What causes Inguinal Hernia?

Different Hernias may have different causes and its own set of risk factors. However, most Hernias are Inguinal Hernias, which can happen to people of any age, though it predominately affects men.

Some inguinal Hernias have no direct or apparent cause, while others might occur due to one of the following reasons:

  • Inguinal canal defect from birth (congenital)
  • Increased pressure within the abdomen
  • Pre-existing weak spot in the abdominal wall
  • Overstraining during bowel movements
  • Strenuous activities or trauma
  • Pregnancy
  • Chronic coughing or sneezing

There are also risk factors that may increase the likelihood of an Inguinal Hernia, some of which includes obesity, age, previously having an inguinal Hernia, or having family members with Hernias.

When should you see a Hernia Surgeon like Dr Kan Yuk Man?

You should see a Hernia Specialist if you have a painful or noticeable bulge in the groin, near to where your abdomen and thigh joins. Men may also have a lump in the scrotum. This lump is likely to be more noticeable when you’re standing.

Hernias can be life-threatening, especially if it’s strangulated and not treated early. When in doubt, see a Hernia Specialist early for a peace of mind.

Keyhole Hernia Repair (Laparoscopic Surgery)

Hernias are common problems that require the expertise of a qualified surgeon. Fortunately, keyhole hernia repair is now available to provide a minimally invasive alternative to traditional open surgical treatment. This keyhole approach avoids the need for large abdominal incisions which can cause pain and discomfort and may take longer to heal.

This laparoscopic hernia surgery involves creating several small incisions in the abdominal wall through which a laparoscope (tiny camera) is inserted so that a Hernia Surgeon like Dr Kan Yuk Man can view inside the body. The hernia is then securely covered with an appropriate mesh and stapled into place.

The laparoscopic approach offers numerous benefits over conventional surgery including faster recovery, less pain and scarring, a lower risk of infection and quicker return to normal activities. It is often recommended for hernia repair in adults aged over 50 years or who have any other underlying medical conditions that may be complicated by open surgery.

However, laparoscopic hernia repair may not be suitable for everyone. The size, type and location of the hernia will determine which procedure should be used and your lifestyle and age should also be considered when making a decision about your treatment plan. That’s why it is important to speak with an experienced Hernia Surgeon like Dr Kan Yuk Man before deciding on the best course of action for you.

If you’re considering laparoscopic hernia repair in Singapore, make an appointment with Dr Kan Yuk Man today. With extensive laparoscopic experience, he can provide you with tailored advice and treatment to ensure the best possible outcome.

He will discuss all available options to help you make an informed decision on how to manage your hernia in the most effective way. Book an appointment now and find out how laparoscopic hernia surgery could benefit you.

What is Hernia, and what are the main causes of Hernia?

Hernia Surgery Singapore
Hernia Surgery Singapore
Hernia Surgeon Singapore

A hernia is the protrusion of fat, tissue or part of an organ, through the structure or muscle that usually contains it. The condition occurs most often in the abdominal wall when the intestine pushes through a weak spot in the wall. Read on to understand some of the causes of Hernia and when you should see a Hernia Surgeon in Singapore!

Hernias aren’t necessarily dangerous, but it can also lead to life-threatening complications. You may not experience any symptoms or discomfort when your Hernia is still small. It is also possible to push your organs back into position at this stage. However, Hernias may become bigger and more painful over a period of time, and may even lead to life-threatening conditions such as bowel obstruction and strangulation. When it reaches this stage, it can be relatively dangerous, and therefore best to see a Hernia Surgeon Singapore as soon as you suspect that you may have Hernia.

In most scenarios, there is no particular reason for a Hernia to occur, except for a complication of abdominal surgery causing an incisional Hernia. Your risk for Hernia may also increase as your age increases.

A Hernia may also be present from birth, such as a congenital diaphragmatic Hernia or it may develop in children with a weak abdominal wall.

There are different causes for each individual type of Hernia. Some of the causes for one of the most common type of Hernia, Inguinal Hernia, are:

  • Constipation
  • Chronic cough
  • Enlarged prostate
  • Cystic fibrosis
  • Straining to urinate
  • Obesity
  • Abdominal fluid
  • Frequent weightlifting
  • Peritoneal dialysis
  • Poor nutrition
  • Smoking
  • Physical exertion
  • Weakness of the muscles and ligaments of the abdomen

If unsure, it’s always best to make an appointment with your Hernia Surgeon Singapore to clarify if what you have is indeed a Hernia, and if you require surgery. Dr Kan has years of experience in minimally invasive techniques for Hernia Surgery, having operated over one and a half thousand cases!

