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A hernia is a hole in a muscle anywhere in the abdominal wall that is either natural or due to an injury or surgery. When a hernia develops, it is important to seek medical attention. Dr. Ian Villanueva, a surgeon with WakeMed Physician Practices – General & Bariatric Surgery, sees and treats many patients who have hernias, and offered the following information.
Hernias develop for a number of reasons. Some of these include:
Hernias can feel like bulges, bumps or lumps. They can sometimes be painful, and you may actually be able to push the lump “back in”. However, sometimes the lump stays out.
Physicians are usually able to diagnosis a hernia through a physical exam. In some cases, additional imaging, such as an ultrasound, is required.
There are three common types of hernias, which are outlined below.
Hernias do not heal – they either stay the same size or get bigger with time. It should be repaired when the hernia is:
You should also have your hernia repaired if there is:
The goal of hernia surgery is to identify the source of the bulge, examine the contents of the bulge, and repair the hole. Surgeons either use an open repair or laparoscopic repair.
In surgery, the hole can be repaired with either stitches or mesh. Your physician will make the decision based on several factors.
Mesh is a medical device that serves as a patch to cover the area of a repaired hernia, and increases the strength of the repair for lower hernia recurrences. It is typically used in non-emergency surgery and with larger hernias, (larger than a nickel).
Dr. Ian A. Villanueva is a board-certified general surgeon with WakeMed Physician Practices – General & Bariatric Surgery. Dr. Villanueva’s clinical interests include advanced laparoscopic and DaVinci surgical robot-assisted techniques in all areas of gastrointestinal surgery, bariatric weight loss surgery, and minimally invasive hernia surgery. Request an appointment with Dr. Villanueva today by calling 919-350-1604 or by filling out our online form.
3000 New Bern Ave.
Raleigh, NC 27610