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At Lenox Hill Surgeons, our dedicated team of nyc surgeons and medical professionals provide compassionate care with the highest ethical & professional standards. In our state of the art facility, we offer surgical services using only the most cutting edge and current procedures and treatments.We specialize in general surgery, including extensive experience in performing hernia repair surgery. Our expertise is in minimally invasive surgery and robotic surgery. Minimally invasive and robotic surgery often allow patients to experience easier recovery than traditional open surgery. They also allow for more precise and less traumatic surgery. When robotic and minimally invasive surgery is not an option, we are also skilled and experienced in traditional open surgical procedures.

All of our doctors are experienced and skilled surgeons having undergone extensive training in school, residency and fellowships. They all practice medicine with ethical behavior, compassion and superb bedside manner. In the operating room they all exhibit precise mechanical abilities, analytical thinking and the ability to visualize tissue in three dimensions. These innate and learned skills allow our surgeons to be some of the most dexterous and skilled professionals in all of New York City and the Country.

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Category Archives: Hernias

Hernia Repair: When is it Necessary?

When are hernia repairs necessary? When fatty tissue or any organ forces out a weak part, which is surrounded by the connective muscle wall or tissue, it leads to hernia. It usually protrudes in the lower abdomen, but may also develop in other body parts. Your body can’t cure it on its own. Typically, hernia gets bigger. In the worst cases, it can lead to life-threatening complications. Because of the harmful nature of this problem, doctors mostly recommend surgery.

Hernia Repair- When is it Necessary?
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However, every hernia doesn’t need emergency surgery, and it can wait for a while in some cases. This aspect depends on the size and symptoms of a hernia. The surgery of hernia repair involves pushing back the body part to its place and making sure that it remains in its place.

Hernia Repair Surgery: an Overview

The surgery becomes necessary if the hernia starts to cause long-term and worsen pains or discomfort to the patient. Moreover, mostly, hernia becomes noticeable after 1 to 2 years. You will feel the hernia when it starts to emit painful or irritating symptoms. Some people notice hernia symptoms only when they are doing any activities, such as intensive exercises.

Symptoms of Hernia

The following are some hernia symptoms, which makes it important to undergo surgical repair.

  • long-term pain or discomfort
  • Irritation or pain that disturbs regular activities
  • Discomfort or pain increases or gets worst after time.
  • The large size of the hernia
  • The rapid growth of hernia
  • Hernia in the place where it can get worst or enlarge, such as the groin
  • Vomiting or severe abdominal pain
  • A hernia that pressurizes the nerves, causing numbness or irritation

Some patients may not show visible or painful symptoms. Others may only experience sensitivity on the skin surrounding the bulge. But hernia can’t repair on its own or heal without surgery. So, when and if it shows negative signs, surgery is necessary.

Do You Need Hernia Surgery?

Your doctor will suggest you treat it with surgery if any of the following things happen with you.

  • Tissue can trap into the abdominal wall, called incarceration. If you don’t cure it, it can lead to strangulation, which prevents the blood from reaching the tissues.
  • It may strangulate your organs. This problem can lead to permanent damage, and you need to treat it immediately. The strangulated organs, such as intestines, can die. If not treated quickly, you can become severely ill. Make sure to call your doctors if you have nausea, fever, or pain, which gets worse, and hernia transforms into purple, red, or dark.
  • If it’s causing chronic pains or discomfort, or its start to magnify.

The hernia can wait for the surgery if the following things happen with you:

  • Lying down causes your hernia to go away, or you are able to bulge it back into your belly.
  • Your hernia is small-size and causes no or few less severe symptoms.

Complication of Surgery

Like other surgical procedures, hernia repair surgeries also have some side effects or risks involved. The incision can sometimes be noticeably red and inflamed. It is also painful when you touch it.

When is Hernia Repair Necessary?
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The anti-inflammatory medication can help you lower down the inflammation and other related symptoms. You can also reduce inflammation by applying ice to the affected area for 10 minutes once every hour.

The following are some related risks and complications of hernia.

