herniotomy

A herniotomy is a surgical procedure to repair a hernia. A hernia occurs when an organ or fatty tissue squeezes through a weak spot in the surrounding muscle or connective tissue called fascia. Herniotomy specifically refers to the removal of the hernia sac, which is the protruding portion of tissue. This is often performed in conjunction with a hernioplasty, which involves reinforcing the weakened area, typically with surgical mesh.

The most common type of hernia repaired with a herniotomy is an inguinal hernia, which occurs in the groin area. Other types include umbilical hernias, femoral hernias, and incisional hernias. Symptoms can include a visible bulge, discomfort, or pain, particularly when lifting, straining, or coughing.

The procedure can be performed through open surgery or laparoscopically. In open surgery, a single incision is made over the hernia. Laparoscopic surgery involves several small incisions through which a camera and surgical instruments are inserted. The surgeon carefully separates the hernia sac from surrounding tissues and pushes the protruding organ or tissue back into its proper place. The hernia sac is then either removed or tied off.

After the herniotomy, the weakened abdominal wall is repaired. This can be done by suturing the tissues back together or by using a synthetic mesh to provide reinforcement. The choice of repair method depends on the size and location of the hernia, as well as the patient's overall health. Recovery time varies, but most patients can return to normal activities within a few weeks. Complications are rare but can include infection, bleeding, or recurrence of the hernia.