back.

Laparoscopic surgery: In this surgery, your abdomen is inflated with a harmless gas. This gives the surgeon a better look of your organs. They’ll make a few small incisions (cuts) near the hernia. They’ll insert a thin tube with a tiny camera on the end (laparoscope). The surgeon uses images from the laparoscope as a guide to repair the hernia with mesh. For laparoscopic surgery, you’ll receive general anesthesia.

Recovery is usually faster with laparoscopic surgery: On average, patients are back to their normal routine a week sooner than with open surgery.

What kind of surgery you’ll need often depends on the size, type, and location of your hernia. Your doctor will also consider your lifestyle, health, and age.

Hernia Surgery Risks

This type of operation is normally very safe. But like all surgeries, having your hernia removed comes with a number of possible complications. They include:

• Infection of the wound
• Blood clots: These can develop because you’re under anesthesia and don’t move for a long period of time.
• Pain: In most cases, the area will be sore as you heal. But some people develop chronic, long-lasting pain after surgery for a groin hernia, for example. Experts think the procedure may damage certain nerves. Laparoscopic surgery may cause less pain than an open procedure.
• Recurrence: The hernia could come back after the surgery. Research shows that using mesh can reduce your risk of this happening by half.

Non-Surgical Hernia Treatments

Your physician may recommend that you wear a corset, binder, or truss. These supportive undergarments apply gentle pressure on the hernia and keep it in place. They may ease discomfort or pain. They’re used if you aren’t able to have surgery, or for temporary relief before your procedure. Only use these garments under your doctor’s supervision.

Hernia Program – Brigham and Women’s Hospital

Why should you choose the Brigham for hernia care?

Our Experts

The board-certified general and gastrointestinal surgeons at the Brigham and Women’s Hospital Comprehensive Hernia Center have expertise in diagnosing and treating all types of hernias. They are skilled in the full range of hernia surgeries, including:

• Open hernia repair
• Minimally invasive laparoscopic and robotic hernia repair
• Complex hernia repair

Our program also includes board-certified plastic and reconstructive surgeons who work closely with the entire team. They excel in complex abdominal wall reconstruction when direct closure is not possible. In addition, they are experts in wound healing and can help to optimize cosmetic outcomes.

All of our surgeons are:

• Committed to delivering the highest level of patient care and incorporating minimally invasive techniques and other proven surgical advances into their practice
• Active researchers exploring new ways to improve patient care before, during and after surgery
• Training the next generation of surgeons as faculty members at Harvard Medical School and through residency and fellowship programs at the Brigham

Learn more about our surgeons.

Risk factor reduction

If you have a hernia, your initial visit to our program will likely involve an evaluation at our Multidisciplinary Hernia Clinic. There, you can see a variety of hernia experts who will work together to determine the best treatment approach based on your needs and preferences.

We will work with you to address any factors that could hurt your chances of having a successful surgery and recovery. For example, if you need to:

• Quit smoking, our social workers can offer guidance.
• Get your diabetes-related symptoms under control, our Diabetes Management Program can help.
• Lose weight to reduce your risk of another hernia, our weight loss surgeons can help you achieve long-term weight loss with advanced minimally invasive bariatric surgery and support services.

Your doctors will also review with you what medications you currently take and advise you to stop using any that could cause surgery-related complications.

Multidisciplinary collaboration

The Brigham’s Hernia Program specializes in the diagnosis and treatment of incisional, umbilical, epigastric, groin and recurrent hernias. Members of our team include:

• General and gastrointestinal surgeons
• Laparoscopic and robotic surgeons
• Weight loss surgeons
• Plastic and reconstructive surgeons
• Radiologists
• Wound management nurses
• Dietitians
• Psychologists
• Social workers

All of the medical specialists in our program have extensive experience in diagnosing and treating hernias, and we work with our colleagues throughout the hospital to optimize care for each patient. Together, we will develop a personalized treatment plan to repair your hernia and return you to pain-free living as soon as possible.

High-volume experience

Many other hernia programs refer their most complicated cases to us, and we conduct thousands of simple and complex hernia operations each year. Multiple studies have shown that this type of high-volume experience results in better outcomes for patients.

What can you expect from our Hernia Program?

If you and your doctor decide that surgery is the best course of action, you will likely be scheduled for a preliminary visit to or a call with the Weiner Center for Preoperative Evaluation for education and tests.

Before surgery, you will receive clear instructions on when to arrive and where to go. In the operating room, surgeons, anesthesiologists and nurses with expertise in hernia repair will care for you. After surgery, you will receive comprehensive care by the experienced surgical and nursing staff in our postsurgical care unit.

Depending on the complexity of your hernia and its repair, you can expect to stay in the hospital for one day to a week after your surgery. At the Brigham, we adhere to enhanced recovery after surgery (ERAS) protocols. These evidence-based guidelines are designed to optimize hydration, nutrition and pain control, leading to faster, safer and more comfortable recovery from surgery.

How do you make an appointment?

Please call 617-525-9726 to schedule an appointment at one of our locations:

How can physicians refer patients to our program?

If you are a referring physician, please call 617-525-9995.

Hernia Center

About the Program

The Massachusetts General Hospital’s Hernia Center offers state-of-the-art surgical repair for all types of abdominal hernias, particularly for complex and complicated cases. A hernia is a defect in the abdominal musculature that allows fat or abdominal contents to protrude through the abnormal opening. Hiatal or paraesophageal hernias are also treated through our Gastroesophageal Surgery Program.

Leaders in Hernia Surgery

Our legacy in treating hernias dates back to 1811, when Mass General surgeons first began treating hernias. Today, our surgeons perform a high volume of hernia repair surgeries each year—more than 1,600 procedures in the most recent calendar year. Research demonstrates that high-volume experience results in improved patient outcomes. Our surgeons are board-certified, Harvard Medical School-affiliated physicians who specialize in repairing hernias. This specialization requires rigorous advanced training and a highly focused clinical practice. Our center is also a referral site for complicated hernia cases.

Multidisciplinary Hernia Care

Whether your condition requires care from one specialist or an entire team, our surgeons work side by side with your entire treatment team to develop a personalized care plan to treat your condition. In some cases, such as complex reconstructions, we may work with surgeons from the Division of Plastic and Reconstructive Surgery to perform procedures and help coordinate the most appropriate course of care for you.

Conditions We Treat

The types of hernias we treat include:

• Epigastric hernias, which are often present at birth and similar to umbilical hernias
• Femoral hernias, which occur when part of the intestines bulge through a weakness in the groin area
• Incisional hernias, which occur as a result of incompletely healed surgical wounds
• Inguinal hernias, which occur in the groin area
• Spigelian hernias, which are a type of abdominal hernia
• Umbilical hernias, which occurs when part of the intestines protrude through an opening in the abdominal muscles
• Ventral hernias, a type of incisional hernia

Our Procedures

Our surgeons are particularly skilled in assessing hernias and determining their appropriateness for open or laparoscopic surgery. We offer the full range of surgical options to repair hernias, including:

• Complex reconstructions
• Mesh implantation, a technique used to repair most groin hernias. Most open inguinal hernia repairs are performed as an outpatient procedure under local anesthesia
• State-of-the-art robotic assisted hernia repair

Research & Clinical Trials

Our surgeons are accomplished researchers who are at the forefront of the latest surgical and medical innovations.

