When should I have surgery for my hiatal hernia?
Many individuals find themselves pondering a significant decision - when is the ideal time for hiatal hernia surgery? While medications such as H2 Blockers (famotidine, ranitidine) or proton pump inhibitors (omeprazole, pantoprazole) can help relieve symptoms, they do not directly address the source of the acid reflux with a hiatal hernia. This article delves into the essential factors one should consider when determining the opportune moment for considering a procedure.
Understanding Hiatal Hernias:
Before embarking on the discussion of surgical timing, it is imperative to grasp the nature of hiatal hernias. These hernias manifest when a portion of the stomach protrudes through the diaphragm and into the chest cavity, often leading to uncomfortable symptoms such as heartburn, chest pain, and swallowing difficulties.
The Importance of Timing:
The timing of hiatal hernia surgery is a paramount consideration, with several influential factors at play:
1. Severity of Symptoms:
The intensity and frequency of hiatal hernia symptoms are pivotal in this decision-making process. Severe pain, difficulties in eating, or complications like bleeding could signify that surgical intervention is required sooner rather than later.
2. Medication and Lifestyle Changes:
Relying heavily on medications to manage symptoms raises questions about the sustainability of this approach. Frequent use of medications for heartburn or acid reflux may prompt discussions with healthcare providers regarding the potential for surgery to provide a more enduring solution. Longterm use of proton pump inhibitor medications can lead to low calcium/osteoporosis, low vitamin B12, and increased risk for some infections.
3. Impact on Daily Life:
Assessing how the hernia affects one's daily activities and overall quality of life is crucial. If the condition significantly hampers the enjoyment of meals, engagement in physical activities, or even peaceful sleep, surgery may become the preferred path toward overall improvement in health and lifestyle.
4. Consultation with a Specialist:
Arguably the most pivotal aspect is seeking counsel from a specialist in the field, such as Dr. Harper. For those longing to overcome the limitations imposed by hiatal hernia symptoms, reaching out to Dr. Harper's office marks the initial stride towards a healthier and more comfortable future.
What is diastasis recti?
Diastasis recti is a common condition that occurs when the abdominal muscles separate during pregnancy or due to other factors such as weight gain or intense exercise. It can cause a bulge in the middle of the abdomen, lower back pain, and weakened core muscles. Although this is not a complete tear in the muscle such as a hernia, it still can cause pain, limitations in movements, and decreased intestinal function.
Although it is not a life-threatening condition, it can significantly impact your quality of life.
Fortunately, advances in medical technology have made surgical repair of diastasis recti a safe and effective option. One of the latest techniques is robotic repair, which involves the use of a Da Vinci surgical robot to perform the procedure. This method has several advantages over traditional open surgery, including less scarring, less pain, and faster recovery times.
Another innovative technique for diastasis recti repair is the approach known as eTEP (Endoscopic Total Extraperitoneal). eTEP is a minimally invasive technique that uses small incisions to insert a camera and surgical tools to perform the repair. This technique allows repair of the bulging by developing a space between muscle layers and avoiding entry into the abdominal cavity. This can minimize injury to intestine and decrease scar tissue formation within the abdomen.
During the surgical repair of diastasis recti, a mesh may be used to reinforce the abdominal muscles and improve their strength. The mesh is a synthetic material that is placed under the muscle. This technique has been shown to have a high success rate in reducing the risk of the diastasis recurring.
One of the main benefits of surgical repair of diastasis recti is an improvement in quality of life. A study in the British Journal of Surgery showed improvement in several domains of daily life such as walking, lifting, exercise, dressing, and sitting for long periods. They also noted improvement in urinary incontinence symptoms. Patients often report a reduction in back pain, better posture, and a flatter, more toned abdomen. These improvements can lead to increased confidence and self-esteem, which can have a positive impact on overall mental health.
If you are considering surgical repair of diastasis recti, it is important to speak with a qualified surgeon who can assess your individual needs and recommend the best treatment plan for you. Robotic repair and eTEP are both safe and effective options that can lead to significant improvements in your quality of life.
By choosing to undergo surgery, you can regain confidence and comfort in your body.
To schedule a consultation with Dr. Harper regarding possible repair of your diastases recti call 816-246-0800.
When should I get my umbilical hernia repaired?
Umbilical hernias are a common condition that many people experience. If you have a bulge or swelling near your belly button, you might have an umbilical hernia. While many hernias don't require treatment, some do need to be repaired. Here's what you need to know about when to consider repairing your umbilical hernia.