  • Tissue or organ damage
  • Infection
  • Reoccurrence of hernia
  • Seroma under the surface of the skin
  • Nerve damage
  • Nerve pain that also causes tingling
  • Constipation
  • Blood clot
  • Lung infection and breathing problems
  • Difficulty in urinating
  • Urine leakage or incontinence
  • Mech pain
  • Kidney failure or complications

However, note that hernia repair is the shortest and most common surgical procedure. And if you consult a professional surgeon for your hernia repair, the risk levels decrease. Remember, not all hernias are life-threatening.

Hernia Repair: When is it Necessary? Bottom Line

The hernia is a serious health problem that needs treatment and extensive care. You can’t treat it with just herbs or wait for some miracle to cure your problem. The surgery becomes necessary when hernia enlarges or worsens. Your doctor will recommend you which type of surgery can help you more and which one is best to avoid any risk and complications.

You must take your health seriously to prevent other problems caused by the hernia. This is why you need a health professional that can treat your hernia and save you from future issues. Lenox Hill Surgeons can help you in this case. We have highly professional surgeons who use most modern technological methods and equipment to treat your hernia.

Contact us on our website or call us on 646-846-1136 to get your appointment.

Types of Hernias & Surgery

Most hernias show little to no symptoms, but it can become a chronic health problem. A patient feels intense pain and irritation when it gets worst. It mostly needs surgery to cure the problem completely. Moreover, there is no age limitation to develop a hernia in your body.

Types of Hernias & Surgery
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There are multiple types of hernia that need different treatments and surgeries. Let’s learn about some of them.

Types of Hernia

There are several types of hernia. The following are some most of the common forms of hernia.

·       Inguinal Hernia

This is the most common form of hernia. An inguinal hernia occurs when your intestines tear in the lower abdominal wall or push through a weak place, mostly in the inguinal canal. Moreover, it also occurs predominantly in men.

In case you don’t know, the inguinal canal is present in your groin. In men, it is the place where spermatic cord travels from the abdomen to the scrotum. This cord places the testicles at its location. Whereas, women have this place in the inguinal canal, which has a ligament that helps to hold the uterus.

Men suffer more from this hernia because the testicles move down through the inguinal canal after birth. The canal needs to be closed entirely behind them. But sometimes the canal doesn’t close properly, which makes the area a weak spot.

Hiatal Hernia

It occurs when a spot of the stomach protrudes up and gets into your chest through the diaphragm. The diaphragm is a layer of muscles that helps you to inhale and exhale. It separates the organs of the abdomen and chest.

People age 50 or older are more prone to this hernia. Children can also develop this condition caused by a congenital disability.

Moreover, this hernia always leads to gastroesophageal reflux. It happens because your stomach’s contents get back to the esophagus, which causes burning sensations.

Umbilical Hernia

This hernia can occur in babies and children. It happens when children’s intestine bulges through the abdominal wall around their belly button, and you can notice the bulge near it.

However, this is the only type of hernia that sometimes goes away on its own when the abdominal wall becomes stronger, mostly, when the child turns to 1 or 2 years. The child needs surgery if the hernia doesn’t go away until the age of 5 years.

Adults can also develop this problem because of the pressure on the abdomen. In men, it can occur due to obesity, or fluid in the gut, whereas, women with multiple pregnancies are also prone to this condition.

Ventral Hernia

This hernia occurs when the tissue erupts through a hole in the muscles of your abdomen. You can notice its presence when you lie down.

A person can also have it from birth, but it usually occurs at any point in your life. Obesity, pregnancy, and intensive exercises can become the factor of its occurrence.

This hernia also occurs at the spot of a surgical incision and called incision hernia. It can happen because of the weak abdominal muscles or surgical scarring at the place of surgery.

Types of Repair

Different types of hernia need different types of surgeries. The following are some types of hernia surgery.

Types of Hernias & Surgery
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Herniorrhaphy (Tissue Repair)

Herniorrhaphy is the oldest method to repair the hernia and is still commonly used. This repair requires the surgeon to make a long incision directly over the hernia and use surgical tools to open it to get to the hernia.

Your surgeon removes the hernia sac after that tissue or organs return to their original position. They stitch the sides of the muscle hole through which they draw out the hernia from your body. After sterilizing the wound, the surgeon stitches it entirely.