Browse online for open clinical trials

• 
  
• 
  

• 
  Matt Hutter, MD, MPH

  • Professor in Surgery, Harvard Medical School
  • Director of the Mass General Weight Center
  • Director of the Codman Center for Clinical Effectiveness in Surgery

• 
  Charu Paranjape, MD, MBBS

  • Chief , Division of General Surgery at Newton-Wellesley Hospital
  • Chief, Acute Care Surgery at Newton-Wellesley Hospital
  • Associate Chair, (Education) Department of Surgery at Newton-Wellesley Hospital

• 
  

• 
  George Velmahos, MD, PhD

  • Division Chief of Trauma, Emergency Surgery and Surgical Critical Care
  • John F. Burke Professor of Surgery, Harvard Medical School

• 
  

Inguinal Hernia: Should I Have Surgery Now, or Should I Wait?

You may want to have a say in this decision, or you may simply want to follow your doctor’s recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them.

Inguinal Hernia: Should I Have Surgery Now, or Should I Wait?

Get the facts

Your options

• Have surgery now to repair the inguinal hernia, even if you do not have symptoms.
• Take a “wait and see” approach to surgery because the hernia does not bother you much.

This decision aid is not for parents of infants and children who have inguinal hernias. Infants and children always need surgery to repair a hernia because of the increased risk of incarceration and strangulation.

Key points to remember

• Hernias don’t go away on their own. Only surgery can repair a hernia.
• Many people are able to delay surgery for months or even years. And some people may never need surgery for a small hernia. If the hernia is small and you don’t have any symptoms, or if the symptoms don’t bother you much, you and your doctor may simply continue to watch for symptoms to occur.
• Over time, hernias tend to get bigger as the muscle wall of the belly gets weaker and more tissue bulges through.
• Many doctors recommend surgery because it prevents a rare but serious problem called strangulation. This occurs when a loop of intestine or a piece of fatty tissue is trapped inside the hernia and is cut off from its blood supply.
• Talk with your doctor before wearing a corset or truss to hold in your hernia. These devices are not recommended for treating hernias and sometimes can do more harm than good.

FAQs

An inguinal hernia (say “IN-gwuh-nul HER-nee-uh”) occurs when tissue pushes through a weak spot in your groin muscle. This causes a bulge in the groin, scrotum, or labia. The bulge may hurt or burn, or it may not hurt at all.

Many doctors recommend surgery because it can prevent a rare but serious problem called strangulation. This occurs when a loop of intestine or a piece of fatty tissue is trapped in a hernia and the blood supply is cut off, which kills the tissue.

Repairing the hernia can also relieve the symptoms of pain and discomfort and make the bulge go away. The hernia won’t heal on its own.

If your hernia does not bother you, most likely you can wait to have surgery. Your hernia may get worse, but it may not. Over time, hernias tend to get bigger as the muscle wall of the belly gets weaker and more tissue bulges through.

In some cases small, painless hernias never need repair.

There are two types of hernia repair surgeries:

• Open hernia repair surgery. The hernia is repaired through a cut (incision) in the groin. Open surgery is safe and effective and has been done for many years.
• Laparoscopic hernia repair. This is another method for hernia repair in adults. A surgeon inserts a thin, lighted scope through a small incision in the belly. Surgical tools to repair the hernia are inserted through other small incisions in the belly. Laparoscopic hernia surgery may have some advantages over open surgery in certain cases.

It can take up to 4 weeks after open hernia surgery before you can begin normal strenuous activities. If you have laparoscopic surgery, you may recover sooner.

A synthetic patch or mesh may be used to repair your hernia. Patch use is becoming widespread in repairing hernias in adults. A patch may strengthen your abdominal wall, reduce your discomfort after surgery, and reduce the chance that your hernia repair will have to be done again.

You and your doctor may want to put off surgery if:

• The hernia is small and you don’t have any symptoms, or if the symptoms don’t bother you much.
• The hernia can be pushed back into the belly or it goes away when you lie down. (If it cannot be pushed back, surgery must be done sooner.)

It may also be a good idea to put off surgery if:

• You are taking medicines such as blood thinners that cannot be stopped for surgery.
• You have other health problems that make surgery dangerous.
• You have a skin infection that could also infect the material used to repair the hernia.
• Your doctor has suggested that wearing supports (trusses or corsets) could help.

Talk with your doctor before wearing a corset or truss for a hernia. These devices are not recommended for treating hernias and sometimes can do more harm than good. There may be certain cases when your doctor thinks a truss would work, but these are rare.

Compare your options

Compare Option 1Have surgery nowWait and see

Compare Option 2Have surgery nowWait and see

Have surgery now Have surgery now

• You may be asleep during the operation. Or the doctor may keep you awake and simply numb the area around your groin.
• You don’t need to stay overnight in the hospital.

• Surgery prevents the rare but serious problem called strangulation.
• It relieves any swelling or feeling of heaviness, tugging, or burning in the area of the hernia.

• The hernia could come back.
• Risks of surgery include:
  • A bad reaction to the anesthesia.
  • Infection and bleeding.
  • Nerve damage, numb skin, or a loss of blood supply to the scrotum or testicles that could cause the testicles to waste away. But these are rare.
  • Damage to the cord that carries sperm from the testicles to the penis. This could affect your ability to father children.
  • Damage to the artery or vein in the thigh.
  • Damage to the intestines or bladder for certain types of hernias or if the surgery is a laparoscopic repair.

Wait and see Wait and see

• You will get regular checkups to watch for changes.

• You don’t have the risks of surgery.

• A rare but serious problem called strangulation could occur.

I work on a loading dock and often have to lift heavy boxes for my job. One day I noticed a tender bulge in my groin that became more and more painful on the job. My doctor said I had an inguinal hernia. I decided to have surgery to repair it, because I just couldn’t work anymore with the hernia.

My inguinal hernia does not bother me much. So I could live with it. But it makes a big bulge, and I don’t like the way it looks. So I decided to have surgery to have it repaired and make the bulge go away.

Over the last few years I had gotten overweight. So I went on a crash diet to lose the extra weight fast. Afterward I got a cold and coughed a lot. Later I noticed a small bulge in my groin area that hadn’t been there before. My doctor said it was an inguinal hernia and showed me how to push it back into my belly. Although I could have surgery to repair it, I decided to wait to see if it gets worse.

I have a hernia and I am pregnant. It bothers me some, but I have decided to wait until after my baby is born to have the hernia repaired. I just think there is too great a chance of harm to my baby from the anesthesia and surgery to have the hernia repaired before delivery.

What matters most to you?

Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.

