A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place.
A hernia may be likened to a failure in the sidewall of a pneumatic tire. The tire’s inner tube behaves like the organ and the side wall like the body cavity wall providing the restraint. A weakness in the sidewall allows a bulge to develop, which can become a split, allowing the inner tube to protrude, and leading to the eventual failure of the tire. Hernias may present either with pain at the site, a visible or palpable lump, or in some cases by more vague symptoms resulting from pressure on an organ which has become “stuck” in the hernia, sometimes leading to organ dysfunction. Fatty tissue usually enters a hernia first, but it may be followed by or accompanied by an organ.
Hernia occurs when the contents of a body cavity bulge out of the area where they are normally contained. These contents, usually portions of intestine or abdominal fatty tissue, are enclosed in the thin membrane that naturally lines the inside of the cavity. Although the term hernia can be used for bulges in other areas, it most often is used to describe hernias of the lower torso (abdominal wall hernias).
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The femoral canal is the path through which the femoral artery, vein, and nerve leave the abdominal cavity to enter the thigh. Although normally a tight space, sometimes it becomes large enough to allow abdominal contents (usually intestine) into the canal. A femoral hernia causes a bulge just below the inguinal crease in roughly the mid-thigh area. Usually occurring in women, femoral hernias are particularly at risk of becoming irreducible (not able to be pushed back into place) and strangulated.
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Early on, the hernia may be reducible – the protruding structures can be pushed back gently into their normal places. If those structures, however, cannot be returned to their normal locations through manipulation, the hernia is said to be irreducible, or incarcerated.
The vast majority of hiatal hernias are of the sliding type, and most of them are not associated with symptoms. The larger the hernia, the more likely it is to cause symptoms. When sliding hiatal hernias produce symptoms, they almost always are those of gastroesophageal reflux disease (GERD) or its complications.
In developing baby boys, a hole in the abdomen allows the testicles to descend into the scrotum. In girls, a similar opening may exist even though the ovaries do not descend out of the abdomen. Normally, this hole closes before a baby is born. A hernia results when a sac protrudes through the opening and the lining of the abdominal cavity.
About five in every 100 children have inguinal hernias. Inguinal hernias in newborns and children result from a weakness in the abdominal wall that’s present at birth. Sometimes the hernia may be visible only when an infant is crying, coughing or straining during a bowel movement. In an older child, a hernia is likely to be more apparent when the child coughs, strains during a bowel movement or stands for a long period of time.
A hiatal hernia by itself rarely causes symptoms — pain and discomfort are usually due to the reflux of gastric acid, air, or bile. Reflux happens more easily in the presence of hiatal hernia, though a hiatal hernia is not the only cause of reflux. Hernia Surgery cost
Hernia is a problem that is caused by the weakening of muscles of the abdominal wall. It is a painful disease that can be seen both in children and adults. The causes that may lead to hernia are genetic ones or poor lifting techniques.Because of the weakness of the abdominal wall some internal organs especially intestines bulge into the peritoneum. This type of hernia is an uncomplicated case because the organs can be manipulated back into the body. Even so no one can guarantee that these organs will stay in place without surgical help. This type of hernia is termed a reducible hernia.
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Hernia occurs when a part of an organ protrudes through the muscular fiber that has the role of keeping that organ in its place. This usually happens due to a weakness that appears in the muscles that are around the organ, and causes them to tear and let a part of it come out through the small opening that is created. That part of the organ that protudes will create a proeminent bulge that can usually be seen.
Paraesophageal hernia may cause some incarcerations or more acute epigastric pain, because of a strangulation. This type of hernia is rare but it is dangerous, life threatening maybe. Sometimes complications like stomach strangulation appear but in most cases this does not happen.
Hernia symptoms are usually related to the bulge that hernia causes. In The early phases you only notice that small lump that does not hurt when it is touched. As the illness advances the bulge, or herniation as some specialists call it becomes painful and keeps swallowing. The lump becomes more visible when you cough or sneeze and in most cases it can be pushed back with your hand, but it will come out again in a couple of minutes. If it cannot be pushed back then it is possible that you are suffering from a strangulated hernia.
Hiatal hernia doesn’t cause any symptoms or trouble in the body, so in most cases people have it and they don’t even know about it, but they aren’t exposed to any risks. The only time when treatment is required is when strangulation occurs. In this case the patient needs surgery to put the stomach back in its normal position. Hiatal hernia surgery can be done with the help of the laparoscope, an instrument used in many types of surgeries, that enables the doctor to operate without making a large incision in the chest, but through a very small one.
Hiatus hernia is a condition usually diagnosed in later stages due to the lack of symptoms and the initial symptoms very assembling to other digestive diseases. Hiatal hernia is most common in persons of 55 years and more but can theoretically occur at any age. It is caused by a weakening of the diaphragm hiatus (esophageal opening) allowing the upper part of he stomach to turn up into the chest cavity. This condition is known as hiatus hernia and is responsible for the occurrence of gastric reflux.
Umbilical hernia is not surgically repaired in the small children’s case because usually until the child reaches the age of 3 the hernia shrinks and heals by itself. Some mothers try to increase the speed of the healing by tapping a coin to the bulge and forcing it to stay there and push it back, but this method is not medically tested or recommended. However, in some special cases umbilical hernia does require surgical intervention.
Femoral hernias can show no actual symptoms and may cause severe complications if left untreated. The actual surgical maneuver is pushing the hernial content back into the abdomen and repair the problem causing the weakening of the abdominal wall. If the hernia consists out of an intestinal fragment, it must return to its proper place to avoid complications such as a bowel obstruction.
The best treatment for primary inguinal hernias is considered to be the Lichtenstein repair. Not being a hard to do procedure this type of treatment may be used by non-specialist surgeons too. The results of this intervention are less pain and a smaller period of recovering. For bilateral hernias a laparoscopic repair is not only recommended, but necessary. There are some factors that influence the choice. One of them and one of the most important factors are the pores size. The mesh should not contain pores smaller than 10 um in diameter because these may develop bacteria that makes the pores inaccessible to leukocytes. Hernia Surgery cost
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Dr. Amar Raghu Narayan also has several scientific presentations and publications to his credit. MS (Gen Surgery), M.Ch (Plastic Surgery) (NIMS) Consultant Plastic & Cosmetic Surgery, Cosmetic Surgery
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How serious is a hernia?
How do I check myself for a hernia?
What exactly is a hernia?
What are the 3 types of hernias?
- Inguinal hernia.
- Femoral hernia.
- Umbilical hernia.
- Incisional hernia.
- Epigastric hernia.
- Hiatal hernia.
How does a hernia feel?
Can hernia be cured without surgery?
How can hernia be prevented?
- Maintain ideal body weight by eating a healthy diet and exercising.
- Eat enough fruits, vegetables and whole grains to avoid constipation.
- Use correct form when lifting weights or heavy objects. …
- See a doctor when you are ill with persistent coughs or sneezing.
Can losing weight help a hernia? Hernia Surgery
What foods aggravate a hernia?
- Bananas and apples.
- Green beans, peas, carrots, and broccoli.
- Grains, like cereals (bran and oatmeal), bread, rice, pasta, and crackers.
- Low-fat or skim milk and low-fat yogurt.
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