What educational information should be provided to patients with abdominal hernias?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Patients should be counseled to avoid those activities that increase intra-abdominal pressure (eg, straining at defecation and lifting heavy objects). This may require restrictions on work or school-related activities, which should be clearly delineated. Patients should also receive instruction regarding ways of applying support to the hernia. Numerous medical device companies have developed support items that can assist with this process.

Even with asymptomatic hernias, repair at an early stage (ie, before the hernia enlarges) is preferred. Referral to a general surgeon for discussion of the available types of hernia repair is warranted; with the advent of new meshes and laparoscopic approaches, the range of repair options is now wider than ever.


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