Hernia Surgery In Singapore

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Dr Thng Yongxian

MBBS

MMed

MRCS (IRE)

FRCSED

FAMS

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What is Hernia Surgery?

Hernia surgery, or herniorrhaphy, is a common surgical procedure used to repair hernias, which occur when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue. Hernias most commonly occur in the abdomen, but can also appear in the groin, upper thigh, and belly button areas.

The surgery aims to provide permanent relief from the discomfort and potential complications associated with hernias. This procedure is typically recommended when hernias cause pain or other symptoms, or if there is a risk of complications like strangulation.

Types of Hernias Treated with Surgery

Hernias come in various forms, and understanding the different types commonly treated with surgery can help identify and diagnose these conditions. Here are the main types of hernias that often require surgical intervention:

Inguinal Hernia

The most common type occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles, often in the inguinal canal in the groin area. This type is more common in men than women.

Femoral Hernia

Less common and more likely to occur in women; this hernia appears in the upper thigh, just below the groin. It happens when tissue pushes through the wall of the femoral canal.

Umbilical Hernia

Occurs near the belly button when part of the small intestine passes through the abdominal wall. This type is most commonly seen in infants but can also affect adults.

Incisional Hernia

Develops through a scar left from a previous abdominal surgery, where the intestine pushes through the weakened abdominal tissue.

Hiatal Hernia

Involves the stomach protruding into the chest through the hiatus, an opening in the diaphragm. Unlike abdominal wall hernias, hiatal hernias require a different surgical approach, often involving techniques that address the unique anatomical location.

Indications for Hernia Surgery

Hernia surgery is recommended based on several factors that assess the severity, symptoms, and potential risks associated with the hernia. Here are the primary indications for opting for surgical repair:

  • Symptomatic Hernias: Hernias that cause pain and discomfort, or interfere with daily activities often require surgical intervention to relieve symptoms and prevent further health complications.
  • Increasing Size: Hernias that continue to grow or change shape are typically recommended for surgery to prevent the risk of incarceration or strangulation, which can lead to more serious conditions.
  • Incarcerated Hernia: When a hernia becomes stuck in the groin or abdominal wall, it can cause severe pain and require urgent surgical repair to avoid further complications.
  • Strangulated Hernia: A critical and life-threatening condition where the blood supply to the herniated tissue is cut off. Surgery is required immediately to prevent tissue death and potentially fatal complications.
  • Cosmetic or Functional Reasons: Some patients may opt for surgery due to cosmetic concerns or functional impairment caused by the hernia, especially if it impacts their quality of life.

Preparing for Hernia Surgery

Proper preparation for hernia surgery ensures a successful outcome and minimises the risk of complications. Here are the key steps involved:

  • Medical Evaluation

    Before surgery, a thorough medical evaluation is conducted to assess your overall health and any risks associated with anaesthesia. This may include blood tests, imaging studies, and discussions about any existing medical conditions.

  • Medication Review

    Before undergoing surgery, patients need to disclose all medications, including over-the-counter drugs and supplements, especially those that might affect blood clotting. It may need to be adjusted or stopped temporarily.

  • Fasting

    You will likely be instructed to fast for several hours before the surgery, usually starting at midnight before the day of the procedure. This is to reduce the risk of aspiration during anaesthesia.

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The Hernia Surgery Procedure

1. Preparation and Anaesthesia Administration

The patient is prepared for surgery, which includes cleaning the skin over the hernia site. General anaesthesia is administered to ensure the patient remains unconscious and free from pain during the procedure.

2. Making the Incision

Open Surgery: A single, larger incision is made near the hernia site to directly access the weakened area.

Laparoscopic Surgery: Several small incisions are made in the abdomen to insert the laparoscope and surgical instruments.

3. Hernia Identification and Isolation

The hernia sac containing the protruding tissue is identified and isolated from the surrounding tissues.

4. Hernia Reduction

The contents of the hernia sac are carefully pushed back into their correct position within the abdomen.

5. Repairing the Hernia

The weakened area of muscle or tissue is repaired. This is typically done by sewing the edges of healthy muscle tissue together. In many cases, a mesh material is placed over the repair site to reinforce the area and prevent recurrence.

6. Checking for Complete Repair

The surgical area is examined to ensure that the hernia has been adequately repaired and that the mesh, if used, is securely in place.

7. Closure of the Incision

Open Surgery: The initial incision is closed with sutures or surgical staples.

Laparoscopic Surgery: The small incisions are closed with sutures, staples, or surgical glue.

8. Dressing and Bandaging

A sterile dressing is applied to the incision sites to protect them against infection and to absorb any minor bleeding that might occur.

9. Postoperative Instructions

The patient is given detailed instructions on how to care for the incision sites, on signs of infection to watch out for, and on activities to avoid during recovery. Instructions for follow-up visits and pain management are also provided.