Reasons to have surgery now

Reasons to wait

My hernia is keeping me from doing daily activities or from returning to work.

My hernia doesn’t bother me at all.

More important

Equally important

More important

I want to have the hernia repaired while my insurance or worker’s compensation will help cover the costs.

I am worried about being able to afford the operation.

More important

Equally important

More important

I will be traveling to an area where health care may not be available, so I want to take care of this now.

I have no plans to travel to places where health care may not be available.

More important

Equally important

More important

Surgery would be convenient for me at this time.

This is not a good time for me to have surgery.

More important

Equally important

More important

My other important reasons:

My other important reasons:

More important

Equally important

More important

Where are you leaning now?

Now that you’ve thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now.

Having surgery now

Waiting to have surgery

Leaning toward

Undecided

Leaning toward

What else do you need to make your decision?

1.1, One reason for me to have surgery for my inguinal hernia is to prevent a rare but serious problem called strangulation. 2.2, I need surgery even though my hernia is small and doesn’t bother me. 3.3, I can wait for my hernia to go away on its own. 1.1,Do you understand the options available to you?2.2,Are you clear about which benefits and side effects matter most to you?3.3,Do you have enough support and advice from others to make a choice?

1.
How sure do you feel right now about your decision?

Not sure at all

Somewhat sure

Very sure

2.2, Check what you need to do before you make this decision.

Use the following space to list questions, concerns, and next steps.

Your Summary

Here’s a record of your answers. You can use it to talk with your doctor or loved ones about your decision.

Next steps

Which way you’re leaning

How sure you are

Your comments

Key concepts that you understood

Key concepts that may need review

Credits

Author	Healthwise Staff
Primary Medical Reviewer	E. Gregory Thompson MD – Internal Medicine
Primary Medical Reviewer	Adam Husney MD – Family Medicine
Primary Medical Reviewer	Kathleen Romito MD – Family Medicine
Primary Medical Reviewer	Kenneth Bark MD – General Surgery, Colon and Rectal Surgery

You may want to have a say in this decision, or you may simply want to follow your doctor’s recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them.

Inguinal Hernia: Should I Have Surgery Now, or Should I Wait?

Here’s a record of your answers. You can use it to talk with your doctor or loved ones about your decision.

1. Get the facts
2. Compare your options
3. What matters most to you?
4. Where are you leaning now?
5. What else do you need to make your decision?

1.

Get the Facts

Your options

• Have surgery now to repair the inguinal hernia, even if you do not have symptoms.
• Take a “wait and see” approach to surgery because the hernia does not bother you much.

This decision aid is not for parents of infants and children who have inguinal hernias. Infants and children always need surgery to repair a hernia because of the increased risk of incarceration and strangulation.

Key points to remember

• Hernias don’t go away on their own. Only surgery can repair a hernia.
• Many people are able to delay surgery for months or even years. And some people may never need surgery for a small hernia. If the hernia is small and you don’t have any symptoms, or if the symptoms don’t bother you much, you and your doctor may simply continue to watch for symptoms to occur.
• Over time, hernias tend to get bigger as the muscle wall of the belly gets weaker and more tissue bulges through.
• Many doctors recommend surgery because it prevents a rare but serious problem called strangulation. This occurs when a loop of intestine or a piece of fatty tissue is trapped inside the hernia and is cut off from its blood supply.
• Talk with your doctor before wearing a corset or truss to hold in your hernia. These devices are not recommended for treating hernias and sometimes can do more harm than good.

FAQs

What is an inguinal hernia?

An inguinal hernia (say “IN-gwuh-nul HER-nee-uh”) occurs when tissue pushes through a weak spot in your groin muscle. This causes a bulge in the groin, scrotum, or labia. The bulge may hurt or burn, or it may not hurt at all.

Why do hernias need to be repaired?

Many doctors recommend surgery because it can prevent a rare but serious problem called strangulation. This occurs when a loop of intestine or a piece of fatty tissue is trapped in a hernia and the blood supply is cut off, which kills the tissue.

Repairing the hernia can also relieve the symptoms of pain and discomfort and make the bulge go away. The hernia won’t heal on its own.

If your hernia does not bother you, most likely you can wait to have surgery. Your hernia may get worse, but it may not. Over time, hernias tend to get bigger as the muscle wall of the belly gets weaker and more tissue bulges through.

In some cases small, painless hernias never need repair.

What kinds of surgery are used for inguinal hernia?

There are two types of hernia repair surgeries:

• Open hernia repair surgery. The hernia is repaired through a cut (incision) in the groin. Open surgery is safe and effective and has been done for many years.
• Laparoscopic hernia repair. This is another method for hernia repair in adults. A surgeon inserts a thin, lighted scope through a small incision in the belly. Surgical tools to repair the hernia are inserted through other small incisions in the belly. Laparoscopic hernia surgery may have some advantages over open surgery in certain cases.

It can take up to 4 weeks after open hernia surgery before you can begin normal strenuous activities. If you have laparoscopic surgery, you may recover sooner.

A synthetic patch or mesh may be used to repair your hernia. Patch use is becoming widespread in repairing hernias in adults. A patch may strengthen your abdominal wall, reduce your discomfort after surgery, and reduce the chance that your hernia repair will have to be done again.

When is it safe to delay surgery?

You and your doctor may want to put off surgery if:

• The hernia is small and you don’t have any symptoms, or if the symptoms don’t bother you much.
• The hernia can be pushed back into the belly or it goes away when you lie down. (If it cannot be pushed back, surgery must be done sooner.)

It may also be a good idea to put off surgery if:

• You are taking medicines such as blood thinners that cannot be stopped for surgery.
• You have other health problems that make surgery dangerous.
• You have a skin infection that could also infect the material used to repair the hernia.
• Your doctor has suggested that wearing supports (trusses or corsets) could help.

Talk with your doctor before wearing a corset or truss for a hernia. These devices are not recommended for treating hernias and sometimes can do more harm than good. There may be certain cases when your doctor thinks a truss would work, but these are rare.

2. Compare your options

Personal stories

Personal stories about having surgery for inguinal hernia

These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.

“I work on a loading dock and often have to lift heavy boxes for my job. One day I noticed a tender bulge in my groin that became more and more painful on the job. My doctor said I had an inguinal hernia. I decided to have surgery to repair it, because I just couldn’t work anymore with the hernia.”

“My inguinal hernia does not bother me much. So I could live with it. But it makes a big bulge, and I don’t like the way it looks. So I decided to have surgery to have it repaired and make the bulge go away.”

“Over the last few years I had gotten overweight. So I went on a crash diet to lose the extra weight fast. Afterward I got a cold and coughed a lot. Later I noticed a small bulge in my groin area that hadn’t been there before. My doctor said it was an inguinal hernia and showed me how to push it back into my belly. Although I could have surgery to repair it, I decided to wait to see if it gets worse.”

