What is a hernia?

A hernia is essentially a hole in the abdominal wall that has gone through the muscles and connective tissue layers. They are caused by a combination of increased internal pressure and weakness from the abdominal wall. Common sites for hernias include:

  • Groin (Inguinal Hernias)

  • Belly button (Umbilical or Ventral Hernias)

  • Any previous surgery site (Incisional Hernias)

  • A previously repaired hernia site (Recurrent Incisional Hernia)

Through a combination of exercise and genetics, the hole can get larger. As the hole increases in size, it often becomes more painful, particularly with physical activity. A noticeable bulge and pain or discomfort with activity are two of the most common signs that you have a hernia.

Treatment Options

Unfortunately, just like a hole in a wall or your roof, a hernia won’t fix itself. It will slowly get bigger over time and as it gets larger, it typically becomes more symptomatic.

Some hernias just appear as visible lumps and do not have any associated symptoms. These are called asymptomatic hernias. Patients with an asymptomatic hernia can do all of their normal, daily activities and the hernia does not interfere. With hernias like these, “watchful waiting” works well. Not all hernias need to be fixed with surgery. These asymptomatic hernias can be observed and if they become painful, grow larger, or you notice anything else that concerns you it is time to seek medical advice.

If your hernia is causing symptoms, the most common of which is pain or discomfort with physical activity, that is often your body’s way of telling you it might be time to start thinking about getting your hernia fixed. There are multiple options for your hernia repair, including open, laparoscopic, and robotic techniques. Dr. Perez believes that a robotic hernia repair offers the most advantages and will provide the best care for his patients.

When to seek help

While they can be uncomfortable, most hernias are not an emergency. One of the dangers of hernias, however, is that they can become “incarcerated” or “strangulated.” This is a scenario where a segment of your intestines has come through your hernia and becomes trapped. This can cut off the blood flow to the intestines and requires emergency treatment. If you are experiencing any of the following symptoms you should seek immediate medical treatment:

  • You have sharp, increasing pain at the hernia site, especially if it is accompanied by nausea or vomiting.

  • You suddenly can’t push your hernia back in.

  • The skin around the hernia is red and painful.