The mortality rate for emergency groin hernia repair in developed countries is 1.7–7.0% and can rise to 6–25% if bowel resection is needed. In this present analysis of data from the Herniamed Registry, patients with emergency admission and operation within 24 h are analyzed.
In general, patients with uncomplicated inguinal and abdominal wall hernias do well. However, mortality is 10% for those who have hernias with associated strangulation.
How long can you live with a hernia? The absolute answer is that it is “unpredictable.” Some can live with a hernia for their whole life while others will develop a hernia related emergency within months of the development of their hernia.
Although hernias aren't lethal or likely to lead to serious harm, that doesn't mean they should be underestimated. They can cause pain and activity limitations. And the reality is that some hernias can lead to serious injury; some of them can even lead to death.
Results. Through systematic review of the literature, it was established that the overall reported perioperative mortality in human adults undergoing elective surgical abdominal wall hernia repair was low (0.1%–0.5%).
An inguinal hernia repair is a routine operation with very few risks. But a small number of hernias can come back at some point after surgery. Other potential complications of an inguinal hernia repair include: blood or fluid building up in the space left by the hernia (this usually gets better without treatment)
Repairing a hernia is major surgery. And like so many other types of surgery, hernia repairs have gotten much better for patients over the years, says Leon Clarke, MD, a general surgeon at Mercy Fitzgerald Hospital.
If it is left untreated, a strangulated hernia can lead to life-threatening conditions such as necrotizing enterocolitis (severe inflammation of intestine) and sepsis. Since hernias can happen to anyone at any age, knowing warning signs of hernias and being aware of them are essential.
Progression to symptoms in most inguinal hernia patients
More recent studies show that about 80% of patients with inguinal hernia develop enough symptoms over 10 years that they end up needing surgery.
Hernias occur when tissue or an organ pushes through a weak spot in an abdominal muscle and are usually repaired surgically. While the majority of hernia surgeries are successful, there is a chance that a hernia could return months or even years after hernia surgery.
If you aren't able to push the hernia in, the contents of the hernia may be trapped (incarcerated) in the abdominal wall. An incarcerated hernia can become strangulated, which cuts off the blood flow to the tissue that's trapped. A strangulated hernia can be life-threatening if it isn't treated.
Over time, hernias tend to get bigger as the muscle wall of the belly gets weaker and more tissue bulges through. Many doctors recommend surgery because it prevents a rare but serious problem called strangulation.
Inguinal hernias are dangerous because they tend to keep getting larger and your intestine can get trapped inside the bulge and lose its blood supply. This is called a strangulated inguinal hernia, and surgery may be needed to correct the problem.
A reducible hernia is a hernia with a bulge that flattens out when you lie down or push against it gently. This type of hernia is not an immediate danger to your health, although it may be painful and worsen over time if left untreated.
Most hernias continue to grow larger, and symptoms become progressively worse as they grow. The complications caused by a hernia also increase in severity over time.
An inguinal hernia is a common disease; however, a malignant tumor within the inguinal hernia sac is rare, and perforated colon cancer in the hernia sac is extremely rare.
For inguinal hernia operations, SMR after emergency and elective operations are 5.94 (4.99–7.01) and 0.63 (0.52–0.76). Overall mortality within 30 days after groin hernia operations is increased above that of the background population for all men and women (SMR, 1.40; 1.22–1.58 and 4.17; 3.16–5.40, respectively).
The operation usually takes about 30 to 45 minutes to complete and you'll usually be able to go home on the same day. Some people stay in hospital overnight if they have other medical problems or live on their own.
Inguinal hernias are more common in certain age groups. Among adults, the chance of having an inguinal hernia increases with age, and inguinal hernias are most common in people ages of 75 to 80.
Fullington perform (for inguinal, umbilical, and small incisional hernias) is about 2 weeks. Many patients feel well enough to perform normal daily activities – including driving and return to work – after only a couple of days, but we restrict patient activity for 2 weeks to allow for adequate healing.
Hernia repair surgery normally only requires a 23-hour or less stay. Most patients go home the same day. Abdominal wall hernia repairs may require up to a two-day hospital stay due to the internal stitches and healing that is required.
Normal activities can gradually be resumed over time when they can be carried out without feeling any pain. The latest hernia repair techniques usually allow you to return to normal activities within 2 weeks.
Full recovery may take four to six weeks. Elderly patients who undergo laparoscopic surgery may recover sooner. Patients should perform only necessary functions right after surgery, but can resume light activity after a few weeks.
After surgery to repair your hernia, you are likely to have pain for a few days. You may also feel tired and have less energy than normal. This is common. You should feel better after a few days and will probably feel much better in 7 days.