“I have a hernia and I am pregnant. It bothers me some, but I have decided to wait until after my baby is born to have the hernia repaired. I just think there is too great a chance of harm to my baby from the anesthesia and surgery to have the hernia repaired before delivery.”

3. What matters most to you?

Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.

Reasons to have surgery now

Reasons to wait

My hernia is keeping me from doing daily activities or from returning to work.

My hernia doesn’t bother me at all.

More important

Equally important

More important

I want to have the hernia repaired while my insurance or worker’s compensation will help cover the costs.

I am worried about being able to afford the operation.

More important

Equally important

More important

I will be traveling to an area where health care may not be available, so I want to take care of this now.

I have no plans to travel to places where health care may not be available.

More important

Equally important

More important

Surgery would be convenient for me at this time.

This is not a good time for me to have surgery.

More important

Equally important

More important

My other important reasons:

My other important reasons:

More important

Equally important

More important

4. Where are you leaning now?

Now that you’ve thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now.

Having surgery now

Waiting to have surgery

Leaning toward

Undecided

Leaning toward

5. What else do you need to make your decision?

Check the facts

1.
One reason for me to have surgery for my inguinal hernia is to prevent a rare but serious problem called strangulation.

You’re right. Many doctors recommend surgery because it prevents strangulation, which happens when a piece of tissue gets trapped inside the hernia and is cut off from its blood supply.

2.
I need surgery even though my hernia is small and doesn’t bother me.

You’re right. If your hernia is small and your symptoms don’t bother you, you can delay surgery. Some people never need surgery.

3.
I can wait for my hernia to go away on its own.

You’re right. An inguinal hernia won’t go away on its own. Only surgery can repair it.

Decide what’s next

1.
Do you understand the options available to you?

2.
Are you clear about which benefits and side effects matter most to you?

3.
Do you have enough support and advice from others to make a choice?

Certainty

1.
How sure do you feel right now about your decision?

Not sure at all

Somewhat sure

Very sure

2.
Check what you need to do before you make this decision.

Use the following space to list questions, concerns, and next steps.

Credits

Note: The “printer friendly” document will not contain all the information available in the online document some Information (e.g. cross-references to other topics, definitions or medical illustrations) is only available in the online version.

Current as of: April 15, 2020

Author:
Healthwise Staff

Medical Review:E. Gregory Thompson MD – Internal Medicine & Adam Husney MD – Family Medicine & Kathleen Romito MD – Family Medicine & Kenneth Bark MD – General Surgery, Colon and Rectal Surgery

Hernia Surgery Los Angeles | Hernia Treatment Los Angeles

Top Los Angeles Hernia Doctors

At Hernia Center Los Angeles, we have assembled a team of the best hernia surgeons, each Board Certified in their specialty, expertly adept and able to deliver the finest care to anyone in need of hernia repair. From our pediatric surgical specialist to our world-class plastic surgeons, we can provide you with the exact specialist team that you need to ensure that your hernia surgery gives you the best results possible.

Our hernia doctors are well-known, well-respected, and have practiced surgery at the best hospitals in Los Angeles & Beverly Hills. Like you, they recognize the need for a private hernia surgery center that can provide the best personal care in a safe and pleasant setting.

Complete Hernia Care

At Hernia Center Los Angeles, our hernia doctors are specialists in their fields. Each one is very experienced in treating particular types of hernias, and in doing so by using the most effective possible surgical hernia treatment. Rather than providing a “patch” or quick-fix that could re-rupture or cause further problems, our surgeons are interested in completely and thoroughly repairing your hernia, so that it simply won’t trouble you again. Even if you are in need of a complex hernia repair, or you are experiencing issues from a prior hernia repair, our expert hernia doctors can help.

State of the Art Facility

Hospitals are no longer the only choice available for people in need of surgical hernia repair in Los Angeles & Beverly Hills. Now, with Hernia Center Los Angeles, you have a better choice. We can provide you with the same procedures, performed by excellent doctors, for the same cost. And we will make sure that you obtain the maximum benefits available from your health insurance provider.

Our patients don’t have to deal with the paperwork, parking issues or large-scale inconveniences that can be a part of a hospital experience, and they avoid any danger of exposure to disease while they are in a vulnerable, post-operative state. For the same cost of your hospital visit, or less, you can enjoy the New Standard in Surgical Care.

We Accept PPO Insurance & Medicare

Most insurance plans will cover your hernia surgery cost. At Hernia Center Los Angeles, our insurance experts will work with you and your insurance company to make sure you get the maximum possible benefits from your insurance plan. Whether we are listed as preferred providers by your plan or not, we can help you cut the red tape and get the care that you need.

Just tell us about your insurance coverage. We’ll do the rest.

90,000 Which doctor should I go to in case of intervertebral hernia of the lumbosacral spine

Vertebrologists of Moscow – latest reviews

I really liked the welcome. Wonderful, attentive, competent, trustworthy and experienced.He slowly and carefully listened to me and prescribed a course of treatment. The doctor also ordered a blood test and blockade. Overall, I am very satisfied. I received relief from pain and an approximate understanding of the further course of treatment. I made an appointment for a second appointment.

Moderation,

September 22, 2021

Several times I visited Dr. Ametov.I liked the specialist. Very open and friendly doctor. I gave him intra-articular injections, I am very pleased with the result and the process. Everything is extremely careful and effective.

Moderation,

September 22, 2021

An attentive doctor, it is clear that he is a professional.Evgeny Nikolaevich listened to my complaints, carried out an initial diagnosis and ordered a study. The doctor immediately recommended to carry out the procedure in the form of a dropper, gave directions for the necessary tests and gave recommendations, devoted enough time. I was pleased with the reception and will contact this specialist again.

Vladislav,

September 21, 2021

Was at the reception because of painful sensations in the area of ​​the hands.I work at the computer, my hands began to fail. Ilya Vitalievich said that it was a tunnel syndrome and prescribed treatment. It helped me quickly. An excellent specialist.

Dmitriy,

September 16, 2021

Impressed by the doctor’s approach.Thorough examination and questioning of the patient, and not just familiarization with pieces of paper. I came to the doctor with pain in the spine, left with a clear mindset for recovery. Of course, the way to him will not be fast, but the doctor gave me hope. I am on treatment, there are improvements.

Nina,

September 16, 2021

The doctor is a professional in his field, attentive to his patients.I came after a knee injury. At the reception, Ibrahim Muradovich looked, prescribed the pictures, because I had old ones from last year, to get tested, recommended to reduce physical activity on my leg. Come for a second appointment with the results. The doctor told me a lot.

Natalia,

September 15, 2021

Wonderful, good doctor.I liked everything. Evgeny Yurievich was interested in everything, explained and told me clearly and in detail. The specialist made an accurate diagnosis and prescribed treatment. I was satisfied. Time was enough for me. I will apply again and again.

Yuri,

September 15, 2021

I liked the reception.The doctor answered all the questions. At the reception, Maria Vladimirovna prescribed treatment. The doctor is qualified, pleasant to talk to. Would apply again. In time, the consultation lasted about 1 hour, there was enough time. As a result, the specialist said what needs to be done additionally.