First, it's important to understand what an umbilical hernia is. Your umbilical cord connects you to your mother in the womb. After birth, the opening where the umbilical cord entered your body should close. However, in some cases, a small hole or weak spot can remain, allowing tissue or organs to push through the opening and create a bulge.
For many people, umbilical hernias cause no symptoms and require no treatment. However, if you experience pain, swelling, or tenderness around the hernia, it's important to seek medical attention. In some cases, an untreated umbilical hernia can lead to complications such as bowel obstruction or strangulation of the intestine.
So when should you think about repairing your umbilical hernia? Here are some signs that you might need medical treatment:
You experience pain or discomfort around the hernia
The hernia becomes larger or more prominent
You experience nausea or vomiting
You notice a change in bowel habits or have trouble passing gas
The hernia becomes discolored or tender to the touch
If you experience any of these symptoms, it's important to seek surgical consultation. Your doctor can evaluate the hernia and recommend a plan. In some cases, urgent surgery may be necessary to repair the hernia and prevent complications.
Overall, it's important to pay attention to your body and seek attention if you experience any unusual symptoms around an umbilical hernia. With prompt diagnosis and treatment, you can prevent complications and get back to feeling your best.
If you are experiencing any of these symptoms, we recommend you come see us at Advanced Surgical Associates. Dr. Harper or Kramer can evaluate your hernia and recommend the best course of action. Don't wait until your symptoms get worse – schedule your appointment today.
Hernias at Abdominal Incisions
Hernias are a common surgical problem that occur when internal tissue protrudes through a weak spot or tear in the abdominal wall. Although hernias can occur in different parts of the body, midline abdominal incisions are particularly prone to this complication due to the anatomy of the abdominal wall and the inherent weakness at the surgical incision.
At Advanced Surgical Associates, we are aware of the increased risk of hernias after midline abdominal incisions, and we use various techniques to minimize this risk. One of the most important measures I take is to use a “small-bites” technique. This technique has been repeatedly shown to reduce the amount of hernias that form later on, even years after the index surgery.
We also use minimally invasive techniques whenever possible, which can further reduce the risk of herniation by minimizing the amount of trauma to the abdominal wall. This includes laparoscopic and robotic-assisted surgeries, which use small incisions and specialized instruments to access the abdomen.
Despite these measures, there is still a significant risk of hernias after midline abdominal incisions. This risk is especially high in patients who are overweight or obese, have a history of hernias or abdominal surgeries, or who engage in strenuous physical activity before the surgical incision has fully healed.
Therefore, it is important to seek prompt medical attention if you notice bulging or discomfort at a previous surgical incision site, as this may indicate the presence of a hernia. In some cases, hernias may require surgical repair to prevent further complications and improve quality of life.
In conclusion, hernias are a common surgical complication that can occur after midline abdominal incisions. At Advanced Surgical Associates, we use various techniques to minimize the risk of hernia, but there is still a significant risk in certain patient populations. It is important to seek surgical consultation if you notice any signs or symptoms of a hernia, as prompt treatment can prevent further complications and improve outcomes. Make an appointment today!
Do I have to change my diet after cholecystectomy?
Gallbladder removal, also known as cholecystectomy, is a common surgical procedure that thousands of Americans undergo each year. The gallbladder is a small organ located in the upper right abdomen, and it plays an important role in the digestion of fat. However, the removal of the gallbladder does not have to negatively impact one's digestion or quality of life. In fact, with a few adjustments, one can continue to have normal digestion and lead a healthy life after gallbladder removal.
The first step to a successful recovery is to follow your doctor's post-surgery instructions closely. This may include taking prescribed medications, avoiding heavy lifting and strenuous activity, and gradually returning to your normal diet. While it's true that your body may need some time to adjust to the absence of the gallbladder, it's important to remember that this is a normal part of the healing process.
In terms of diet, it's recommended to start with a low-fat diet immediately after surgery and gradually reintroduce fat as tolerated. This means avoiding fried foods, fatty meats, and other high-fat foods for a while. Even foods with “healthy” fats should be carefully reintroduced. Instead, opt for lean proteins, whole grains, fruits, and vegetables. Smaller, more frequent meals may also be helpful, as they can reduce the amount of fat your body has to process at one time.
Another way to support healthy digestion after gallbladder removal is to stay hydrated. Drinking plenty of water can help keep digestion moving smoothly, as can regular exercise. Aim for at least 30 minutes of moderate physical activity most days of the week, as this can help improve digestion, reduce inflammation, and promote overall health and wellness.
