Start reading from Ch. 1 or sign up for an alert when new posts are added.
Sign up for updates... 

Join our mailing list

No tags yet.
Panagiotis Manolas MD.jpg
About Panagiotis Manolas, MD FACS. 
Biography coming soon.




About 700,000 inguinal hernia operations are performed each year in the United States.  An estimated 5-10 times that number have untreated hernia.  Hernias can occur at any age from birth to old age.  Some people have a small unchanging weakness or bulge that has minimal impact except for the likelihood that the hernia will ultimately enlarge.  Of this group that decide to “ live with” their hernia, many independently limit exercise and change life style.  Some people allow the hernia to become large and ignore physical deformity.  With enlargement and containment of bowel serious risks may be unknowingly accepted.  This book is designed to help patients to understand how hernias develop and the rational behind treatment and to discuss the information, thinking and planning that need be incorporated into the process of successfully achieving  surgical repair of a hernia.

Inguinal hernias can be confused with their next-door neighbor, a less common variety, the femoral hernia that is more likely to cause problems when small.  Another common abdominal wall hernia is umbilical.  As children we point out our “inney” and “outey” naval.  “Outeys” are hernias.  Many do not change for a lifetime.  Others especially under the influence of weight gain and pregnancy enlarge.  Hernias can be acquired as a result of inadequate healing of an abdominal incision, an Incisional hernia.  Millions of Abdominal Operations are performed in the United States for many reasons and from 5-10% of these are followed by hernia formation.  Other  types of rare hernias include lumbar, obturator and sciatic.. 

The scientific surgical literature is replete with papers, data, symposia and anatomic studies.  Even surgeons can be confused by inconsistent anatomic descriptions, terms and results based on incomplete follow-up.  The attempt to convey important information to a concerned patient in the office at the time of consultation is oft times befuddled by misunderstandings.  If you are worried about having a hernia and how to deal with it, the following information will facilitate your participation in the decision-making process.  Your satisfaction will depend on knowledge of reasonable expectations of results and the orderly progression of your surgical experience.