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Suggest Treatment For Abdominal Hernia
My mother in law is 77 years old and has been living with this hernia for about 6-7 years now and it s only getting worse. She is in GREAT shape and all test has come back that she is very healthy. Her dr will not go the surgery. it s now a HUGE knot on her left side. When it acts up she is so sick that she can not move. Why wont he do the surgery? Can she not have the laparoscoic?
Mon, 23 May 2016
Brief Answer: If it is inevitable , she can undergo the surgical operation with open procedure under general anesthesia, taking in consideration the greater risk for complications due to the age , eventhough the adequate pre operatory preparation and the adequate care of the anesthesiologist.
Detailed Answer:
Hello,
Thank you for using HCM.
First of all, i want to explain you when the reparation of an abdominal hernia is urgent : when it can not be reponated (return inside the abdomen when pushing with hands or in lye down position); when it is painful and have changed color into red ,or blue; when all the abdomen is painful and there is no bowel movement. If nothing of this is happening , it's reparation is not an emergency. She has to put a band around her belly pushing inside the hernia while is standing up. She should avoid hard cough and weights lifting.
Now returning to the surgical intervention ....Abdominal hernias, especially big ones can not be repaired in laparoscopic way and are done under general anesthesia. Only in case of small hernias especially inguinal hernias can be used the laparoscopic way to repair them. And when it is repaired in laparoscopic way, the general anesthesia is anavoidable. In your mother in low case, it can be repaired only by open method (laparothomy) and under general anesthesia. Nowadays, general anesthesia is really extraordinarily safe with today's precise administration and monitoring.
Eventhough being she 77 years makes all the procedure more risky, but not an resolvable.
So, before surgery she must do series of pre-op exams consisting of blood tests, an EKG (electrocardiogram) and a chest X-ray, to be sure your heart and lungs are in good condition. She must stop taking some over-the-counter medications for a week to 10 days before surgery, such as aspirin or ibuprofen (Advil), which can increase bleeding.
And then she is ready for the surgery.
Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
Detailed Answer:
Hello,
Thank you for using HCM.
First of all, i want to explain you when the reparation of an abdominal hernia is urgent : when it can not be reponated (return inside the abdomen when pushing with hands or in lye down position); when it is painful and have changed color into red ,or blue; when all the abdomen is painful and there is no bowel movement. If nothing of this is happening , it's reparation is not an emergency. She has to put a band around her belly pushing inside the hernia while is standing up. She should avoid hard cough and weights lifting.
Now returning to the surgical intervention ....Abdominal hernias, especially big ones can not be repaired in laparoscopic way and are done under general anesthesia. Only in case of small hernias especially inguinal hernias can be used the laparoscopic way to repair them. And when it is repaired in laparoscopic way, the general anesthesia is anavoidable. In your mother in low case, it can be repaired only by open method (laparothomy) and under general anesthesia. Nowadays, general anesthesia is really extraordinarily safe with today's precise administration and monitoring.
Eventhough being she 77 years makes all the procedure more risky, but not an resolvable.
So, before surgery she must do series of pre-op exams consisting of blood tests, an EKG (electrocardiogram) and a chest X-ray, to be sure your heart and lungs are in good condition. She must stop taking some over-the-counter medications for a week to 10 days before surgery, such as aspirin or ibuprofen (Advil), which can increase bleeding.
And then she is ready for the surgery.
Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
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