Treatments For Hernias
Having a hernia is a very serious medical condition and can affect your life. There are many different treatments that are available, including surgical treatments such as laparoscopic surgery and mesh. But, there are also less invasive treatments, such as antacids and proton pump inhibitors.
Treatment with antacids
Medications are available to help treat a hernia. The medications work by blocking the production of acid in the stomach. This is often done through a prescription, but over-the-counter medications can also be purchased. These medicines are available in tablet form and neutralize stomach acid.
Some patients may also be prescribed an H2 receptor blocker. An H2 receptor blocker reduces the amount of acid the body produces. Proton pump inhibitors (PPI) also block the production of acid. Unlike H2 receptor blockers, PPIs do not control regurgitation.
Another treatment option is a surgical procedure. In this procedure, a thin tube is inserted into the throat. The tube has a light and camera on it, which allows the doctor to view the inside of the esophagus and stomach. A sample of tissue is also taken and examined.
Surgery may be necessary to correct the hernia, especially if it is causing serious symptoms. In addition to the surgery, patients may also be prescribed lifestyle changes to reduce the risk of future complications. Some of these changes include avoiding foods that may trigger reflux.
If a hernia causes a person to experience chest pain, the condition is considered a medical emergency. Chest pain should be treated immediately. Surgery is also sometimes recommended if the person is at risk of strangulation.
Patients with hernias are advised to follow an interprofessional team approach to treatment. In addition to taking care of the hernia, pharmacists can assist patients with lifestyle changes and pain management. They also can counsel on the use of self-care products. They can also advise patients on how to truss properly.
A hiatus hernia is not a serious condition, but it can cause symptoms similar to gastroesophageal reflux disease (GERD). Medications can help treat the symptoms of the disease. However, they cannot cure the underlying problem.
The goal of treatment with antacids for hernia is to reduce the symptoms and minimize the risk of complications. It is important to use the proper medications for the condition and to keep the symptoms under control by avoiding trigger foods and drinking plenty of water.
Treatment with proton pump inhibitors
Medications like omeprazole (Prilosec), lansoprazole (Prevacid), and Azulfidine (Asacol) are considered proton pump inhibitors, or PPIs, for their ability to reduce stomach acid. They are used to treat a variety of gastric disorders, including gastroesophageal reflux disease (GERD) and ulcers. Medications can be taken in combination with certain antibiotics to treat Helicobacter pylori, a bacteria that can cause stomach ulcers.
Proton pump inhibitors are effective at reducing stomach acid, albeit at a slower rate than antacids. This is because PPIs allow time for the damaged esophageal tissue to heal. For example, PPIs such as omeprazole can last for four to twelve weeks, while antacids are usually taken for only a few hours at a time.
Although proton pump inhibitors are effective at easing the symptoms of GERD, they can leave patients with persistent symptoms. Surgery may be a better option for these patients. Surgery can be performed through the laparoscopic procedure or by more traditional means. Surgical repair restores normal digestion patterns and corrects anatomical problems such as the narrowing of the esophagus. Surgical procedures may require a hospital stay for several days.
Other benefits include a reduction in the amount of reflux that occurs. This is thanks to an improved valve mechanism at the bottom of the esophagus, which opens to allow food to pass into the stomach. The valve also closes to prevent the stomach contents from returning up the esophagus.
Proton pump inhibitors have largely replaced H2 blockers as the drug of choice for GERD, and are also effective at treating other stomach disorders. In fact, PPIs have been the treatment of choice for GERD for more than thirty years.
Proton pump inhibitors may also have the potential to increase the risk of a heart attack or stroke. These medications are also associated with chronic kidney disease and dementia. Medications to lower stomach acid production include cimetidine (Tagamet HB) and famotidine (Pepcid AC).
While proton pump inhibitors can be useful for GERD, they may not be the best solution for all patients. Surgical procedures can be the solution for patients who can’t get off of PPIs, or for patients who require more extensive surgeries.
Treatment with laparoscopic surgery
Surgical repair of a hernia is an important procedure for both men and women. The type of surgery that you need depends on the location of your hernia and your general health. Usually, surgery is safe and has a quick recovery.
