How do you know if you have a hernia?
Muscle strain vs hernia
The presence of a bulge that changes size
Physical exam is key
Ultrasound or CT can help sometimes
What is a hernia?
Many types
Abdominal wall hernias
Inguinal (groin)
Ventral (umbilical, incisional, epigastric)
Inguinal Hernia: Basics
More common in men
Low risk of strangulation
Observation vs surgery
Inguinal Hernia: Repairs
Mesh vs no-mesh
Robotic and laparoscopic better in obesity
Benefits of Open Repairs
Why we often recommend open repairs
Anesthesia options
Ventral Hernia: Basics
Includes umbilical and incisional hernias
Low risk of strangulation
Observation vs surgery
Ventral Hernia: Repairs
We prefer open repairs for small hernias or thin patients with a rectus diastasis
We prefer robotic repairs for large hernias or obese patients with a rectus diastasis