It is usually easy to recognize a hernia. Often there is a painful bulge under the skin that becomes symptomatic when lifting heavy objects, coughing, or straining during urination or bowel movements. This pain is described as sharp and immediate. Other people may describe the pain as more of a dull ache or burning discomfort that gets worse toward the end of the day or after standing for long periods of time. Hernias can occur at the navel, in the groin, or along a previous abdominal incision.

A hernia develops when the abdominal wall weakens, often to the point of tearing. A loop of intestine (or fatty tissue) pushes against the inner lining of the abdomen and a hernia sac forms. Most hernias bulge and cause pain as the intestine pushes into this sac.

If you think you have a hernia, see your physician for an evaluation that will include obtaining a medical history and physical examination. With accurate diagnosis surgical repair should be performed before the hernia enlarges or complications arise. If the hernia bulge flattens out when you lie down or push (with gentle pressure) against it, it is termed a reducible hernia. Although not of immediate danger, this hernia should be surgically repaired. Should the intestine become trapped or

Advances in technology have led to various successful methods in the treatment of hernias. Laparoscopic surgery can decrease operative time although it is typically more expensive than the standard repair. Furthermore, not all hernias can be repaired using laparoscopic techniques. The Kugel Hernia Patch repair, on the other hand, is quick, decreases postoperative disability as well as maintaining a low risk of hernia recurrence. The Kugel Hernia Patch, designed by Dr. Robert D. Kugel, is a patented design, which reduces recurrence rate by covering the entire inguinal floor. The Kugel repair is a minimally invasive procedure that combines the best features of the open hernia repair and the Laparoscopic hernia repair. The Kugel procedure is a tension free near "suture-less" repair. Post operatively, patients are released to "common sense" activities. Best of all, the repair is performed quickly through a single small incision, usually under local or regional anesthesia.

A careful evaluation by a qualified surgeon is necessary prior to all surgical repairs. Non-surgical treatment is only a temporary solution. Hernias should be repaired before complications arise. Because hernia repair is safe and effective, I recommend prompt surgical treatment. A hernia need not keep you from doing your work or enjoying your life.