Dr Pieter Swart

A hernia is a condition in which an organ or internal tissue bulges through a weak spot in the abdominal wall. There are different types of hernias that can occur depending on their location. The most common are inguinal, femoral and umbilical hernias.

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Why would I need surgery?

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A hernia repair is done as treatment for a hernia. With that being said, not every hernia needs immediate treatment and it depends on the size of the hernia and the symptoms caused – so if you suspect you may have a hernia it is vital to have your doctor assess it.  You may need a hernia repair if your doctor believes your hernia may be problematic since hernias usually do not resolve on their own. They tend to grow larger and may cause constricting of blood flow, so surgery is performed to not only relieve discomfort, but prevent possible life-threatening complications.

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What does the surgery involve?

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Hernia repair surgery or herniorrhaphy involves replacing the displaced tissues to their proper position. In some cases a mesh patch is sewn over the weakened region of tissue after the hernia repair, this is known as a hernioplasty.  After Dr Swart makes an incision he will then gently push the bulge back inside the body part that should contain it. Next the hernia is tied off and removed before repairing the weakened area of the sheath - where the hernia originally pushed through - with stitches. This may be done by securing a piece of flexible mesh to the abdominal wall for extra support. This will prevent the hernia from recurring.

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What can I expect after my surgery?

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In general laparoscopic surgery has a faster recovery time compared to open surgery. Recovery time after hernia repair usually takes two to three weeks. Most patients will return to normal daily activities and go back to work within a week. You will be advised not to do any heavy lifting for at least six weeks after surgery.  Dr Swart will advise youregarding follow up post surgery.

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