The How’s, What’s of Hernia Treatment

A hernia occurs when the contents of abdomen bulge out of the area where they are normally contained. These contents usually portions of intestine or abdominal fatty tissue known as omentum, are covered by a thin membrane that lines the outside of the abdomen.

Hernias in the early stage are harmless, but they have a risk of getting irreducible and their blood supply may cut off resulting in tissue death. If the hernia sac contents have their blood supply cut off at the inner opening in the abdominal wall, it becomes an emergency and it is a life-threatening condition.

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What are the different types of hernias?

Inguinal hernia: This type of hernia occurs more frequently in men than in women. Moreover about 75% of all hernias fall in this category.

Femoral hernia: These are rare but are common in women, they have more risk of becoming irreducible and strangulated.

Umbilical hernia: It is often noted as birth as a protrusion at the naval. This is a birth defect usually closes by the age two years when the opening is small but larger defects need to be operated as early as the baby is fit for undergoing operation.

Incisional hernia:  it occurs mainly in lower abdomen owing to a weak scar in about 2-10% of all abdominal surgeries. Even after hernia treatment, incisional hernias have a high rate of failure. But, nowadays with the advent of Mesh Repairs both open and laparoscopic procedures are giving better outcomes.

Epigastric hernia: In this type of hernia a bulge, which is usually composed of fatty tissue and rarely intestine, is present above the naval in the middle of the abdomen. These hernia are often painless and cannot be pushed back into the abdomen when first noticed and require operation when they become painful.

What are the signs and symptoms of hernia?

In hernia swelling or bulge may become painful: a dragging type of pain. This bulge increases on coughing or straining and reduces on lying down. Patient may have vomiting, constipation and abdominal distension if the hernia gets irreducible and leads to instestinal obstruction. If the hernia treatment is delayed, you may get fever, sepsis and shock with hypotension as the intestines become dead and rupture within the sac.

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