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Varies hugely depending on where you are in the country, I'm afraid. I'm not a surgeon, so I don't know how likely it is to pop out again - some people have it happen once and never again, others have a recurring problem. Hope you are on the way home with a plan now, and if not get onto your GP to refer your DP to surgical outpatients.
That does sound odd - I have a painless hernia and have now been referred for surgery, even though there is no pain! Both GP and outpatients surgeon seemed sure I should have it fixed. Definitely suggest you ask again while in hospital, or go to GP once discharged.
DP is currently still at the hospital, he hasn't seen anyone since 3pm now no idea what is going on. He's just called to say he's in pain but can't see anyone to ask for help. Not sure what I can do other than ring and ask them to go to his bed! He's in the clinical decision unit
From experience the CDU is a horrible place to be. Busy, noisy and everyone is waiting for doctors from all over the hospital to come and assess them. It sounds like your DP needs to be there at least overnight. Fingers crossed they are trying to find a bed for him somewhere else where there will hopefully be more nurses about. You and your DP are in my thoughts x
There are several different ways of managing a hernia, depending on curcumstance.
An umbilical hernia is a hole in the wall of the tummy, and this can allow a lump of fat or a piece of bowel to squeeze out through it. If it gets stuck outside, then it is a surgical emergency. If it is bowel, it should be operated on that day as there is a risk of the bowel being damaged, if it is fat then it is less of an emergency as it is not so dangerous, just painful. In that case it should be repaired within a couple if days.
If that bowel/fat goes back in again after being pushed (reduced) then it is once again safe to be operated on 'at leisure' bearing in mind that there is a risk of the bowel popping back out again, especially with heavy lifting. Since it came out and got stuck once, likelihood is recommendation for surgery, but in a timescale of weeks/months rather than immediately.
The issue here is his job, as he would need to avoid heavy lifting (Not possible?). In several departments I've worked, this would be enough to keep him in and operate within a day or so, in order that he not sit at home for weeks and lose wages, however that is only possible IF there is nothing more urgent in the queue, and IF he is healthy enough to have it done. I would suggest that the SHO is likely correct, if he recovers quickly, he could technically go home and wait for elective surgery, however if I were you, I would have a chat with the consultant in the morning and explain the nature of his job and see how busy the emergency list is. Its worth an ask, but they may still say no.
The only proviso to all that, is the slim possibility that there was already damage to the bowel when it was pushed back in. So the docs should make sure that is not the case, he should be pain free, eating normally, not vomiting and feeling well again. If there is any evidence of bowel damage then that is a different situation and will require immediate surgery to repair.
Thank you Wildfire! That's more information than he's had all day.
They said it was fat that came through not bowel. It would be impossible for him to work without heavy lifting. He is still vomiting and has low blood pressure. I've just phoned the hospital myself and the nurse has gone to see him. She said they are still waiting for the doctor to come and see him.
The hospital is in special measures at the moment, this is the first time I've ever experienced this level of service to be honest. Although I'm usually at the maternity bit!