Anna,

September 15, 2021

A very good, kind doctor.At the reception Natalya Anatolyevna examined, explained what problems I have. Based on the CT results, she diagnosed me and prescribed treatment. After I have been treated, I will again go to another appointment, for a check. The doctor spoke very politely, took enough time.

Helena,

September 14, 2021

The doctor gave me confidence.Back pain brought him to the appointment. Alexey Borisovich listened carefully, looked at my back, confirmed my fears and prescribed treatment. I made an appointment for a second appointment, I liked the doctor.

Alexandra,

August 10, 2021

Show 10 reviews of 3619 90,000 Who treats lumbar spine hernia

Neurologists of Moscow – latest reviews

I really liked the welcome.Wonderful, attentive, competent, trustworthy and experienced. He slowly and carefully listened to me and prescribed a course of treatment. The doctor also ordered a blood test and blockade. Overall, I am very satisfied. I received relief from pain and an approximate understanding of the further course of treatment. I made an appointment for a second appointment.

Moderation,

September 22, 2021

Several times I visited Dr. Ametov.I liked the specialist. Very open and friendly doctor. I gave him intra-articular injections, I am very pleased with the result and the process. Everything is extremely careful and effective.

Moderation,

September 22, 2021

At the consultative appointment, the doctor showed himself to be an intelligent specialist and a pleasant person.I underwent a detailed complaint survey and a fact-finding survey. I was pleased with the reception. I received a treatment plan, following it, I am clearly on the mend.

Moderation,

September 22, 2021

Everything went well.Elena Valerievna diagnosed me, prescribed treatment and recommended to undergo an examination. She is a professional, kind, good woman, attentive. I will go to her for a second appointment.

Anna,

September 21, 2021

An attentive doctor, it is clear that he is a professional.Evgeny Nikolaevich listened to my complaints, carried out an initial diagnosis and ordered a study. The doctor immediately recommended to carry out the procedure in the form of a dropper, gave directions for the necessary tests and gave recommendations, devoted enough time. I was pleased with the reception and will contact this specialist again.

Vladislav,

September 21, 2021

I made an appointment at the clinic to see Dr. Kazaryan with my flat feet.The diagnosis, when I was already on the way, was not assigned an additional examination. The doctor just examined and confirmed. The treatment was of high quality, a number of procedures and supportive therapy were prescribed, a manufacturer of orthopedic products was recommended. The impression from communicating with the doctor is only positive. Attentive and polite, educated.

Diana,

September 20, 2021

Was at the doctor’s appointment for examination with severe pain in the elbow joint.Satisfied with the inspection and appointments. The pain was relieved promptly by intra-articular injection. Now I am treating the elbow according to the doctor’s scheme. The results are positive.

Marina,

September 19, 2021

A kind, attentive doctor.Andrei Alexandrovich conducted an examination, told what the problem of my knee was and how to solve it, wrote out a prescription and gave recommendations. I was pleased with the reception and would recommend this specialist to my friends, if necessary.

For a moment,

September 18, 2021

Impressed by the doctor’s approach.Thorough examination and questioning of the patient, and not just familiarization with pieces of paper. I came to the doctor with pain in the spine, left with a clear mindset for recovery. Of course, the way to him will not be fast, but the doctor gave me hope. I am on treatment, there are improvements.

Nina,

September 16, 2021

Wonderful, good doctor.I liked everything. Evgeny Yurievich was interested in everything, explained and told me clearly and in detail. The specialist made an accurate diagnosis and prescribed treatment. I was satisfied. Time was enough for me. I will apply again and again.

Yuri,

September 15, 2021

Show 10 reviews of 15252

Intervertebral hernia

Who gets a hernia of the spine? |
Why and how does an intervertebral disc turn into a hernia? | Hernia localization and symptoms
| Diagnostics | Treatment

A hernia of the spine is a dangerous disease that can confine you to a wheelchair and disable your ability to work at an active young age.Today, herniated discs are successfully treated in the federal network of the Doctor Ost clinic. Many years of practice and tens of thousands of successful healing stories have proven here that it is possible to avoid complex surgical intervention and the associated health risks!

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WHO GETS A HERNIA OF THE SPINE?

It is a delusion to believe that a herniated disc is the lot of elderly people. A serious illness can overtake at any age.There are two main reasons, and they are diametrically opposite:

• A sedentary lifestyle, lack of regular physical activity, a long stay in a static forced position and, of course, love for gadgets. As a result, healthy posture is impaired: a weak muscle corset is simply not able to hold the vertebrae in the correct position. Sooner or later, the displacement of the vertebrae becomes critical.
• Increased stress on the intervertebral disc leads to disc herniation.In this scenario, patients are in no hurry to seek professional medical attention, especially if, by a happy coincidence, the hernia does not touch the nerve. They prefer to “spare their backs”, restrict movement, which, of course, only further exacerbates the situation.

Excessive or sudden abrupt loads also lead to premature wear. Falls, sprains, injury, or excessive weight can be fatal. The disease develops rapidly and treatment of a mesovertebral hernia in these cases is addressed faster.

Why and how does an intervertebral disc turn into a hernia?

The intervertebral disc performs an essential function. It provides flexibility to the back and absorbs loads while walking, running, jumping, lifting weights. The intervertebral disc is incredibly strong and resilient, but in essence it is a delicate gel-like nucleus enclosed in a ring of connective tissue.

The special structure of the spine with bends in the cervical and lumbar regions helps the intervertebral disc to cope with heavy loads.Each vertebra has its own place. Problems start with poor posture. The formation of an intervertebral hernia takes place in several stages, and the more advanced the disease is, the more dangerous its dire consequences are.

When the vertebrae leave their natural position, the intervertebral disc has to overcome tremendous resistance. In addition, with a curved posture, blood flow in the problem area is often impeded. This means that the disk is experiencing a nutritional deficiency, is depleted, dries up and does not cope with its work worse.At some point, the disc nucleus begins to shift (prolapse) and then shifts (protrusion). From the incessant pressure, the annulus fibrosus holding the core of the disc inside cracks and delaminates (extrusion). Finally, the displaced nucleus of the intervertebral disc completely ruptures the annulus fibrosus (sequestration). So there is an intervertebral hernia of various parts of the spine: more often the lumbar, a little less often – the cervical, sometimes – the thoracic.

In the later stages, a hernia of the spine presses on the nerve root and blood vessel.The pain becomes more palpable. But this is not the only symptom of an intervertebral hernia. Depending on the localization of the intervertebral hernia in a particular part of the spine, the work of internal organs and systems suffers.

Ask question

LOCALIZATION of intervertebral hernia AND SYMPTOMS

The most common intervertebral hernias of the lumbar and cervical spine. In the thoracic region, the problem occurs less often and even less often the coccygeal region is affected.The vertebrae and intervertebral discs themselves do not hurt, even if they have undergone significant destruction. The surrounding soft tissues, compressed by the intervertebral hernia, respond with pain, edema. At first, until the nerve is touched, the patient may not at all associate the feeling of incessant fatigue and other symptoms with problems in the spine.