In some cases, certain digestive symptoms may persist after gallbladder removal. These may include diarrhea, bloating, or gas. If you experience these or any other symptoms, it's important to talk to your doctor. They can help determine if further treatment or dietary changes are necessary to help you feel your best.
In summary, gallbladder removal does not have to negatively impact your digestion or quality of life. With a few simple adjustments, you can continue to enjoy a healthy and active lifestyle. Remember to follow your doctor's instructions closely, eat a balanced and low-fat diet, stay hydrated, and stay active. If you have any concerns or questions, don't hesitate to reach out to your healthcare provider.
If you are in need of medical care related to gallbladder removal, please click here to make an appointment with Dr. Harper or Kramer. They are experienced surgeons who can provide personalized care and support to help you on your road to recovery.
Is hernia mesh safe?
It all begins with an idea.
Hernia mesh is a surgical implant made from a variety of materials, most commonly synthetic polymers. It is used to repair hernias, which occur when an organ or fatty tissue protrudes through a weakened area in the surrounding muscle or connective tissue. Hernia mesh has been shown to reduce the risk of hernia recurrence, which is why it is used. While closing the hernia with suture can sometimes be sufficient, usually this results in a higher chance of the hernia returning.
But, is hernia mesh safe? The answer is yes. While there have been some reported complications associated with hernia mesh, they are rare. The overall risk of complications with hernia mesh is low, and most patients experience a full recovery. In fact, the majority of patients who undergo hernia repair with mesh experience no complications at all.
So, why do we see so many advertisements for hernia mesh lawsuits? The reality is that while complications are rare, they can occur. Some patients have experienced chronic pain, infection, and mesh erosion. While these complications are rare, they can be serious and require additional surgeries to correct. As a result, some patients have filed lawsuits against the manufacturers of hernia mesh. The truth is that there are many lawyers looking for patients to represent and finding very few.
It is important to note that not all hernia mesh products are the same. There are many different types of hernia mesh on the market, and some have been associated with a higher risk of complications than others. It is crucial to discuss the risks and benefits of hernia repair with mesh with your doctor. At Advanced Surgical Associates, we use mesh that has been on the market for many years and has the lowest side-effect profile possible. We also use many advanced techniques that place the mesh in places that minimize the risks of the mesh.
If you are considering hernia repair with mesh, it is important to speak with a qualified hernia specialist, such as Dr. Harper or Kramer. They can help you understand the risks and benefits of hernia repair and determine if it is the best option for you. While complications associated with hernia mesh are rare, it is important to make an informed decision about your healthcare. Don't hesitate to schedule a consultation with a specialist to learn more about hernia repair with mesh and to determine if it is the right choice for you.
Why choose surgery for my reflux?
GERD is a chronic condition that affects millions of people worldwide, causing uncomfortable symptoms such as heartburn, regurgitation, and chest pain. While medical management can help alleviate these symptoms, some patients may require surgery to repair a hiatal hernia, which is a common cause of GERD. Occasionally for preference or medication side effect reasons, some patients cannot tolerate being on anti-acid medication long-term. Robotic hiatal hernia repair surgery has emerged as a safer and more effective option compared to medical management alone.
Here are some of the benefits of robotic hiatal hernia repair:
Long-Term Symptom Relief.
Robotic surgery provides long-term symptom relief for GERD patients by repairing the underlying cause of the disease. Medical management only provides temporary relief of symptoms and does not address the underlying problem. If a hiatal hernia is present and causing reflux, a surgery can correct this condition, resulting in long-term symptom relief.
Improved Quality of Life.
Robotic hiatal hernia repair surgery improves patients' quality of life by significantly reducing GERD symptoms such as heartburn, regurgitation, and chest pain. Studies have shown that patients who undergo robotic surgery for hiatal hernia repair experience a better quality of life compared to those who receive medical management alone.
Minimal Post-Operative Pain.
Robotic surgery is associated with minimal post-operative pain compared to traditional open surgery. The small incisions made during robotic surgery result in less tissue damage and faster recovery time.
Fast Recovery Time.
Robotic hiatal hernia repair surgery has a short recovery time of only 1-3 weeks. By contrast, with management using medications, they may be required daily. The quick recovery time allows patients to return to normalcy and be medicine free!
Lower Risk of Recurrence.
Surgical repair is a durable option that will provide lasting relief for most patients. The robot allows added precision and accuracy, reducing the risk of hernia recurrence.
Cost-Effective.
