Umbilical Hernia
Running head: SURGICAL FOLLOW-THRU
Surgical Follow-Thru: Umbilical Hernia Repair
October 15, 2010
Surgical Follow-Thru: Umbilical Hernia Repair
On September 5, 2010, a fifty-two year old African American male was admitted to the emergency department with severe abdominal pain. His diagnosis was an umbilical hernia with a palpable fascia defect to the right of the umbilicus that measured 2cm across. The client complained of pain on reduction and did not want to leave the hernia unaided for the fear that it may get larger over time. According to the chart, the client is obese and has a history of hypertension. Together, these conditions are implications of a poor health status that may increase the risk of complications with the umbilical hernia. (Rastegari, 2004) To prevent further problems, he was recommended for an elective outpatient surgery for umbilical hernia repair with possible mesh scheduled on October 15, 2010. Psychosocially, the client was anxious about how his abdomen would look after the surgery and worried about his ability to continue with his daily activities. An umbilical hernia repair, also known as an umbilical herniorrhaphy, is a surgical procedure carried out to correct an umbilical hernia. (Rastegari, 2004) A brief description of the procedure is as follows: the patient is given local or general anesthesia depending upon the protuberance of the hernia. Then a small incision is made in close proximity to the umbilicus and the tissues are pushed back inside the abdomen. The muscles are then sutured and the opening is closed with stitches. (Pakhare, 2009) If the opening is too big and cannot be sutured, a sterile mesh is placed inside to keep the tissues together and relieve tension on the open area. (Venclauskas, Jolita, & Mindaugas, 2008) After the umbilical hernia repair has been discussed and elected as treatment, it is the primary duty of the physician to obtain informed consent from the patient after disclosing the
Surgical Follow-Thru: Umbilical Hernia Repair
October 15, 2010
Surgical Follow-Thru: Umbilical Hernia Repair
On September 5, 2010, a fifty-two year old African American male was admitted to the emergency department with severe abdominal pain. His diagnosis was an umbilical hernia with a palpable fascia defect to the right of the umbilicus that measured 2cm across. The client complained of pain on reduction and did not want to leave the hernia unaided for the fear that it may get larger over time. According to the chart, the client is obese and has a history of hypertension. Together, these conditions are implications of a poor health status that may increase the risk of complications with the umbilical hernia. (Rastegari, 2004) To prevent further problems, he was recommended for an elective outpatient surgery for umbilical hernia repair with possible mesh scheduled on October 15, 2010. Psychosocially, the client was anxious about how his abdomen would look after the surgery and worried about his ability to continue with his daily activities. An umbilical hernia repair, also known as an umbilical herniorrhaphy, is a surgical procedure carried out to correct an umbilical hernia. (Rastegari, 2004) A brief description of the procedure is as follows: the patient is given local or general anesthesia depending upon the protuberance of the hernia. Then a small incision is made in close proximity to the umbilicus and the tissues are pushed back inside the abdomen. The muscles are then sutured and the opening is closed with stitches. (Pakhare, 2009) If the opening is too big and cannot be sutured, a sterile mesh is placed inside to keep the tissues together and relieve tension on the open area. (Venclauskas, Jolita, & Mindaugas, 2008) After the umbilical hernia repair has been discussed and elected as treatment, it is the primary duty of the physician to obtain informed consent from the patient after disclosing the
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