There is no cure for symptomatic bilateral hernias except surgery. However, if the bilateral hernias are not bothering you, they may not require any treatment. In painful cases, hernias can be repaired either by a herniorrhaphy or a hernioplasty. In a herniorrhaphy the doctor will make an incision, push your intestine behind your abdominal wall, and sew the muscles together.
Wearing a hernia belt is probably the most important way to treat inguinal hernia without surgery. Some of you may know that I have developed a hernia belt that I use every day.
ICD-10-CM Code for Unilateral inguinal hernia, without obstruction or gangrene, recurrent K40. 91.
Bilateral hernias are groin (or inguinal) hernias those that occur on both sides of the lower abdomen or groin. Bilateral inguinal hernias result from a weakness of the fascia in the abdominal wall of the groin.
Your surgeon will make incisions (cuts) in your groin and remove the "hernial sac". They will strengthen the muscle layer with stitches and will usually insert a synthetic mesh to cover the weak spots. Sometimes this operation is done using minimally invasive laparoscopic (key hole) surgery.
K40.0K40. 0 Bilateral inguinal hernia, with obstruction, without gangrene.
A bilateral hernia is a condition in which someone has hernias in both the right and left sides of the groin.
Inguinal hernias may occur on one or both sides of the body and are much more common in men than women. An inguinal hernia can appear at any age.
Codes 49491–49651 describe unilateral hernia repair procedures; if performed bilaterally (same approach, same condition), append modifier 50 Bilateral procedure to the appropriate code to report bilateral hernia repair (e.g., bilateral recurrent inguinal hernias).
Approximately two-thirds of inguinal hernias are indirect, and one-third are direct. Approximately 10 percent of cases are bilateral. Recurrence occurs in approximately 1 percent to 5 percent of cases.
A reducible hernia is a hernia with a bulge that flattens out when you lie down or push against it gently. This type of hernia is not an immediate danger to your health, although it may be painful and worsen over time if left untreated.
If two separate and distinct hernias were repaired (such as parastomal and ventral), then it is appropriate to also report code 9560 with a multiple procedure modifier –51. If mesh was used for the ventral hernia repair, use 9568 as an add-on code.
An incarcerated inguinal hernia is a hernia that becomes stuck in the groin or scrotum and cannot be massaged back into the abdomen. An incarcerated hernia is caused by swelling and can lead to a strangulated hernia, in which the blood supply to the incarcerated small intestine is jeopardized.
CPT® 49650 in section: Laparoscopy, surgical.
An inguinal hernia isn't necessarily dangerous. It doesn't improve on its own, however, and can lead to life-threatening complications. Your doctor is likely to recommend surgery to fix an inguinal hernia that's painful or enlarging. Inguinal hernia repair is a common surgical procedure.
Approximately 25% of all men will ever experience an (double) inguinal hernia. In contrast to this high percentage, only 2% of women are affected by inguinal hernias. Many people do not seek treatment for their inguinal hernia because it often does not cause direct complaints.
Some risk factors for inguinal hernia include: fluid or pressure in the abdomen. heavy lifting, such as weightlifting. repetitive straining during urination or bowel movements.
The open surgical repair of primary inguinal hernias is better than the laparoscopic technique for mesh repair, a new study has shown (New England Journal of Medicine 2004;350: 1819-27 [PubMed] [Google Scholar]).