YOUR HERNIA FAQ'S,
Groin and pelvic pain, either acute or chronic, have long been underserved conditions. The reasons for this are unclear but may derive from the fact that these entities do not fall into the traditional categories of illnesses/diagnosis taught during medical school or residency. We at GAPPI are fully committed to the diagnosis and treatment of this spectrum of illnesses.
Groin and pelvic pain can be caused by a multitude of underlying issues. These include: Inguinal Hernia, Femoral Hernia, Obturator Hernia, nerve entrapments, Aponeurotic Plate inflammation or injury, Adductor Tendonopathy, as well as hip, Urologic, and Gynecologic conditions.
A SPORTS HERNIA or ATHLETIC PUBALGIA represents a core muscle injury at the level of the pelvis. This can be due to a tear or inflammation of the pelvic attachment of the RECTUS ABDOMINUS muscle to the pelvic bone. It may also be due to a tear or inflammation of the ADDUCTOR MUSCULATURE of the thigh. These injuries may occur separately or together. Treatment ranges from rest, anti-inflammatory medications and PT to a surgical repair. Dr. Iraci, a physician who specializes in this area, is best suited to diagnose and treat this condition.
Inguinal (Groin) and Umbilical (Belly Button) hernias are the most common varieties.
Other hernias include OBTURATOR hernias which occur deep in the pelvis and FEMORAL hernias which can be seen below the groin crease in the upper thigh.
Hernias develop where there is a weak spot in the abdominal wall. Natural weak spots are the inguinal area, as this is where there is an opening for structures in both males and females, and the umbilicus, as this is where the umbilical cord entered the body.
Generally, all hernias should be repaired unless there are overriding medical contraindications to the surgery. Hernias that are symptomatic should be repaired.
Surgical repair is required. Currently, open and laparoscopic methods are used. Mesh is often used. The method of repair is based on hernia location, size of hernia defect, body type, and other factors.
Open refers to the approach used. It is the original method before the advent of surgery with scopes (known as laparoscopic or minimally invasive surgery). Open surgery requires an incision.
The type of hernia, patient preference, status of the patient’s health, and surgeon experience all comprise the answer. Currently, regarding inguinal hernia, the literature leans toward laparoscopic repair. The final decision as to which approach should be utilized should be made in consultation with your surgeon.
Hernia repairs do not always require mesh, but recurrence rates without mesh in many settings are higher. Mesh does have drawbacks however, and pre-operative discussion with the surgeon is important.
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SCHEDULE A CONSULTATION
For patients interested in a surgical approach, it is recommended that a consultation with Dr. Iraci be scheduled first in order to discuss the symptoms one is experiencing, the groin or pelvic condition, and the treatment options available. This is the best first step to clarify the entire treatment process that will ensure the highest quality of care and options available. Your first consultation is free.