• An intervertebral hernia in the cervical spine is accompanied by tension in the shoulder girdle. The patient may complain of swelling of the face, numbness of the hands.Often, vision deteriorates, dizziness and lack of coordination, fainting occur.
• A hernia in the thoracic region may be complicated by pain in the stomach, behind the breastbone. Often there are seizures that are very similar to the pathology of the cardiovascular system.
• The lower back is the most vulnerable area to stress, which is primarily responsible for shock absorption. The appearance of an intervertebral hernia in this section manifests itself as a sharp immobilizing pain, prolonged aching pains, muscle tension around the displaced disc in the lumbar spine, lameness, impaired sensitivity in the legs, in especially severe cases, paralysis occurs.The work of the pelvic organs is disrupted. For example, there may be such an unpleasant symptom as uncontrolled fecal incontinence.
• An intervertebral hernia in the coccygeal region can be completely confusing. It manifests itself as uncontrollable causeless pons or, on the contrary, constipation, can radiate pain to the central part of the abdomen or to the anus, cause discomfort during urination and defecation.

DIAGNOSTICS

Diagnosis of intervertebral hernia of the thoracic and cervical regions can be complicated by secondary manifestations of the underlying disease.The patient, focusing on the problem that has arisen, an external sign, turns to a gastroenterologist or cardiologist. Sometimes patients have been unsuccessfully treating their ailments for years without suspecting that the underlying disease is an intervertebral hernia.

Alas, a neurologist or a vertebrologist who can prescribe treatment for spinal hernias is often too late. Intervertebral hernia is diagnosed using hardware technologies:

SPINE HERNIA: TREATMENT

In most clinics on the territory of the Russian Federation, the treatment of intervertebral hernia is mainly symptomatic.In the early stages, the treatment of a hernia of the spine is of a preventive nature. Aching pain and inflammation are relieved with analgesics. Acute attacks are stopped by blockages. Cartilage wear is prevented with chondroprotectors. During the period of remission, a moderate exercise regime, caution, and avoidance of drafts are recommended. Obviously, such measures do not in any way affect the cause of the diagnosed spinal hernia, but only restrain its transition to the most dangerous stages for health. When a nerve is affected and compression myelopathy develops, the only possible treatment for a herniated disc is surgery.Often, emergency, until the changes in the spinal cord become irreversible.

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“For so many years I suffered from lower back pain, saved myself with painkillers, because no one else could help me with this problem. I decided to contact Doctor Ost, where after the first procedure on a miracle DRX device I felt better! Thank you!”
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In the MC “Doctor Ost”, the treatment of intervertebral hernia of the lumbar, cervical, thoracic, and coccygeal regions is carried out using an unparalleled proprietary technology that has replaced the complex and risky surgical intervention.

In particular, robotic gentle traction on the DRX-9000 device is used to treat hernia of the lumbar spine without surgery. A full line of robotic machines for the treatment of hernia of the spine in all departments, including the coccygeal one, is presented at the Doctor Ost MC.

The robot carefully returns the displaced vertebrae to their place and the hernia begins to go into place on its own. This is clearly seen on MRI scans. For further rehabilitation, modern non-drug technologies of restorative medicine are used, which can quickly replenish worn out cartilage tissue (Plasmogel injection) and even cope with bone tissue necrosis (stromal-vascular fraction).

Delicate pelvic pain caused by an intervertebral hernia in the coccygeal region is ready to be eliminated at the Doctor Ost MC in Chelyabinsk in just one visit. Specialists in restorative medicine will help you master the correct movement patterns and strengthen the muscle corset so that the hernia does not remind of itself again!

what is the price

A neurologist, rheumatologist, orthopedist deals with the treatment of intervertebral hernia at Doctor Ost. The cost of a specialist consultation is indicated in the “Consultative reception” section of our price list.Follow the promotions, don’t miss out on the great price!

Reviews provided on this site are not a substitute for professional advice from a physician and should not serve as a guide to self-diagnosis or self-medication.

90 095 90 000 Treatment of intervertebral hernia without surgery in Moscow

Intervertebral hernia is a disease that occurs with osteochondrosis, scoliosis, malnutrition, leading a sedentary lifestyle or constant hard work. As a result, patients suffer from discomfort and stiffness of movement.
In order not to start the disease, you must immediately seek help, because in the early stages it is possible to treat a hernia without surgery.

HOW DOES A HERNIA MANIFEST

Intervertebral discs connect the vertebrae to each other, providing flexibility and mobility of the spinal column. With age, discs can become thinner and lose their elasticity, have pathological changes in the nucleus pulposus. The pressure of the vertebrae on the weakened disc leads to rupture of the annulus fibrosus and the exit of the nucleus pulposus from it.This is how an intervertebral hernia is formed. Parts of the ring cause squeezing of the nerve roots and blood vessels surrounding the spine, which is why the person experiences pain.

As soon as the tissues of the disc weaken, any load on the lower back (and in general, the spinal column) can tear them. This can be not only lifting weights, but even a simple tilt or incorrect sitting posture. After the tear of the disc tissues, the liquid nucleus pulposus begins to squeeze out from the depth of the disc. The protrusion of tissues leads to compression, that is, pinching of the surrounding tissues.It can be both nerves and blood vessels. After the exit of the nucleus pulposus, an intervertebral hernia forms. Its appearance in the lumbar spine causes many disorders, ranging from pain and numbness, ending with muscle failure and spontaneous acts of urination and defecation. It is important to prevent further development of degenerative processes.

POSSIBLE HERNIA COMPLICATIONS

• Loss of joint mobility
• Deterioration of the functions of the musculoskeletal system
• Destruction of cartilage
• Increased pain syndrome
• Increased blood pressure
• Headaches and dizziness
• Increased risk of stroke
• Disorders of the digestive system
• Numbness of fingers or toes
• Paralysis
• Disability

NON-SURGICAL TREATMENT OF INTERVERTEBRAL HERNIA

Long-term practice has proven the higher efficiency and safety of conservative (non-surgical) treatment over surgery.Currently, a consensus has been established in the medical environment on this issue – to resort to surgery only in difficult cases when conservative treatment does not work. Of all the patients who visited our medical center, only 3% are indicated for surgery. In more than 90% of cases, non-surgical treatment will be effective.

METHODS OF TREATMENT OF HERNIA WITHOUT SURGERY

The primary goal is to eliminate pain. For this, pain relievers and manual therapy techniques are used. Complete elimination of a hernia is a multifactorial task: it is necessary to restore nutrition to the disc tissues, straighten the position of the vertebrae and develop the correct motor stereotypes.Therefore, the solution to the problem is possible only with a complex impact. Our medical center uses the author’s method of combined hernia treatment, which includes manual therapy and osteopathy techniques, drug electrophoresis, spinal traction, physiotherapy and other methods. The technique, applied and refined over 18 years, has saved more than 3000 patients from hernia.

price of spinal hernia removal operation

Herniated discs have become more and more common in people of different ages.A herniated disc compresses the nerves and spinal cord, which is accompanied by severe pain and neurological symptoms (numbness, weakness in the limbs). If treatment is not started on time, the disease can lead to persistent neurological deficits.