Recovery and Aftercare Following Hernia Surgery

The recovery process after hernia surgery can vary based on the type of hernia, the method of repair, and the patient’s overall health. Here are some general guidelines for recovery and aftercare:

  • Initial Rest: It’s important to rest and allow the body time to heal in the days immediately following surgery.
  • Pain Management: Patients will likely experience pain and discomfort after hernia surgery. Pain medications should be taken as directed to manage this discomfort effectively.
  • Wound Care: Keep the surgical site clean and dry. Patients will be given specific instructions on caring for their wounds, including when to shower and how to change dressings.
  • Activity Restrictions: Lifting heavy objects or engaging in strenuous activities is restricted for several weeks after surgery to prevent recurrence. Guidelines will be provided on when it is safe to return to work and other normal activities.
  • Diet: Patients are usually encouraged to eat fibre-rich foods and drink plenty of fluids to avoid constipation, which can strain the surgery site.
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Dr Thng Yongxian

MBBS (SG)

MMed (Surg)

MRCS (Ire)

FRCSEd (Gen)

FAMS (Surg)

Dr Thng Yongxian is a dual fellowship-trained Hepatopancreatobiliary & General Surgeon who has performed over 6000 surgical procedures.

  • Bachelor of Medicine & Bachelor of Surgery,
    National University of Singapore
  • Membership of the Royal College of Surgeons, Ireland
  • Master of Medicine, General Surgery, Singapore
  • Fellow of the Royal College of Surgeons, Edinburgh
  • Fellow of the Academy of Medicine, Singapore

He pursued his subspecialty training in Hepatopancreatobiliary surgery first in the Department of Hepatopancreatobiliary Surgery, Singapore General Hospital. Following this, he completed a clinical fellowship in Minimally Invasive Hepatopancreatobiliary Surgery at Seoul National University Hospital in Bundang, South Korea.

Dr Thng set up and pioneered the Minimally invasive surgery program for his hospital in complex liver and pancreas cases. His surgeries were featured on live national television. His surgical videos have also been presented at international surgical conferences. He also pioneered the use of capsule colonoscopy for colorectal screening.

Dr Thng has served on various committees at hospital, cluster and ministry level. Dr Thng served as a member of the Ministry of Health (MOH) Laparoscopic cholecystectomy Clinician workgroup for value-driven care (VDC).

Patient Reviews

I cannot possibly express how grateful I am for the compassionate care received by Dr Thng during my hospitalization. I was 20 hours away from flying back to the USA after a long work trip, and homesick already when diagnosed with acute appendicitis and a UTI. To say that I was nervous to undergo surgery so far away from home, friends and family is an understatement. He was expedient, attentive and thorough. He even took the time to text and call my husband back home multiple times to update him on my status. His infectious laugh, sense of humor and kindness helped to sooth my own frazzled nerves. I am so appreciative to have had Dr Thng as my surgeon.

Ms Tina Hunter

I was diagnosed for ampullory cancer in 2021. I am very thankful to Dr. Thng Yongxian who kept me calm when revealing the report to me. I really felt like God sent his angel to speak to me.He helped me overcome the operation. Dr. Thng said 3 things that I needed to do before the operation....Stay positive, exercise n eat well, have faith in God. He even gave me his handphone number incase I need to consult him when home. Indeed the 8 hrs operation was a success n I am able to write this testimonial, living a normal life. Finally, its still God who works all things good for those who love Him... Romans 8:28.

Mdm Tang K H

I recently underwent gallbladder stone removal surgery performed by Dr. Thng, and I am impressed with the quality of care I received during this process. Dr. Thng demonstrated exceptional professionalism and expertise throughout my entire experience. From the initial consultation to the post-operative care, Dr. Thng explained the procedure in great details, answered all my questions, and alleviated my concerns and ensuring that I fully understood each step of the process. His compassionate and caring demeanor put me at ease, making me feel confident in his abilities. The outcome of the procedure was beyond my expectations. Dr. Thng successfully removed all my 3 gallstones, and I experienced a smooth recovery process. I am grateful for his expertise and the care I received under his supervision. Overall, my experience with Dr. Thng was exceptional. I highly recommend him for his professionalism, compassion, and outstanding surgical skills. Thank you, Dr. Thng for your excellent care.

Mr Low LT

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    Nexus Surgical @ Mt. Alvernia

    820 Thomson Road, #06-05 ,Singapore 574623

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    Frequently Asked Questions (FAQ)

    Can hernia surgery improve my quality of life?

    Yes, hernia surgery is generally very effective at relieving the discomfort and limitations caused by hernias, significantly improving quality of life, especially when hernias are large or painful.

    How long do the results of hernia surgery last?

    In most cases, hernia repair is permanent. The risk of recurrence depends on various factors, including the surgical technique used, the patient’s adherence to postoperative care instructions, and the person’s health conditions.

    What can I do to prevent a hernia from recurring after surgery?

    To minimise the risk of recurrence, avoid heavy lifting and strenuous activities for the period recommended, maintain a healthy weight, follow a balanced diet to prevent constipation, and exercise regularly to strengthen abdominal muscles once fully healed.

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