How is a Hernia Surgery/Repair Performed?

How is a Hernia Surgery/Repair Performed?

A Hernia Repair is the surgical correction of a hernia, where the weakened area of a muscle, tissue, or protrusion is reinforced and strengthened. A Hernia Surgeon like Dr Kan may recommend a hernia repair to treat hernias causing pain or other symptoms.

Surgical approaches to hernia repair are done using one of the following approaches:

• Laparoscopic surgery
Performed under general anaesthesia, this form of surgery involves smaller incisions when compared to open surgery. A laparoscope with an attached camera is used to perform the same function as open surgery through very tiny incisions.

• Open surgery
The surgeon will make an incision where the hernia is located. Next, the protruding tissue will be gently pushed back in its proper place. If this is not possible, the hernia will be tied off or removed. To prevent it from recurring, the weakened muscle wall is reinforced with a mesh for additional support.
Recovery period for a hernia surgery
Recovery time varies from person to person, depending on the type of hernia and type of procedure. Laparoscopic surgery ensures that patients recover more quickly and may be allowed to return to normal activity quickly and would definitely face less pain & discomfort.

Understanding the various types of Hernia

Understanding the various types of Hernia:

Inguinal hernia
An inguinal hernia occurs when a portion of intestine or fat bulges through a weak area in the lower stomach wall. Inguinal hernias can occur at either of two passages through the lower abdominal wall, one on each side of the groin. These passages are called inguinal canals. Inguinal hernias can also occur through two deeper passages in the groin called the femoral canals. Hernias through these passages are also known as femoral hernias.

Inguinal Hernias are relatively common, and some symptoms of an inguinal hernia include:

  • A small bulge in one or both sides of the groin that may increase in size and disappear when lying down; in males, it can present as a swollen or enlarged scrotum
  • Discomfort or sharp pain-especially when straining, lifting, or exercising-that improves when resting
  • A feeling of weakness or pressure in the groin
  • A burning, gurgling, or aching feeling at the bulge

Umbilical hernia
Umbilical hernias are those in which tissues in the body bulge through an area of weakness in the belly button area (umbilicus). Unlike most hernias, which develop in adolescence or adulthood, 20 percent of babies are born with umbilical hernias. Umbilical hernias occur most often in newborns, and 90 percent will naturally close by the time the child reaches 5 years of age.

After birth, the umbilical cord is no longer necessary, and the opening in the abdominal muscles closes as the baby matures. Sometimes, these muscles do not meet completely, leaving a small hole or gap. A part of the intestine can then move into and even penetrate the opening between abdominal muscles and cause a hernia.

Ventral/Incisional hernia
An incisional hernia can occur after a person has abdominal surgery, which usually involves an incision down the middle of the stomach. If the surgical wound doesn’t heal completely, that person can be more vulnerable to developing a hernia.

Some doctors may use the terms “ventral hernia” and “incisional hernia” interchangeably. A ventral hernia refers to any hernia type that occurs along the midline of the stomach. However, not all ventral hernias are incisional hernias as some may be caused by other trauma or congenital problems.

Hiatal hernia
A hiatal hernia is a condition that occurs when a person’s stomach bulges through a weak point in the diaphragm, a muscle that separates the lungs from the abdominal organs. The most common cause of a hiatal hernia is an increase in pressure in the abdominal cavity. A hiatal hernia can develop in people of all ages and both sexes, although it frequently occurs in people age 50 and older. Hiatal hernia occurs more often in overweight people and smokers.

If you have a hiatal hernia, you’re more likely to have problems with acid reflux and heartburn from gastroesophageal reflux disease (GERD).

Femoral hernia
A femoral hernia occurs more commonly amongst women than men, and it happens when tissue pushes through a weak point in the groin or inner thigh. The hernia may feel like a small- to medium-sized lump in the groin, and tends to be concerning as it’s near the femoral artery and veins.
This is the reason why most femoral hernias are treated with surgery.

Epigastric hernia

An epigastric hernia is one that occurs in the epigastric region of the abdomen, which is located just above the belly button and below the ribcage.
If you suffer from an epigastric hernia, you may face some pain or tenderness around the said region. You may also be able to feel it when pressure is exerted on the abdominal wall, on occasions such as when you cough, laugh, or bend down.