To understand how a herniated disc appears, you need to familiarize yourself with the structure of the spine. The spine is the main supporting structure of the body and consists of a chain of vertebrae (33-34). Intervertebral discs are located between the vertebrae, which are necessary for the flexibility and mobility of the vertebrae.The intervertebral disc in its structure has a nucleus and an annulus fibrosus. Due to excessive physical exertion or injury, a microcrack in the annulus fibrosus may occur. During life, the crack grows and leads to “protrusion” of the nucleus tissue outside the spine. Thus, the intervertebral hernia begins to form.

Clinical picture

The physician examining the patient should most accurately determine the level at which the hernia has formed. If the patient only complains of back pain, and this pain does not “radiate” to the arm or leg, then such a symptom cannot be attributed to a herniated disc.It is necessary to look for the causes in the muscles of the back, intervertebral joints and ligaments. A herniated disc begins to develop, first of all, due to improper load on the spine, which leads to muscle overstrain. The muscles do not have time to rest, recover, they spasm and the patient develops back pain. In parallel with the violation of muscles and ligaments, degenerative changes occur in the joints and discs of the vertebrae. With constant pain syndrome, the inability of muscles and ligaments to withstand the load on the spinal column leads to rupture of the annulus fibrosus, and thereby to the appearance of a hernia.

The presence of a herniated disc requires immediate treatment. In the Federal Scientific and Clinical Center of the FMBA of Russia, operations for the treatment of intervertebral hernia have been carried out for more than 30 years. The extensive experience of neurosurgeons is extremely important in the implementation of surgical intervention in the body, it guarantees the accuracy of the operation, reducing the risk of possible negative consequences. All operations at the FNKTs FMBA are carried out in accordance with the protocols of the Russian, American and European associations of neurosurgeons.

Indications for removal of herniated discs

If the pain syndrome from an intervertebral hernia persists for a long time, even after the prescribed treatment, this is the main indication for removal. Also, the following indications can be distinguished, in which it is necessary to resort to surgical intervention:

• Large hernia size;
• Uncontrolled urination;
• Weakness in arms or legs;
• Numbness in the limbs;
• Atrophy of leg muscles;

Contraindications

The main contraindication is the presence of infectious diseases of the skin, muscles and vertebrae;

In the neurosurgical department of the FNKTs FMBA, a patient can receive a consultation from a neurosurgeon, undergo a diagnostic examination of the spine and treatment of the detected pathology as soon as possible.A neurosurgeon will select the optimal method for treating herniated discs, taking into account the clinical picture of the disease and the individual characteristics of the patient’s body.

Preparation for surgery to remove herniated disc

FNKTS FMBA has all the necessary diagnostic equipment, which makes it possible to prepare for an operation in the center in just one day. Comprehensive examination includes.

It is important to note that blood test results must be obtained the day before surgery.The list of laboratory and instrumental analyzes can be expanded based on the individual characteristics of the organism and the state of health in general. Before the operation, it is necessary to consult a therapist and anesthesiologist. For 8 hours before the operation, you must refuse to eat.

Conducting operation

There are two methods of surgical treatment of a hernia – microsurgical removal of a herniated disc and endoscopic.

Microsurgical removal is performed through a 3 cm incision using a microscope and microsurgical instrumentation.

Endoscopic surgery is performed through a 1.5 cm incision using an endoscope.

Depending on the size and location of the disc herniation, the operation is performed under general anesthesia or in consciousness. The duration of the operation is from 30 to 70 minutes. Removal of a hernia is carried out in a position on the side or on the stomach. After the incision, the tissues are moved apart with a special expander, which makes them immobile. A special endoscope is inserted into the canal created by the doctor, through which the area of ​​the operated area and the “protrusion” that squeezes the nerve roots can be seen.The device makes it possible to visualize the area where it is necessary to remove the hernia, and the image is displayed on the monitor. When bleeding occurs, the surgeon stops it with the help of coagulation (cauterization of the vessels). The doctor removes the “bulge” and damaged structures of the spine, restores the integrity of the annulus fibrosus, which prevents the hernia from recurring.

In the neurosurgical department of the FNKTs FMBA, operations are actively carried out using endoscopic equipment, which significantly reduces the duration of the recovery period and the length of stay of patients in the hospital!

Recovery after surgery

The pain syndrome after the removal of the hernia disappears almost instantly – this makes it possible to quickly return to normal life.Nevertheless, recovery after the performed manipulations requires special preventive measures that must be followed to exclude the development of complications.

Correct recovery includes several stages:

Postoperative sutures are removed on the 7-10th day, then outpatient supervision by a neurologist is required. After 4 weeks, you can sit down for 5-10 minutes to eat, but followed by bed rest for 2 hours.With normal health, you can sit without restrictions for 45 days after removing the hernia. You can start working in 2-3 months, but the full recovery of the body occurs approximately 4-6 months after the operation.

The best results can be achieved by following the physiotherapy plan prescribed by your doctor. On the basis of FNKTs FMBA, there is a center for restorative medicine and rehabilitation, where each patient can receive qualified assistance from rehabilitologists.The patient may be prescribed physiotherapy exercises to relax the muscles of the back and abdominal muscles, as well as manual therapy. For adequate muscle recovery, 10 massage sessions are required. The plan of procedures is developed together with a physiotherapist, a rehabilitation therapist, based on the indications, as well as the patient’s condition in the postoperative period.

Cost of operation

The cost of an operation to remove an intervertebral hernia depends on a number of factors:

• Selected technique and additional manipulations prescribed by a specialist;
• Location of hernia (lumbar / cervical / thoracic / sacral, spine)
• Type of anesthesia used;
• Duration of stay in the ward (stay in the ward takes several days, but according to the testimony of the attending physician, the period may be increased).

The exact cost of removing a hernia of the spine can be found at an in-person appointment with a neurosurgeon, when the doctor gets acquainted with the results of the studies, examines the medical history and prescribes treatment tactics.

90 095 90 000 Treatment of a herniated disc in Israel of the lumbar spine: symptoms

Treatment of herniated discs in Israeli clinics is carried out using the most modern equipment, using the latest technological developments and techniques.The high qualifications of Israeli spinal surgeons, with their extensive practical experience and knowledge, make it possible to carry out the most complex surgical treatment of many pathologies of the spine at the highest level.

Treatment of herniated disc with D.R.A. Medical Center

Treatment of all pathologies of the spine is carried out on the basis of spinal surgery departments of the largest medical clinics in the country, equipped with the most modern medical equipment, which makes it possible to fully control the course of the operation using robotic visual technologies.
The special pride of our company are medical specialists, with each of whom D.R.A. The Medical Center has been cooperating for many years. Each of them has performed hundreds of similar operations, is engaged in academic and practical activities. Each of our specialists is personally and professionally responsible for your treatment.

