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HomeHealth QueryGeneral SurgeryMy dad is 55 years old and has an umbilical hernia...
  • Male
  • 55 Years
  • 14/08/2025

My dad is 55 years old and has an umbilical hernia with frequent stomach aches. He weighs 95 kg and has a large potbelly clearly overweight. One doctor suggested he needs to lose weight before surgery so the mesh can be placed properly. Should we wait for him to reduce his weight and belly first, or is surgery urgent? What's the best approach here?

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My ultrasound showed an umbilical hernia with omentum herniation that's irreducible and has thickening. There's mention of strangulation too. Since it's only omentum involved, is surgery absolutely necessary or can we manage without it?

A detailed evaluation will help decide the best course of action.

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I've been noticing some pus coming out of small openings on my back and my local GP mentioned it could be a pilonidal sinus, saying surgery might be the only option. I'm a bit worried is surgery really necessary or are there other treatments I could try first? What should I expect if I do need surgery?

Pilonidal sinus usually requires surgery for a cure; early cases might respond to hygiene and antibiotics but recurrence is common without surgery.

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I found out I was HIV positive 10 years ago from a blood transfusion and have been on ART since then with an undetectable viral load. Now I've been diagnosed with a left hernia that's causing really bad pain. How do I go about getting surgery for this? Are there any special precautions I should take because of my HIV status?

You can safely undergo hernia surgery with HIV if your viral load is undetectable.Inform your surgeon and anesthetist so they can take standard precautions.Healing is generally good with ART control.

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