Hernia Anatomy

A hernia is a condition where a portion of an organ protrudes through the wall of the cavity it is normally contained within. At Burjeel Medical City, we specialize in treating various abdominal hernias, which can be classified into different types.

Groin Hernias

  • Inguinal Hernia: The most common type of hernia worldwide, typically occurring in the groin area.
  • Femoral Hernia: More common in elderly females, appearing as a painful lump below the groin, near the thigh.

Ventral Hernias

  • Umbilical Hernia: A hernia near the belly button.
  • Epigastric Hernia: A hernia above the belly button.

Incisional Hernias

Resulting from a bulge through a weakened scar from a previous abdominal operation, such as a cesarean section.

Diagnosing a Hernia

Our experienced surgeons can diagnose a hernia through a physical examination. The presence of a bulge or weakness in the groin, umbilicus, or any previous abdominal scar is usually indicative of a hernia. In some cases where there is pain but no visible bulge, we may employ radiological methods such as ultrasound or CT scan to detect smaller hernias that are not evident during the physical examination.

Understanding the Need for Hernia Repair

Not every diagnosed hernia requires immediate surgical repair. In asymptomatic cases, we may recommend a watchful follow-up. However, it is crucial for patients to be aware of the potential complications that can arise if a hernia is left untreated, including:

  • Intermittent Pain
  • Intestinal Obstruction (difficulty passing flatus and/or stools)
  • Strangulation (persistent severe pain and palpation of a hard mass)

If any of these symptoms occur, it is essential to undergo hernia repair to prevent severe complications promptly.

Surgical Repair of Hernias

At Burjeel Medical City, we offer modern and effective surgical techniques for hernia repair. The most common approach involves using mesh made of inert, non-absorbable materials like polypropylene or polyester to reinforce the closure of the hernia defect, reducing the risk of recurrence.

The choice of surgical technique depends on individual factors such as:

Type of Hernia (site, size, previous failed repairs, emergent presentation)
Patient’s Characteristics (age, gender, obesity, physical activity, work requirements, tobacco usage, cardiopulmonary status, home medication)

Our skilled surgeons can provide the following surgical procedures based on the type of hernia

Inguinal Hernias

  • Open Anterior Mesh Repair (Lichtenstein Operation)
  • Open Preperitoneal Mesh Repair (Nyhus Operation)
  • Video-assisted Mesh Repairs: TAPP (Transabdominal Preperitoneal) Mesh Repair, TEP (Totally Extraperitoneal) Mesh Repair

Ventral and Incisional Hernias

  • Open Mesh Repair: Anterior Approach (“Onlay”), Neuromuscular Technique (“Sublay”), Intraperitoneal Repair, Myofascial Repairs (“Components Separation” Methods)
  • Laparoscopic Mesh Repair

Contact us at Burjeel Medical City to schedule a consultation and explore the best treatment options for your hernia and abdominal wall conditions.