الفتق السري بكام؟ ليه نسب رجوع الفتق بتختلف حسب العملية | Ventral Hernia Repair: Why Recurrence Rates Differ
اختيار العملية المناسبة | Choosing the Right Technique
أكتر سؤال بيتسأل عن الفتق السُري (Umbilical hernia): «بكام؟». د. محمد حسام زيدان بيوضح إن الفتق السُري والجار سُري منتشر، فواحد من كل 5 بالغين ممكن ييجي له، وتلاتة من كل 10 بعد عمليات بطن قديمة، وإن المشكلة الحقيقية إن الدراسات بتقول إن الفتق بيرجع عند حوالي 14% خلال 5 سنين بعد الإصلاح. وبيشرح إن فيه 5 عمليات مختلفة بالمنظار، منها IPOM+ وVentral TAPP وSCOLA والميلا، وكل واحدة بتناسب حالة حسب حجم الفتق ووزن الجسم وجودة الجلد ووجود انفصال عضلي، وإن اختيار العملية والشبكة المناسبة ممكن يقلل الرجوع من 14% لحوالي 2%. | The most common question about umbilical hernias is "How much does it cost?" Dr. Mohamed H. Zidan explains that umbilical and paraumbilical hernias are common, affecting about one in five adults and three in ten people after previous abdominal operations, and that the real problem is recurrence: studies report that about 14% of hernias come back within five years of repair. There are five different laparoscopic operations, including IPOM+, ventral TAPP, SCOLA and MILA, each suited to different patients depending on hernia size, body weight, skin quality and muscle separation. Choosing the right operation and mesh can reduce recurrence from 14% to about 2%.
Key Takeaways
Full Transcript
Host: Doctor, the question we're asked most is: how much does umbilical hernia surgery cost?
Dr. Zidan: How much does an umbilical hernia cost? First, there are many types: an abdominal wall hernia can be an umbilical hernia, a paraumbilical hernia and others, and there are different operations to repair them. But first you should know how common they are: one in five adults develops an umbilical or paraumbilical hernia, and three in ten after previous operations such as an exploratory laparotomy, a hernia repair, an open gallbladder removal or any other type of open surgery. The real problem isn't the hernia itself; the real problem is that studies show a recurrence rate of 14% within five years of repair, meaning one in seven patients ends up having the operation again. The reason isn't the surgeon or the patient; it's the choice of the right operation. In fact, there are five different laparoscopic operations for umbilical and paraumbilical hernias, including IPOM Plus, ventral TAPP, SCOLA, or MILA for some patients who need it. Each of these operations suits a different case with different criteria, based on the size of the hernia, body weight, skin quality and whether there is muscle separation. Choosing the right technique and the right mesh for your case reduces the recurrence rate from 14% to 2%, which is a huge difference. So before a patient says "I have a hernia and I want it fixed," let's first assess them and find out what suits them best, which operation and which type of mesh, and then I'll be able to tell you how much it costs.