Side Effect: Hernia

What is a hernia?

A hernia is a medical condition in which part of an organ pushes through a weak point or tear in the muscle or tissue that surrounds it. It often involves the intestine in the stomach wall. The most common types of hernia’s include inguinal (groin), umbilical (belly button), and hiatal (upper stomach or diaphragm).

What does a hernia look like?

Hernias can appear as a bulge, lump, or swelling beneath the skin (most commonly the stomach). They may or may not cause discomfort or pain. Some patients might not even know they have one. Others may not notice because of the hernia location. If the hernia is inside the abdominal wall, it may not be visible, but can be detected by a physician during a physical exam.

Who gets hernias?

Patients with cancer who have undergone surgeries or radiation therapy are at higher risk of getting hernias. The most common area is after abdominal surgery. This is because cancer can weaken a patient’s abdomen, making tears and hernias more likely to occur.

How do you prevent hernias?

Preventing hernias in patients with cancer involves careful surgical management with close monitoring during patient’s recovery period. Below is a list patients can do to decrease their likelihood of getting hernias after a surgery/during the recovery period:

• Appropriate wound care by using mesh continuously/frequently
• Avoid heavy lifting
• Avoid strenuous activity as workouts that strain the abdominal muscles can aggravate hernias
• Maintain a healthy weight
• Maintain a healthy diet and emphasizing high fiber foods
• Avoid smoking

How is a hernia treated?

Hernia treatment in patients with cancer typically involves surgery but may vary depending on the individual’s overall health and severity of the hernia. Not all hernias require immediate treatment, but most eventually will since they worsen over time. The most common treatment methods include:

• Watchful waiting (if hernia is not painful)
• Surgery to remove (if hernia is painful)
  
  • Open hernia repair
  • Minimally invasive hernia repair (laparoscopic)
  • Robotic hernia repair

A decision to remove hernias must be carefully weighed against the potential risks and benefits for each individual patient. It is important to discuss with a healthcare provider before making a final decision.