Hernioplasty (Mesh Repair)

It is also known as tension-free hernia repair. Hernioplasty is a little different; instead of stitching the muscle, your surgeon covers it with a sterile, flat mesh. The mesh comes in different types of plastics, such as animal tissue and polypropylene.

The surgeon makes small cuts in the shape of the mesh in the surrounding area of the hole. After that, they stitch the mesh into the healthy tissues. The weak tissue around the hernia uses the patch as support to regrow.

Bottom Line

The hernia is a painful health problem and sometimes need the treatment immediately. It is a severe issue that needs good care and the best treatment. In this case, take help from the experts that have specialization related to the hernia.

Lenox Hill Surgeons are a compassionate team of surgeons who are experts in this field for years. These professionals meet all ethical standards and have done thousands of successful surgeries. You can contact us on our website or take an appointment on 646-846-1136.

Types of Hernias

A hernia can be any one of a category of conditions that involve the protrusion of tissue through the muscles that are supposed to hold it in place. There are many different types of hernias, each presenting a little bit differently and requiring different treatment. However, there are a few distinct characteristics that all hernias have in common.

Common Traits of Hernias

As mentioned above, all hernias are the bulging of an organ or another tissue through the muscular wall surrounding it. When the material breaks through, this typically causes some level of pain. Typically, the amount of pain increases when the location of the hernia is under stress. This can be caused by lifting, twisting, coughing, or stretching. The underlying cause of many hernias is simply weak muscle fibers. In the abdominal cavity and surrounding areas, tissue is held in place by a wall of muscle. These organs, fatty deposits, or other structures are simply held in place by the tension of the muscles in question. When there is weakness in the supportive muscle, small gaps can form, allowing openings for hernias to be created. Once enough pressure has been put on the area, the compressed tissue will forcefully expand out through the cavity in the muscle wall. This small protrusion of tissue is the hernia.

Inguinal Hernias

In the case of an inguinal hernia, the soft tissue protrusion is typically a section of the intestines, although it could also be a fatty deposit. This is by far the most common type of hernia, with estimates of almost 25% of men experiencing an inguinal hernia in their lifetime. These hernias are not harmful on their own, but if left untreated can lead to a number of complications. Correctional surgery is a fairly common procedure. In many cases, inguinal hernias can be identified easily through the presence of a small bump in the inguinal region, pain in bending and lifting, weakness, and discomfort associated in coughing.

Femoral Hernias

Femoral hernias are less common than inguinal hernias but cause similar pain. When a section of tissue juts out from the muscular lining of the femoral region, a small lump appears, usually near the inside of the thigh. This obtrusion can cause pain and discomfort, especially when bending, lifting, or coughing. When laying down, the lump may seem to go away on its own. It is usually recommended that, in the case of repeated herniations, corrective surgery is performed.

Umbilical Hernia

An umbilical hernia follows the course of a typical hernia but is localized to the umbilical region, at the belly button. These hernias are most commonly found in infants, whose abdominal muscles have not had a chance to fully strengthen and develop. As opposed to standard hernias in adults, umbilical hernias for infants tend to correct themselves. In some cases, though, surgery is needed after a few years to provide a longer-term solution to umbilical hernias. With infants, it is important to communicate with your child’s doctor about signs of pain, vomiting, or swelling in the umbilical region. With adults or children with complications, a simple surgery can typically remediate any problems.

Incisional Hernia

However, a hernia can theoretically develop anywhere that there is a weakness in the muscles responsible for holding in soft tissue. This issue arises most commonly in the case of surgical incisions. An incision creates an opening in the muscular wall which requires time to heal. If enough pressure is exerted within the abdominal cavity before the muscle is completely healed, the internal tissues can project through the weak point, causing a hernia in an area not mentioned above.

Do you have a hernia? Schedule an appointment today with the best surgeons in NYC to figure out your best hernia treatment options.

