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What is the safest treatment for abdominal hernia?

I have an abdominal hernia. What is the safest treatment for abdominal hernia?

3 Answers

The safest treatment for an abdominal hernia depends on several factors, including the type and size of the hernia, your overall health, and your surgeon's expertise. Here are some common treatment options:

1. **Observation**: In some cases, particularly with small, asymptomatic hernias, a healthcare provider may recommend a "watch and wait" approach. This means monitoring the hernia over time to see if it changes in size or causes any symptoms. If the hernia remains stable and doesn't cause problems, surgery may not be necessary.

2. **Lifestyle Modifications**: For some individuals with small hernias that are not causing symptoms, lifestyle changes such as avoiding heavy lifting, maintaining a healthy weight, and managing constipation can help prevent the hernia from worsening.

3. **Hernia Truss or Belt**: A hernia truss or belt is a supportive device that can be worn over the hernia to provide some relief. However, this is usually considered a temporary solution and not a long-term treatment.

4. **Surgery**: When hernias are large, symptomatic, or at risk of complications, surgery is often recommended. There are two primary surgical approaches:

- **Open Surgery**: This involves making a larger incision at the site of the hernia to repair it. Open surgery may be preferred for larger hernias or when laparoscopic surgery is not suitable.

- **Laparoscopic (Minimally Invasive) Surgery**: In laparoscopic hernia repair, several small incisions are made, and a thin tube with a camera (laparoscope) and surgical instruments is used to repair the hernia. Laparoscopic surgery typically involves a quicker recovery and less postoperative pain compared to open surgery.

5. **Mesh Repair**: In most hernia surgeries, a mesh patch or plug is used to strengthen the weakened area of the abdominal wall. Mesh repair has become a common and effective method for reducing the risk of hernia recurrence.

6. **Robotic Surgery**: Some surgeons use robotic-assisted techniques for hernia repair. Robotic surgery offers improved precision and visualization compared to traditional laparoscopic surgery.

The choice of treatment should be made in consultation with your healthcare provider or a surgeon. They will consider factors such as the size and type of hernia, your overall health, and your preferences when recommending the safest and most appropriate treatment option for your specific case. Keep in mind that the safety and success of hernia surgery often depend on the surgeon's skill and experience, so it's essential to choose a surgeon who specializes in hernia repair.
The safest and standard treatment for an abdominal hernia is surgery.  It can often be done laparoscopically, so the recovery time is shorter than when other techniques are used.  The biggest concern about an abdominal hernia is that you don't want your intestinal contents to be stuck in the hernia.  This could lead to emergency surgery.  It is far better to have the hernia repaired electively than to have it done emergently. 
Consult a surgeon.