Hernia operations, Inguinal hernia operations

The inguinal hernia extends from the abdominal cavity through a dilated hernia defect between the muscles and the inguinal ligaments. If it grows large enough to reach the scrotum it is called scrotal hernia. It can be one sided or bilateral. Usually it is visible and palpable, and until incarcerated causes only various minor symptoms. It can be congenital, or it can develop during adulthood. Due to the relatively narrow hernia defect, the danger of incarceration is present, which if not treated quickly can lead to bowel obstruction and necrosis and peritonitis. These are the acute complications, that considerably increase the otherwise minimal risk of surgery since they require emergent intervention.

Wearing an inguinal hernia binder is only a temporary solution, the hernia defect does not close on its own, and the defect at the weak point of the abdominal wall can only be corrected by surgery. The ideal hernia surgery, reconstructs the normal anatomical relations as closely as possible, resulting in the smallest tissue tension. Therefore, the stress on the patient is minimal. The principle of the procedure performed in our clinic is to close the abdominal wall with series of tensionless sutures or insertion of tissue-friendly plastic mesh. This procedure is less demanding on the patient, and due to the surgical technique, the chance of recurrence is small.

Surgery is always preceded by an examination by the surgeon. Next the patient is informed whether from a surgical standpoint he or she is candidate for same day surgery. It is at this point that the patient is acquainted with the concept of one day surgery. It is also here, that the patient is informed about laboratory and other accessory studies (Imaging, ECG, abdominal ultrasound, medical) that might be required for surgery, options for anesthesia, possible complications, home care-related issues, stages of recuperation, i.e. all the information that is relevant for the patient to make a decision on which treatment method, or surgery to choose.

"One day surgery" means, that patients can leave the outpatient center on their own feet, accompanied by a helper, within 24 hours of surgery (usually after few hours of observation), and continue the healing process in the familiar confines of their own home. "One day surgery" requires strict professional, social, and various other preconditions that are discussed at the stage of the consultation when the need for surgery becomes clear. (I.e.: good general health, absence of serious systemic disease, patient must take responsibility for arrangement of transportation, home care, must have phone to contact the clinic or the surgeon if necessary, etc).

At the booked operative time patients must bring their lab tests, slippers, night-suit. Before placed into sick-room a "STATEMENT" is to be signed in order to entitle our clinic for the performance of the procedure. Besides patients have to undertake home wound care.

Considering that operation is performed in general anesthesia, food and drink intake is allowed until 24:00 pm on the prior day to procedure -for patient have to arrive with empty stomach for the surgery!

Please take the regularly taken drugs in time and dose. Take morning drugs with little liquid at home before departure and in case you may have drugs to be taken in day-time, please bring them with to the clinic!

The operation can be performed under local, spinal or general anesthesia. The majority of our surgeries are performed with local anesthesia, which means infiltration of the surgical field with 1% Lidocain. From an inguinal incision the hernia sac is isolated and resected, the herniated organs are placed back into the abdominal cavity and the hernia defect is closed with tensionless sutures. Essential part of the procedure is the tensionless closure of the hernia defect since this will ensure that postoperative pain is less and minimizes the risk of recurrence. It is only during surgery that it becomes clear whether this can be accomplished with autologous tissues or tissue-friendly plastic mesh has to be implanted.

No doctor can guarantee a complication-free surgery. Complications can arise even following the most carefully performed procedures. The possible early complications: post-operative bleeding, inflammation and recurrence are easily treatable. If you experience even the slightest indication of complications (for example, bleeding or fever), you can contact your surgeon day or night, who will take the necessary steps to remedy any of the complications. The development of later complications (recurrence) can be avoided by refraining from physical work for three months following the surgery, and appropriate careful surgical technique.

The surgery is commonly followed by 6-8 hours of observation, during which time the vital functions (blood pressure, urine output) stabilize, the sedative effects of the premedications wear off, and patients are able to leave the center on their own feet, with the help of an escort. During the first week the patient should refrain from physical strain, however constant bed rest is not necessary. Sutures are removed at the one week follow-up. Full recovery takes about 3-4 weeks, meaning that normal activities can be resumed at that time. The second control examination takes place after four weeks, at this time we find healed status.

Inguinal hernia surgery performed with local anesthesia: 0 HUF (paid by National Health Insurance Fund)
Scrotal hernia surgery performed with local anesthesia: 0 HUF (paid by National Health Insurance Fund)
Charge for general anesthesia: 40.000 HUF (paid by patient, optional) > Euro
Charge for overnight stay: 0 HUF
Fees of control examinations: 0 HUF (paid by National Health Insurance Fund)

We provide air-conditioned, TV-, phone- and WIFI equipped one-or two-bedded rooms, personal nurse and meal but these mean no further costs for our patients.

Inguinal hernia surgery performed with local anesthesia: 130.000 - 150.000 HUF > Euro
Scrotal hernia surgery performed with local anesthesia: 160.000 - 180.000 HUF > Euro
Charge for general anesthesia: 80.000 HUF > Euro
Charge for overnight stay: 30.000 HUF > Euro
Fees of control examinations: 5.000 HUF > Euro

50% of the fee is due at the time the operation is scheduled, as a prepayment.

We provide air-conditioned, TV-, phone- and WIFI equipped one-or two-bedded rooms, personal nurse and meal.

INGUINAL HERNIA