 


References

https://www.uofmhealth.org/health-library/aba5300

https://www.webmd.com/digestive-disorders/types-of-hernias

https://www.webmd.com/digestive-disorders/understanding-hernia-basics

https://nyulangone.org/conditions/hernia-in-adults/types

What are the Symptoms of a Hernia?

signs-of-hernia-what-look-for-02A hernia is a painful condition, so you no doubt want a quick answer to that question, “What are the Symptoms of a Hernia?” Unfortunately, this answer will greatly depend on your own assessment of yourself. In order to correctly identify a hernia, there are a few specific signs you should be looking for. If you are in intense pain and are seriously concerned, talk to your doctor. This article is solely intended to assist people dealing with minimal pain and are simply curious. It is not meant to be used in place of an accurate, medical evaluation.

What is a Hernia?

In the abdominal cavity, the internal organs and structures are held in place by the abdominal muscles. Through typical use, the abdominal muscles, or abs, have a natural tension that can hold the contents of the abdominal cavity well. However, whether due to lack of use or overexertion, the integrity of the abdominal wall gives way and a small subsection of the intestines, or some other mass of tissue, protrudes out. This protrusion can potentially cause serious problems. For example, a hernia can lead to an intestinal blockage. This blockage is a serious issue and would require emergency medical attention.

The most important factor in the safety and recovery from a hernia is early identification. If closely monitored by a qualified medical professional from early on, the risk of hernia complication is greatly reduced.

Bulging

bulging-hernia-03One of the most commonly noticed signs of a hernia is bulging. Due to the very nature of how a hernia works, the affected area will bulge, creating a lump that is the hernia itself. Identifying this lump is one of the most important diagnostic tools available. The exact location of the herniated lump will vary depending on the diagnosis. In general, the hernia will be in the region after which it is named. An umbilical hernia, for instance, is located in the umbilical region at the belly button.

A femoral hernia can be found in the inner thigh area. An inguinal hernia is a hernia in the groin. Surgical hernias can also develop at the site of a relatively recent surgical incision.

Swelling

Another diagnostic sign of a hernia is swelling. Although easily confused with the bulging mentioned above, swelling is a separate and distinct symptom altogether. Swelling involves more than just visible confirmation. Swelling of the affected area will also bring redness, warmth, and discomfort when touched.

Pain

pain-from-hernia-symptoms-04The pain associated with a hernia is different than the pain caused by other means. When dealing with a hernia, the level of pain will vary depending on position and motion. For example, most people complain of greater pain when bending, lifting, or even coughing. The pain that hernias produce can vary from person a person, but typically is a dull ache in the region affected.

The difficulty with dealing with hernia pain is it the pain is not constant. Many times, people feel the intense pain that comes from exerting pressure on a hernia and schedule an appointment with a doctor. However, by the time they go to the doctor, it has been long enough that they forget the exact nature of the pain they’re dealing with this can make it difficult to relay necessary information to your doctor.

After reading this, do you think you have a hernia? Schedule an appointment with the best surgeons in NYC to develop a custom plan for dealing with your hernia.

Call Today: 646 -846-1136

 

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References:

https://www.uofmhealth.org/health-library/aba5300

https://www.webmd.com/digestive-disorders/types-of-hernias#1

https://nyulangone.org/conditions/hernia-in-adults/types

https://www.mayoclinic.org/diseases-conditions/inguinal-hernia/symptoms-causes/syc-20351547 

Causes & Symptoms of Hernias

causes-symptoms-hernias-01Hernias are widely common, with almost 2% of the population suffering from hernias. This may seem like a small number, but in the United States of America alone that adds up to around 600,000 people dealing with hernias. But what exactly is a hernia? What causes so many people to have hernias? And how does having a hernia affect you?

What is a Hernia?

A hernia is a protrusion of soft tissue, usually an organ or fat tissue, through the muscular lining that typically would hold it in place. One of the most common types of hernias is an inguinal hernia. In this case, the abdominal muscles that hold the intestines in place can grow weak and develop gaps that allow a small section of the intestine to jut out. This segment of the intestine can eventually become swollen, painful, and cause discomfort during regular tasks.

Many people complain of pain associated with bending, lifting, and coughing, as all of these activities create pressure on the herniated section of the abdominal cavity. Although a hernia itself may not be hazardous initially, it can lead to many other medical complications.

