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Procedure Specific Information leaflet

Inguinal Hernia Repair

University Hospital
Day Surgery Unit

Dear Patient,
Welcome to the Day Surgery Unit.
To ensure the success of your operation, I would like to invite you to follow the instructions given to you be our medical team carefully. Also, I would encourage you to read over the materials presented and ask any questions you may have.
As your doctor has explained to you, inguinal hernia repair can be carried out in Day Surgery. You will come to the Center in the morning and your operation will last about 1 hour. You will be able to go home in the afternoon, after a complete post-op examination.
Dott. U. Feelbetter
Head, Multidisciplinary Day Surgery Center

What is an Inguinal Hernia?
A hernia occurs when inner layers of abdominal muscle become weakened. The lining of the abdomen then bulges out into a small sac, and part of the intestine or abdominal tissue may enter the sac.
Some people with hernias remain relatively free from symptoms, while others experience swelling and, sometimes, severe pain. A hernia can cause other potentially serious problems (e.g., infection, bowel obstruction). Surgery is the only way to repair them, because they do not resolve on their own.

What happens during surgery?
A hernia repair operation lasts about an hour. It is usually carried out under local anaesthesia or epidural anaesthesia, which is also called a spinal anaesthetic that numbs a larger area or region of the body containing the hernia. An incision is made over the site of the hernia. The protruding tissue is returned to the abdominal cavity, and the sac that has formed is removed. The surgeon repairs the hole or weakness in the abdominal wall by sewing strong surrounding muscle over the defect. At times, it may be necessary to strengthen the abdominal wall with a piece of synthetic material called “mesh”, usually well tolerated by the human body.

Are there any complications?
Complications from inguinal hernia repair surgery are very few. You may experience:
• Swelling and soreness at the incision site
• Headache and nausea after anaesthesia
• Post-operative infection of the incision site, treatable with antibiotics
• Loss of sensitivity around the incision site
• Allergic reaction to anaesthesia
Although unlikely, a hernia may reoccur in about 5% of cases, even many years after repair surgery.

What happens after surgery?
After surgery, you will be taken back to your room to recover. You will normally be discharged in the afternoon, after your doctor ascertains you are able to stand and walk. The surgeon will give you post-operative indications to follow at home and will advise you regarding heavy lifting, jogging, or doing strenuous exercise. Generally, you will have some difficulty walking the first few hours after the operation, and climbing stairs the first couple of days. Bathing will require care so as not to wet the incision site. Sexual activity is usually too uncomfortable to enjoy the first week or two. You should be able to drive your car within a few days. Depending upon your occupation, you can expect a recovery period lasting from one to six weeks..

On day of surgery
• Be on time and fasted from midnight
• Take regular medications and prescribed antibiotic with small sips of water
• Inform you doctor of any family history of thrombophlebitis
• Have groin area shaved as instructed
• Come to Day Surgery with all preoperative exams, National Health Care card and ID
• Arrange for someone to drive to and from the hospital and someone to stay at home with you for the first 24 hours after surgery

At home
• Get as much rest as possible. Drink plenty of fluids, eat light meals and avoid alcohol.
• Some pain in the groin area is normal. Take pain reliever as directed by your doctor.
• Some swelling and soreness of the surgical wound is normal
• Stitches will be removed after about 1 week. If pain increases, pulsates or you
• notice changes in your wound, please contact the Center.
• A slight fever is also normal. If your temperature exceeds 38°C, contact the Center.
• Post-operative check-up after 1 week to remove stitches. Periodic checkups after 3 weeks, 6 months and 1, 2 and 3 years.
• If you have any problems or cause for concern, contact your doctor or the on-call service right away.
Post-Operative On Call service
Physician on Call
049 8313361

Dates to Remember
Anaesthetic examination Surgery:
Date: _ time_ Date: time: __

Medications:


Other Instructions:
___

If you need help please call:
Mrs C. White, Head nurse
049 8773455
Monday through Friday 9 am – 12 pm

If you wish to speak with our medical personnel, please contact:
Mrs. P. Wilson
049 8311324
Monday through Friday 9 am – 11 pm and 2 pm – 6 pm

The Center is open:
Monday through Friday
7:30 am - 1 pm and 2 pm - 7:30 pm
Tel. 049 8632399

Image Inguinal Hernia Repair.docx