Hernia

What is the meaning of Hernia?

According to our expert Dr. S.N. Baser of Harsh Hospital Surat, a hernia occurs when an inner part of the body, such as an organ or any fatty tissue, pushes or spills through a weak spot in the muscle or tissue wall around it. There are many different types of hernias.

What are the symptoms of a hernia?

A hernia in the abdomen or groin can cause a lump or bulge in the abdomen or groin that can be pushed back in or disappear when lying down. After the lump has been pushed in, any physically straining activity such as coughing, crying, etc cause it to reappear. Other signs and symptoms of a hernia include:

  • In the groin or scrotum, there is swelling or a protrusion (the pouch that contains the testicles).
  • Increased pain at the bulge’s location.
  • Lifting causes pain.
  • The bulge gets bigger over time.
  • An agonizing sensation that lasts for a long time.
  • Signs of intestinal obstruction or a feeling of being full.

What are the causes of hernia?

A hernia can be caused by a combination of muscle weakness or connective tissue, caused by a disturbance or disruption in the natural tissue breakdown and repair cycle of the body. Increased pressure or stress in the weak tissue or muscles.

What are the types of hernia?

Hernia types are: 

Inguinal Hernia (Inner Groin) 

  • Inguinal Hernia is the most common type of a hernia, especially in men, and occurs when the intestines push through a weak spot or tear in the lower abdominal wall, often in the inguinal canal.
  • This type of hernia is linked to aging and occurs when the abdomen is continually pressured.
  • In men, the sperm cord travels through the inguinal canal from the abdomen to the scrotum. The testes are supported by this cord.
  • In women, the inguinal canal has a ligament that keeps the uterus in place.

 

Incision Hernia (from an incision)

  • A protrusion of tissue that occurs at the site of a healed surgical scar is known as an incisional hernia
  • This form of hernia makes up about 15-20% of all abdominal hernias.
  • Incisional hernias are usually not dangerous. Larger, more troublesome incisional hernias may necessitate surgery. 
  • An incisional hernia may require a keyhole or open surgery to be repaired.

 

Femoral Hernia (outer groin)

  • Femoral Hernia is more prevalent in women than in men. 
  • A hernia occurs when your fatty tissue or part of your intestine spills into your groin at the top of your inner thigh. 
  • Like an inguinal hernia, this type of hernia occurs due to repeated stress on the abdomen. 

 

Umbilical hernia (belly button)

  • An umbilical hernia occurs when the fatty tissue or part of the intestine pokes through the abdomen near the button of the belly.
  • This condition may occur in infants if the opening in the abdomen through which the umbilical cord passes is not properly sealed after birth.
  • This condition affects adults if the abdomen is repeatedly strained. 
  • Umbilical Hernia Treatment can be done with the help of surgery.

 

Ventral Hernia (Abdominal)

  • Any protrusion of the intestines or other tissues through a  gap in the abdominal wall is referred to as a ventral (abdominal) hernia.
  • Ventral hernias do not go away or improve on their own, and they must be repaired surgically. 
  • Ventral hernias, if left untreated, can grow larger and worsen over time.
  • Untreated hernias can become difficult to repair and can result in serious complications, such as suffocation of a section of the intestine.

 

Spigelian Hernia

  • A hernia through the Spigelian fascia, or layer of tissue that separates two groups of abdominal muscles, is known as a Spigelian hernia
  • The rectus muscles and the lateral obliques are the muscles involved. A lateral ventral hernia is another name for this type of hernia.
  • Spigelian hernias are rather uncommon, occurring mostly in men over the age of 50.

What is the treatment of a hernia?

Hernia Surgery is the only treatment. However, surgery can be riskier for patients with serious medical problems.

With surgery, the weakened abdominal wall tissue can be secured and defects are closed

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