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My Father Lives In Iraq. Last Year, He Had A

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Posted on Wed, 15 Jul 2020
Question: My father lives in Iraq. Last year, he had a (left iliac region hernia) containing bowel loops and omental fat, he had a surgery back in August. He just found out that he has another hernia, his report says: There is hypoechoic defect in the anterior abdominal wall in the LT. iliac region = 43.8mm in diameter ?? possibility of surgical hernia , contains only omental fat , no bowel loops seen inside

My father's doctor said that he shouldn't have a surgery, he said that my father should lose some weight, avoid some types of foods, and avoids carrying anything. He is 97Kg/214lb, he is 77 year old.

The information my father is looking for is: can a hernia be treated without a surgery? And do you have any recommendations for my father?
doctor
Answered by Dr. Bhagyesh V. Patel (57 minutes later)
Brief Answer:
hernia not treatable without surgery. recommendations as below.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query with attached ultrasound report.

* As per my surgical experience, the report is indicative of large iliac hernia
of around 44 mm size.

* There is no cure of hernia without surgery ; though certain measures
would help to slow the progress of hernia a bit over period of time as

- weight reduction
- avoidance of strenuous activities as weight lifting, aerobics
- maintaining regular bowel evacuations and urination
- food intake will indirectly affect hernia as low fat diet will reduce weight
and fat content of body including omentum of abdomen
- prompt treatment of any respiratory infection to avoid excess coughing
- avoidance of smoking if applicable

* As the report is suggestive of no intestine loops at present, there is only
omental fat ; there is absolute no emergency of surgery, but a planned
surgery with repair defect by Prolene MESH is best remedy provided he is
fit physically and anesthetic point of view.

* I again repeat that measures advised by his doctor will help to slow down
the progress of the hernia, but not cure it.

* A second opinion with another expert surgeon is best recommended in this
matter.

Hope I have answered your query.
Let me know if I can assist you any further.

Wish uncle best recovery.
Take care.

Regards.
Dr Bhagyesh ( MS consultant surgeon )
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 20405 Questions

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My Father Lives In Iraq. Last Year, He Had A

Brief Answer: hernia not treatable without surgery. recommendations as below. Detailed Answer: Hello and welcome to Ask A Doctor services. I have read your query with attached ultrasound report. * As per my surgical experience, the report is indicative of large iliac hernia of around 44 mm size. * There is no cure of hernia without surgery ; though certain measures would help to slow the progress of hernia a bit over period of time as - weight reduction - avoidance of strenuous activities as weight lifting, aerobics - maintaining regular bowel evacuations and urination - food intake will indirectly affect hernia as low fat diet will reduce weight and fat content of body including omentum of abdomen - prompt treatment of any respiratory infection to avoid excess coughing - avoidance of smoking if applicable * As the report is suggestive of no intestine loops at present, there is only omental fat ; there is absolute no emergency of surgery, but a planned surgery with repair defect by Prolene MESH is best remedy provided he is fit physically and anesthetic point of view. * I again repeat that measures advised by his doctor will help to slow down the progress of the hernia, but not cure it. * A second opinion with another expert surgeon is best recommended in this matter. Hope I have answered your query. Let me know if I can assist you any further. Wish uncle best recovery. Take care. Regards. Dr Bhagyesh ( MS consultant surgeon )