Hernia occurs when an internal part of the body protrudes through a gap or weakness in the muscle or tissue that normally holds it in place. In most cases, abdominal organs push out through the abdominal wall.
This condition may develop gradually with age as muscles weaken due to aging and daily use. In other cases, hernia can be caused by injury, a history of surgery, or congenital abnormalities present from birth.
For baby hernia cases, Mandaya Royal Hospital Puri offers hernia surgery performed by a senior and experienced pediatric surgeon, dr. Sastiono, Sp.B Subsp.Ped(K).
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Types of Hernia
There are several common locations where hernias can occur:
1. Inguinal Hernia
The most common type, accounting for about 75% of all hernia cases, and more frequent in men. This occurs when a part of the intestine protrudes into the inguinal canal, located inside the groin.
2. Femoral Hernia
A less common type that occurs in the femoral canal, located below the inguinal canal. Typically, fatty tissue pushes out through this area.
3. Hiatal Hernia
A relatively common condition that happens when the opening in the diaphragm — where the esophagus passes — becomes enlarged, allowing the upper part of the stomach to push into the chest cavity.
4. Congenital Diaphragmatic Hernia
A serious birth defect where the diaphragm does not fully close during fetal development, causing abdominal organs to move into the chest cavity and press against the lungs.
5. Incisional Hernia
Occurs when tissue protrudes through a weakened surgical scar in the abdominal wall. It is one of the common complications after abdominal surgery.
6. Umbilical Hernia
Appears when part of the intestine pushes out through the abdominal wall near the belly button. Most umbilical hernias are congenital, present from birth.
7. Ventral Hernia
Refers to hernias on the front abdominal wall, including umbilical and incisional hernias. A specific form is epigastric hernia, which occurs above the navel.
8. Perineal Hernia
A rare type of hernia where organs or tissue protrude through a weakness in the pelvic floor muscles into the abdominal cavity.
The most common hernias in babies are inguinal hernia and umbilical hernia. Inguinal hernia occurs in the groin area, while umbilical hernia develops around the navel.
Hernia Treatment Options
There are two main surgical methods for hernia repair:
1. Open Surgery
A cut is made over the hernia site so the surgeon can push the protruding tissue back into the abdomen.
2. Laparoscopy (Keyhole Surgery)
A minimally invasive procedure that requires more technical expertise. The surgeon makes several small incisions to insert specialized instruments to repair the hernia.
dr. Sastiono – Experienced Pediatric Surgeon at Mandaya Royal Hospital Puri
Mandaya Royal Hospital Puri is supported by one of the most recommended pediatric surgeons in Indonesia, dr. Sastiono, Sp.B Subsp.Ped(K). He is highly regarded for his expertise in managing rare and complex pediatric surgical cases.
Dr. Sastiono completed his medical education at the Faculty of Medicine, University of Indonesia (FK UI), covering General Surgery (PPDS), Pediatric Surgery (PPDU), and earning his Pediatric Surgery Consultant title at FK UI.
His expertise spans a wide range of pediatric surgeries, particularly in hepatobiliary surgery, which includes procedures involving the liver, gallbladder, bile ducts, and pancreas. He is also recognized as one of the few specialists in pediatric liver transplantation in Indonesia.
In addition to baby hernia surgery, dr. Sastiono has extensive experience in treating:
- Biliary atresia in infants (blocked bile ducts)
- Anal atresia (anorectal malformation)
- Pediatric hernias
- Hirschsprung disease
- Appendicitis in children
- Intestinal obstruction in children
- Various liver disorders in children
With his experience and expertise, dr. Sastiono is a trusted referral for parents seeking comprehensive and reliable pediatric surgical care.
Consultation Schedule with dr. Sastiono at Mandaya Royal Hospital Puri
- Tuesday: 10.00 – 13.00 WIB
- Thursday: 10.00 – 13.00 WIB
If you wish to consult with dr. Sastiono, do not hesitate to visit Mandaya Royal Hospital Puri.
For a more convenient visit, you can use the Chat via WhatsApp, Book Appointment, or the Care Dokter app, available on Google Play and the App Store, to check queue numbers, book consultations, and access complete hospital information.