What Causes Hernias?

When the muscular lining that keeps organs in place grows weak, the integrity of the muscular “wall” can fail, creating weak spots. These spots can then become susceptible to internal structures pushing out and herniating. This herniation typically happens initially during a period of intense pressure. For example, exerting oneself while lifting an object can cause pressure in the abdominal cavity and result in a hernia.

Prolonged, chronic coughing can weaken the structural muscles in place, with repeated strain reducing the integrity of the muscle. Additionally, a surgical incision, if not provided enough time to heal properly, can facilitate a weak spot in the muscular lining and allow for herniation.

Congenital problems can also result in herniation in cases where the abdominal wall does not fully develop in utero. There are a number of complications that can increase the risk of herniation. This includes pregnancy, heavy lifting, rapid weight gain, chronic coughing, constipation, and recent surgical activity in the surrounding area.

What are the Symptoms of Hernias?

The most commonly reported symptom of a hernia is pain. The exact nature of the pain experienced varies from person to person, but many people note greater pain when additional pressure is applied to the abdominal region. This includes lifting, bending, coughing, or other physical exertion with straining.

Hernias are not always found as soon as they occur. Usually, it takes repeated pressure and exertion for the hernia to be noted. After a number of years, a hernia is usually identified correctly by self-assessment. A hernia does not correct itself, but would instead require surgical treatment to repair the damage.

Complications of Hernias

hernia-repair-surgeon-nyc-02

Although a hernia on its own does not require emergency treatment, there are a number of situations in which urgent action may be required. Herniated areas may not receive the blood supply they require and are at a higher risk of infection. If a hernia has become swollen, warmer than usual, or extremely painful, this can be a sign of infection. In addition, depending on the location, a hernia can cause obstruction to the bowel and digestive tract. This can quickly become an urgent situation requiring emergency medical correction.

Do you think you might have a hernia? Call the best surgeons in NYC to discuss your case and your treatment options.

646-846-1136

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References:

https://www.webmd.com/digestive-disorders/types-of-hernias#1

https://www.webmd.com/digestive-disorders/understanding-hernia-basics

https://www.uofmhealth.org/health-library/aba5300

What Is a Hernia?

herniaMost of you will have at least heard of a hernia. In fact, a good percentage of you almost certainly know someone who has suffered from one, but you might not know exactly what one is, perhaps because a description of a hernia actually makes it sound far worse than it is.

The good news is that hernias are relatively uncommon. in 2015, there we 18.5 million cases in a global population of roughly 7.2 billion people.

Essentially, a hernia is when an organ pushes through the muscle that holds it in place. They most commonly occur in the abdomen but are also sometimes seen in the groin and upper thigh. Fortunately, hernias aren’t immediately life-threatening, but they also won’t go away on their own and so hernia surgery NYC is sometimes required.

Inguinal

What Is a Hernia?There are several different types of hernias with the most common, accounting for roughly 70% of cases, being inguinal hernias. Inguinal hernias are when the intestines force their way through the lower abdomen wall, in an area of the body known as the inguinal canal.

The Inguinal canal is in the groin. Because of the physiological differences between men and women in this area, this type is more common in men.

Hiatal

A hiatal hernia is when your diaphragm, a muscle used in the process of breathing, and which separates the organs in the abdomen from those in the chest, is intruded by part of the stomach, which pushes right through to the chest cavity. This type generally occurs in the younger population (under-50s); it is also one of the more likely hernias to be seen in children. Generally, when this occurs, it is because of a congenital defect.

Other Types of Hernia

What Is a Hernia?These are the most common types of hernia, but others can occur. An umbilical hernia is sometimes seen in infants less than 6 months old and it occurs when the intestines push through the abdomen wall. This type of hernia is often accompanied by a noticeable bulge in the belly. Fortunately, this is the only type which sometimes spontaneously heals. After abdominal surgery, an incisional hernia can occur if the intestines push through the incision wound.

While hernias are relatively common they are fortunately easy to treat. Visit our renowned  Surgery NYC clinic if you are concerned and would like a consultation.

Contact us at 646-846-1136 to schedule an appointment.