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Inguinal hernia Femoral hernia Umbilical hernia Hiatal (hiatus) hernia
A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place. For example, the intestines may break through a weakened area in the abdominal wall. Many hernias occur in the abdomen between your chest and hips, but they can also appear in the upper thigh and groin areas.
How does it get form?
A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. A hernia usually develops between your chests and hips. In many cases, it causes no or very few symptoms, although you may notice a swelling or lump in your tummy (abdomen) or groin.
Types of hernia
- Mainly hernia are of four types
- Umbilical hernia
- Incisional hernia
- Femoral hernia
- Hiatal hernia
Causes of hernia
Ø Picking up heavy objects (especially lifting them in the wrong way and with weak muscles)
Ø Overusing the same muscle.
Ø Straining during coughing, sneezing, diarrhea, or constipation.
Ø Being overweight or having poor nutrition.
Ø Using tobacco.
Symptoms of hernia
Ø Swelling or bulge in the groin or scrotum (the pouch that contains the testicles).
Ø Increased pain at the site of the bulge.
Ø Pain while lifting.
Ø Increase in the bulge size over time.
Ø A dull aching sensation.
Ø A sense of feeling full or signs of bowel obstruction.
Diagnosis
Tests
Your doctor will check for a bulge in the groin area. Because standing and coughing can make a hernia more prominent, you'll likely be asked to stand and cough or strain. If the diagnosis isn't readily apparent, your doctor might order an imaging test, such as an abdominal ultrasound, CT scan or MRI
Self-diagnosis of hernia
Diagnosis by doctor
A hernia diagnosis is typically based on your history of symptoms, a physical exam, and possibly imaging tests. During your exam, your doctor will typically feel around your groin and testicles, and ask you to cough. This is done because standing and coughing or straining usually make a hernia more prominent.
Severity of hernia
Hernias may also be categorized according to their severity and may be described as either complete or incomplete, for example. Complete hernia refers to when the entire organ protrudes through a weakened area of tissue, while incomplete hernia refers to when only part of the organ protrudes through.
Risks and complications
During the surgery
The surgeon makes a cut in the groin to view and repair the hernia. After repairing the hernia, the surgeon uses stitches alone or stitches and a piece of mesh to close the abdominal wall. The mesh is designed to strengthen the weak area of the abdominal wall where the hernia occurred.
If left untreated
If it is left untreated, a strangulated hernia can lead to life-threatening conditions such as necrotizing enter colitis (severe inflammation of intestine) and sepsis. Since hernias can happen to anyone at any age, knowing warning signs of hernias and being aware of them are essential.
Non-surgical
A hernia usually does not go away without surgery. Non-surgical approaches such as wearing a corset, binder, or truss may exert gentle pressure on the hernia and keep it in place. These methods may ease the pain or discomfort and may be used if you are not fit for the surgery or awaiting surgery.
Surgical treatment
Hernia repair surgery or herniorrhaphy involves returning the displaced tissues to their proper position. Hernioplasty is a type of hernia repair surgery where a mesh patch is sewn over the weakened region of tissue. Hernia repair surgery is one of the most common surgeries to be performed
Types of hernia surgeries
The three main types of hernia surgery are open repair, laparoscopic (minimally invasive) repair, and robotic repair.
Surgery preparation
Keep your stomach empty: Don't eat or drink anything (not even water) after midnight the night before surgery. Your surgery may be canceled if you eat or drink before surgery. If you take any regular medications and have been told to continue them, take them with small sips of water.
What to except during the surgery
They'll make a few small incisions (cuts) near the hernia. They'll insert a thin tube with a tiny camera on the end (laparoscope). The surgeon uses images from the laparoscope as a guide to repair the hernia with mesh. For laparoscopic surgery, you'll receive general anesthesia.
After the surgery
After surgery to repair your hernia, you are likely to have pain for a few days. You may also feel tired and have less energy than normal. This is common. You should feel better after a few days and will probably feel much better in 7 days.
Cost of laparoscopic hernia repair surgery in India with Doktors
The average cost of Hernia Surgery in India is approximately Rs.18,000 to INR 45,000. However, the prices may vary depending upon the hospitals in different cities.
Before and after the comparison of surgery
The intestine or the protruding tissues through the abdominal wall are pushed back and a surgical mesh is placed around the damaged tissue. Over a period of time, the hernia will itself. However, to prevent the hernia from recurring, it is extremely important to avoid physically stressful activities and take adequate precaution to get the most effective results.
Recovery rate
Open hernia surgery, in which a surgeon utilizes a long incision to push the bulging organ back into place, generally requires a minimum of three weeks to recover. If a laparoscopic hernia repair is performed, recovery is closer to one to two weeks.
Long term outlook of treatment
If it is left untreated, a strangulated hernia can lead to life-threatening conditions such as necrotizing enterocolitis (severe inflammation of intestine) and sepsis. Since hernias can happen to anyone at any age, knowing warning signs of hernias and being aware of them are essential.
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While in the case of surgery the caretaker should be mentioned to patient who takes care in every moment in the whole surgery.
Delayed treatment may aggravate piles and may lead to complications. Surgery is advised in case of
Severe pain
Prolonged bleeding
Large haemorrhoids
Alteration in bowel movements
Alteration in bowel movements
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We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
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We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
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We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
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We have the finest and some of the most qualified surgical specialists, each with 10+ years of experience, who will consult with you to determine and conduct the most appropriate surgical procedure for your condition.
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A
Strangulated Hernia occurs
when part of the bulge or swelling pushes through the abdominal wall and then
gets trapped by the abdominal muscles which clamp down around it. As the
abdominal muscles squeeze and lock tightly around the bulge,the blood
vessels in the intestine are shut off.
Robert
Bendavid describes alternatives to hernia mesh surgery. Doctors may call these
techniques “pure-tissue” or “non-mesh”
repairs. They involve stitching the patient's own tissue back together.
Each technique differs in how it tries to prevent hernias from returning
Sometimes an untreated hernia can lead to potentially
serious complications. Your hernia may grow and cause more symptoms. It may also put too
much pressure on nearby tissues, which can cause swelling and pain in the
surrounding area. A portion of your intestine could also become trapped in the
abdominal wall.
Typically,
patients with ventral hernias describe mild
pain, aching or a pressure sensation at the site of the hernia. The
discomfort worsens with any activity that puts a strain on the abdomen, such as
heavy lifting, running or bearing down during bowel movements. Some patients
have a bulge but do not have discomfort.
Unfortunately,
the answer is no. While a hernia cannot
heal itself, it can almost always be treated effectively with surgery.
Hernias
don't go away on their own. Only surgery can repair a hernia. Many people are
able to delay surgery for months or
even years. And some people may never need surgery for a small hernia.
If you
have an inguinal hernia, a hernia truss can help you feel more comfortable
temporarily, but itdoesn't treat the
hernia. Talk to your doctor if you want to use a truss. It may help to
improve some of your hernia-related symptoms. Your doctor can instruct you on
proper usage of the truss.
Ø
Lump in the groin near the thigh.
Ø
Persistent crying in babies.
Ø
A lump that is bigger when the child
is standing or straining (such as crying or coughing) and disappears when the
child is lying down or relaxed.
Ø
Pain and tenderness.
The hernia won't heal on its own. If your hernia does not bother you, most
likely you can wait to have surgery. Your hernia may get worse, but it
may not. Over time, hernias tend to get bigger as the muscle wall of the belly
gets weaker and more tissue bulges through
Open surgery better than laparoscopic for
repair of inguinal hernia. The open surgical repair of primary inguinal hernias
is better than the laparoscopic technique for mesh repair.
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