Team of doctors D.R.A. Medical Center, which deals with the surgical treatment of herniated discs:

• Orthopedist, spinal surgeon – Dr. Nisim Ohana, Head of the Spinal Surgery Unit, Orthopedics Department, Beilinson Medical Clinic;
• Orthopedist, spinal surgeon – Dr. Ilya Pekarsky, Head of the Department of Spinal Surgery, Assuta Medical Clinic;
• Neurosurgeon, spinal surgeon – Dr. Eli Ashkenazi, Deputy Head of the Department of Spinal Surgery, Assuta Medical Center; Senior Physician, Spine Neurosurgery Department, Asaf-a-Rofe Medical Center

Passing preliminary diagnosis of herniated disc

One of the most important stages of treatment, which allows specialists to more accurately determine the location of the hernia and the severity.The program for the diagnostic examination of the intervertebral hernia includes, first of all, various imaging techniques – X-ray, CT, MRI. In the case of prescribing surgical treatment, laboratory blood tests, preoperative ECG and X-rays of the lungs are also performed.

Cost of the preliminary diagnostic program

• CT (to create a cross-sectional image of the spine) – 770 $
• MRI (to confirm the localization of the hernia of the affected nerves) – $ 1550
• Consultation of a spinal surgeon – 550 $
• A myelogram procedure may be required to show pressure on the spinal cord or nerve endings)

How to get preliminary diagnostics in D.R.A. Medical Center

Call us on the phone: +972 (77) 4450-480
Or fill out the form – Apply for treatment.
Our consultant will contact you as soon as possible.

Methods for the treatment of a herniated disc in Israel

Conservative treatment, which includes drug therapy and physiotherapy are aimed primarily at relieving pain symptoms. Medicines include various types of analgesics and anti-inflammatory drugs, muscle relaxants.
Methods of physiotherapy use various complexes of physical exercises, the use of thermal techniques, ultrasound and electrical stimulation.

Surgical operation
Surgical intervention is often the best option for treating herniated discs when conservative treatment does not give positive results.

The choice of the type of surgery depends on many reasons, the main one being the location of the hernia. Spinal surgeons in Israel are trying to use sparing methods of minimally invasive surgery in the treatment of intervertebral hernias, when access to the damaged area is made through small incisions in the back.

Discectomy is a widely used surgical procedure, in which the doctor removes the damaged disc and releases the pinched nerve from pressure. The surgeon has the ability to fully control the course of the operation using a microscope inside the endoscope.
The effectiveness of surgical treatment of herniated discs ranges from 85-95%, depending on the complexity of the operation.

Cost of treatment for a herniated disc

• Decompression operation with a retainer from $ 20,800, including the cost of the retainer

Herniated disc: general information

Herniated disc, or intervertebral disc, is a disorder that is caused by a displacement of the disc, sometimes the displacement may be accompanied by a rupture of the annulus fibrosus.Most often, pathology is associated with age-related changes, when the vertebral discs lose their natural elasticity, they can shift, thereby causing pressure on the nerve endings of the spinal cord.

Symptoms of a herniated disc:

Sometimes a herniated disc may not manifest itself for a long time, and the first symptoms of pathology can be recognized only with visual diagnostics – when studying images of the back. In other cases, the disease can be very painful.Most often, disc displacement occurs in the lower back (in the lumbar spine) or in the cervical spine.

• Pain in the limbs (arm or leg). If the hernia of the spine is located in the lumbar spine, the patient may feel severe pain in the hips, calves, buttocks, and sometimes in the foot. With a hernia of the cervical spine, the pain is given to the shoulder and arm. The pain can be especially intense, “shooting” when you move your spine in any way, sneeze or cough.
• Tingling or numbness in parts of the body where pinched nerves are located.
• Sensation of weakness in the muscles served by the affected nerves. Weakness can lead to the fact that the patient’s movement will be difficult, fine motor skills may deteriorate – the ability to lift and hold objects.

Causes of the disease and risk factors

Herniated discs are usually associated with age-related changes in the body, as a result of gradual wear and tear.With age, the disc loses a certain amount of water, which leads to a loss of flexibility, makes it more fragile, which is associated with possible deformations and breaks.

Other causes of intervertebral hernia include previous spinal injuries, heavy physical exertion on the back, congenital and acquired pathologies, osteochondrosis and scoliosis.
Doctors also include a sedentary lifestyle, excess weight, and smoking as risk factors.

How to distinguish a hernia from sciatica? Doctors warn that everyone who is sitting for a long time is at risk

Herniated disc is a disease when the fibrous annular fibers of the intervertebral disc rupture and the nucleus of the disc comes out.In other words, the disc “protrudes”. It threatens with compression of the roots of the spinal cord.

Why should I read this?

You are between 25 and 45 years old, you have poor posture and / or osteochondrosis. And you are at risk.

There are people who are genetically predisposed to herniated discs. Those at risk are those who have suffered severe spinal injuries, large or sharp physical exertion. A hernia also occurs in the opposite case – if a person sits or stands for a long time every day.

Where does it hurt?

Hernia of the spine affects the cervical, thoracic and lumbosacral regions.

Hernia in the cervical spine – the patient experiences pain in the neck, which spreads along the nerve fibers to the shoulders and arms. The fingers become numb, the head hurts and dizzy, the blood pressure rises.

Hernia in the thoracic region – the patient complains of chest pain. When a person is engaged in physical labor, he “adjusts”, takes a special posture to minimize unpleasant sensations.Pain can be associated with scoliosis.

Hernia of the lumbosacral spine – pain in this spine (lumbar pain is called lumbodynia) manifests itself in the affected disc and is aggravated by stress. Gives to the buttocks, back of the lower leg or thigh. The patient experiences numbness and tingling sensations and “cannot feel the legs.”

How do you know if it’s a hernia?

Symptoms of a hernia can be confused with other diseases of the spine. The doctor learns from the patient the nature of the pain, how it changes from the position of the body when it appears.The doctor then performs tests on the patient to check muscle strength and reflexes. The doctor’s task is to highlight the area of ​​the spine where, in his opinion, the hernia, and to prescribe an MRI or MSCT.

Treatment depends on which part of the spine the hernia appears in, what size it is and how it is located in relation to the spinal canal.

What are the benefits of MRI and MSCT?

Magnetic resonance imaging shows the size of the hernia and its location. The method helps the doctor obtain reliable information in order to prescribe treatment.

In the medical center “Dr.Life” a low-field “open” type magnetic resonance tomograph “MagFinder II” and a high-field “closed” type magnetic resonance tomograph “SIEMENS SYMPHONY” are installed.

Multislice computed tomography shows a hernia in three dimensions. A 16-spiral tomograph examines a patient 32 times faster than earlier counterparts.