While robotic surgery may have a higher upfront cost compared to medical management, it can be more cost-effective in the long run. Medical management can require ongoing medication and doctor's visits, which can add up over time. In contrast, robotic hiatal hernia repair surgery provides a one-time solution that can save patients money in the long run.
In conclusion, robotic hiatal hernia repair surgery offers many benefits over medical management alone, including long-term symptom relief, improved quality of life, minimal post-operative pain, fast recovery time, lower risk of complications and recurrence, and cost-effectiveness. These benefits make robotic surgery an excellent option for patients who require hiatal hernia repair surgery. Make an appointment to see Dr. Harper today if you would like to discuss your reflux and decide if surgery is the right option for you.
Advantages of Robotic Inguinal Hernia Repair
It all begins with an idea.
For many reasons, the robotic approach is a preferable way to fix inguinal hernias. Let’s take a look at what some of those reasons are:
Reduced postoperative pain: According to a study published in the Journal of Laparoendoscopic & Advanced Surgical Techniques, patients who underwent robotic inguinal hernia repair reported significantly less postoperative pain compared to those who underwent open surgery.
Faster recovery time: Nearly all robotic groin hernia patients are discharged the same day as surgery. While this may be similar to open surgery, there is certainly a faster return to normal activities compared to those who underwent open surgery.
Improved surgical precision: Robotic inguinal hernia repair has a lower rate of intraoperative complications compared to open surgery, likely due to the higher precision and accuracy of the robotic technology. Also, due to the differences in how the hernia is reached from the robotic approach, the risk of nerve injury or chronic pain is significantly less.
Lower risk of infection: With smaller incisions that are placed higher on the abdomen, the risk of wound infection is decreased. The robotic approach also placed the skin incisions further from the location that the mesh is placed, which decreases chances of mesh infection.
Enhanced patient safety: Robotic inguinal hernia repair has a low rate of intraoperative and postoperative complications, indicating that the procedure is safe for patients.
Reduced risk of recurrence: Robotic inguinal hernia repair has a lower rate of hernia recurrence compared to open surgery. This is certainly the case in female patients in which femoral hernias (a subtype of groin hernias) are frequently missed from a traditional open approach.
In conclusion, multiple studies have shown that robotic inguinal hernia repair offers several advantages over traditional open surgeries, including reduced postoperative pain, faster recovery time, improved surgical precision, lower risk of infection, better cosmetic results, enhanced patient safety, and reduced risk of recurrence. It is worth discussing the robotic approach with your surgeon to determine if it is the best option for you. Click here to make an appointment with Dr. Harper or Dr. Kramer
“What will I feel like after my gallbladder is removed?”
What will I feel like after my gallbladder is removed?
Gallbladder removal, also known as cholecystectomy, is a common surgical procedure performed when the gallbladder becomes inflamed, infected or when there are gallstones present. According to the American College of Surgeons, over 1 million cholecystectomies are performed in the United States annually. While this procedure is generally safe, it can have some effects on a patient's life post-surgery.
The gallbladder is a small organ located in the right upper abdomen that plays a vital role in the digestive system by storing bile produced by the liver. After a meal, the gallbladder releases bile into the small intestine to aid in the digestion and absorption of fats. If the gallbladder is removed, the liver will still produce bile, but it will flow directly into the small intestine.
After a cholecystectomy, patients may experience some loose stools, gas, and bloating due to the increased flow of bile to the small intestine. These symptoms usually improve within a few weeks to a few months as the body adjusts to the absence of the gallbladder. These symptoms rarely require medical intervention or even long-term dietary modification.
It is important to gradually reintroduce fat into the diet as the body adjusts to the changes in the digestive system. A study published in the Journal of the Academy of Nutrition and Dietetics found that patients who followed a low-fat diet for six months after surgery had a lower risk of developing digestive symptoms.
It is also essential to stay hydrated and to avoid alcohol and caffeine, as these beverages can cause dehydration and irritate the digestive system. Patients should consume smaller meals throughout the day rather than three large meals to reduce the workload on the digestive system.
In conclusion, while a cholecystectomy is a common and safe surgical procedure, it can have some effects on your life post-surgery. Patients may experience digestive issues such as diarrhea, gas, and bloating, but these symptoms usually improve within a month or two. Following a low-fat diet and staying hydrated can help alleviate symptoms and promote post-surgery recovery. It is important to consult a doctor if persistent symptoms develop.
If you think that you need a cholecystectomy or would like to schedule an appointment to discuss your gallbladder with a surgeon, click here.