Specialties: Minimally invasive kidney and ureteral stone treatment (extracorporeal shock wave therapy, flexible ureteroscopy), urinary dysfunction assessment and treatment (medication, electrosurgical curettage, laser vaporization, hydrovapor ablation, prostate lift), hernia treatment and urinary system reconstruction (Da Vinci hernia repair, traditional circumcision, circumcision gun, single-port ligation)

Uncle Wang recently chatted with his neighbor, Uncle Li, and discovered that although both had undergone inguinal hernia surgery, their expenses were vastly different. Uncle Wang received the traditional hernia repair covered by national health insurance, with almost all costs paid by insurance. Uncle Li, on the other hand, chose the latest Da Vinci robotic-assisted surgery and had to pay as much as NT$160,000 out of pocket! (To be continued...)

What Is an Inguinal Hernia?

An inguinal hernia, commonly known as a "rupture," occurs when an organ inside the abdominal cavity abnormally protrudes through a hole in the abdominal wall muscles or fascia. The inguinal region is where the abdomen meets the thigh and is the weakest part of the abdominal wall. In men, the spermatic cord passes through here; in women, the round ligament of the uterus passes through.

Causes of Hernia

The main cause is the weakening or defect of the abdominal wall muscles and fascia, due to injury, aging, or congenital defects. Factors that increase abdominal pressure and lead to hernias include:

• Obesity
• Prolonged standing or sudden heavy lifting
• Long-term heavy work
• Chronic prostate enlargement causing straining during urination
• Chronic constipation
• Persistent coughing or sneezing

Symptoms of Hernia

About 95% of hernias are visible externally. Main symptoms include:

• A bulging sensation, dull pain, or a noticeable lump in the groin
• More apparent when standing or straining the abdomen
• The bulge disappears when lying down
• Burning, pain, or swelling at the protrusion
• Occasional pulling pain or heaviness in the groin, especially when bending, coughing, or lifting

**If you experience sudden severe pain, be cautious of a strangulated hernia and seek immediate medical attention.

Comparison of Hernia Surgery Methods

Postoperative Care Tips

Wound Care

• Keep the wound clean and dry
• Apply ice packs to the groin or scrotum area on the first day after surgery
• Watch for redness, swelling, heat, or pain at the wound

Activity Restrictions (First 3 Months)

• Avoid constipation or straining during bowel movements
• Avoid bending to lift heavy objects (over 5 kg)
• Avoid vigorous exercise like running or playing ball
• Avoid sit-ups, push-ups
• Avoid cycling or riding a motorcycle
• Avoid sexual activity (recommended to wait one month)

Dietary Recommendations

• Eat more high-fiber foods, vegetables, and fruits to prevent constipation
• Eat more high-protein foods (milk, eggs, fish, meat) to promote wound healing
• Drink plenty of water (2000-3000 c.c. per day)

Why the Cost Difference?

After discussing, both realized that the cost difference comes not only from the surgical method but also from many details. For example, there are basic mesh implants covered by insurance and premium self-pay meshes with different materials and comfort levels. There are also optional self-pay items like hemostatic powders, gels, and products that promote wound healing to improve surgical quality and speed up recovery. The need for these depends on the complexity of the hernia, individual health, and expectations for recovery.

Therefore, both Uncle Wang and Uncle Li agree that the choice of surgical method is not just about cost. It should be based on your physical condition, the severity of the hernia, and thorough discussion with your doctor to choose the most suitable treatment. Necessary medical materials and self-pay items should be decided according to personal needs and professional medical advice, to balance safety, effectiveness, and financial burden.