There are two types of surgical repair of a hernia: open surgery and laparoscopic surgery. Each type of procedure has its own advantages and disadvantages. However, both methods attempt to reduce the size of the hernia.
Laparoscopic surgery involves making small incisions in the abdomen and insertion of a special instrument, called a laparoscope. A camera attached to the end of the laparoscope allows the surgeon to see the hernia on a video screen. The procedure can be carried out by a surgeon or an assistant. The surgery is usually carried out under general anesthesia. The patient may go home on the same day as the surgery.
Open surgery involves making a larger incision in the abdomen. This can be done under general or regional anesthesia. In addition, patients may have to stay in the hospital overnight. The surgeon can also use a drain in cases of excessive bleeding.
Laparoscopic surgery is less invasive than open surgery. It is done through small incisions in the abdomen and uses a thin tube to insert a camera. The surgeon can see the hernia on a TV screen and will be able to repair it with mesh. The procedure is also faster than open surgery.
Patients who undergo laparoscopic surgery generally have less pain and a quicker recovery. However, complications can occur, including blood clots, heart or lung problems, and injury to the intestines. Some doctors prefer the open approach in cases of bilateral hernias.
Some surgeons may choose to place a foley catheter during surgery. A foley catheter is a small tube that is placed in the abdominal wall. The catheter is removed the next day.
Another type of surgery uses a robotic arm. This type of surgery uses a small camera and a series of tools attached to the robotic arm. The surgery is less invasive than open surgery, leaving little scarring.
Treatment with mesh
Surgical mesh is an extremely useful tool for hernia repair. However, there are many risks involved with mesh use. The risks depend on the type of hernia and the surgical procedure.
Mesh complications include seroma formation, fistulizing disease, fluid collections, bowel obstruction, and hernia recurrence. Mesh fixation methods also play a role in mesh complications.
The pore size of the mesh material is a major factor in the tissue reaction. Larger pore size facilitates rapid infiltration of cells. In addition, fluid retention in the empty hernia sac can contribute to the development of seroma.
The mechanical strength of a mesh is essential. It must have enough stiffness to hold maximum abdominal pressure of 170 mmHg. It also needs to remain in place until tissue integration is complete. Absorbable sutures will lose strength too quickly. This can cause the mesh to disintegrate over time.
In most cases, the mesh is used for open or laparoscopic hernia repair. This is a safe surgery for most patients. However, mesh complications can occur in up to 17.5% of patients.
The type of mesh used for a hernia repair can be a biological or synthetic material. Biological meshes have less mechanical strength but are more biocompatible. Biological meshes can be made from human, porcine, and fetal bovine sources. Synthetic materials are often made from polypropylene or polyester. Synthetic meshes have great mechanical strength and are easily manufactured.
Mesh can be used for incisional hernia repair, a procedure where the surgeon makes a single cut over the hernia. Then, the surgeon pushes the protruding tissue back into the abdomen. The mesh is attached by tissue glues, tacks, or staples.
The most common hernias are diaphragmatic hernias and Paraesophageal Hiatal hernias. These can be treated conservatively with support belts or with minimally invasive surgical techniques.
In addition to surgical repair, the mesh can be used for cosmetic concerns. However, the mesh is not recommended for sites where the infection is suspected. Absorbable sutures can also cause chronic pain. In addition, non-absorbable sutures have a lower recurrence rate in laparoscopic surgeries.
The best hernia repair depends on the type of hernia and surgical technique. The ideal surgical procedure is still debated.
Health Sources:
Health A to Z. (n.d.). HSE.ie. https://www2.hse.ie/az/
U.S. National Library of Medicine. (n.d.). https://www.ncbi.nlm.nih.gov/
Directory Health Topics. (n.d.). https://www.healthline.com/directory/topics
Health A-Z. (2022, April 26). Verywell Health. https://www.verywellhealth.com/health-a-z-4014770
Harvard Health. (2015, November 17). Health A to Z. https://www.health.harvard.edu/health-a-to-z
Health Conditions A-Z Sitemap. (n.d.). EverydayHealth.com. https://www.everydayhealth.com/conditions/
