Advanced Pre-peritoneal Inguinal Hernia (Kugel) Repair

You have just undergone surgery to repair a hernia. This involves making a small incision in your lower abdomen in order to gain access to your hernia or hernias. From the inside of your abdomen, the hernia is pulled back out of the inguinal canal (the region in which hernias are formed) and a large piece of mesh is placed inside your abdomen in order to repair the hernia defect.

If your prescription was not mailed to your pharmacy before surgery, upon discharge from the hospital, you will be given a prescription for pain medication. Because pain medication can be constipating, be sure to drink lots of fluids and eat plenty of fruits and vegetables. It will also be helpful to take a stool softener such as Colace, Metamucil or Citrucel once or twice a day, if you are constipated.

If you are unable to have a bowel movement following surgery, a mild laxative such as Milk of Magnesia may be used. Being up and about after surgery is also helpful in regulating bowel function. To minimize pain when you are moving about, support your incision with a small pillow or rolled up towel. Sleeping with a pillow under or between your knees will relieve stress on the incision area.

Incision

Your incision is closed using a number of sutures below the skin surface. When you remove the outer dressing (see bathing instructions below for when to remove the dressing), you will find a special ribbed tape covering the incisions. The ribbed tape will fall off on it’s own.

Male patients may find that your scrotum or penis will become discolored, and you may have swelling in the region of your hernia. This does not mean your hernia was not repaired. Female patients may find that your labia will become swollen and discolored. This does not mean your hernia was not repaired. This swelling and discoloration is normal and will resolve over the next several weeks to months. This swelling and discoloration is normal and will resolve over the next several weeks to months.

Bathing

You are asked to keep the outer dressing over the incision dry and in place for 1 day following surgery. On the day after surgery, remove the outer dressing. It is now safe for you to get into the shower. Be careful not to scrub at the incision line, simply let the water run over the incision and gently pat the area dry.

Activity

Following surgery, you are encouraged to do as much walking as is comfortable. You may climb stairs, taking them one at a time and slowly.

You are not to operate a vehicle while you are having discomfort or taking pain medication. This will interfere with your ability to drive safely. Your surgeon will tell you when it is safe to resume driving.

Lifting heavy objects and exercise is okay a week after surgery, but if lifting causes pain in your incision or groin, please stop. If pain persists, call the office and speak with the nurse.

Precautions

Although not commonly seen, any incision is susceptible to infection. If you develop a fever of 101 degrees or above, have unexpected pain, redness or drainage from the incision, please contact the office.

Follow-up

Please call the office a day or two after you go home to schedule your appointment for approximately 2 weeks after surgery.

If you have any questions about your recovery, please do not hesitate to call our office.

Dr. Morton Kahan of Newton Wellesley Surgeons

Morton Kahan, MD FACS

Hernia | Breast

Dr. Paul VonRyll Gryska of Newton Wellesley Surgeons in Newton, MA

Paul Gryska, MD FACS

Diverticulitis | Colon | Gallbladder | Hiatal hernia

Dr. Joanna Sentissi specializes in VNUS Closure.

Joanna Sentissi, MD FACS

Vascular surgery | VNUS Closure | General

Dr. Michael Reinhorn, MD FACS, of Newton Wellesley Surgeons in Newton, MA.

Michael Reinhorn, MD MBA FACS

Hernia | Pilonidal disease| Gallbladder | Appendix |

Dr. Deborah Schnipper, general surgeon at Newton Wellesley Surgeons

Deborah Schnipper, MD - Board Certified Colon & Rectal Surgeon

Colon and rectal cancer | Diverticulitis | Anorectal | Inflammatory bowel disease

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Tammy Holm, MD, Ph.D

Thyroid & Parathyroid|Adrenal|Melanoma|Breast

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Newton, MA 02462

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