07/10/2022
HERNIA
Hernia-Is bulging of an organ or tissue through an abnormal opening.
Typically, a hernia involves the stomach or intestine.
SYMPTOMS
Swelling or bulge in the groin or sc***um (the pouch that contains the testicles).
Increased pain at the site of the bulge.
Pain while lifting.
Increase in the bulge size over time.
A dull aching sensation.
A sense of feeling full or signs of bowel obstruction.
CAUSES OF HERNIA
straining on the toilet (due to long-term constipation, for example)
persistent cough
cystic fibrosis
enlarged prostate
straining to urinate
being overweight or obese
abdominal fluid
lifting heavy items
peritoneal dialysis
poor nutrition
smoking
physical exertion
undescended testicles
TYPES OF HERNIA
1. Abdominal hernia
Abdominal hernias develop in the area above your groin and below your ribcage. There are a few different types of abdominal hernias, including hiatal, epigastric, and umbilical.
Hiatal hernia
A hiatal hernia forms when the upper portion of your stomach pushes through your diaphragm and into your ribcage. It’s one of the most common types of hernia, affecting up to 60% of people by the time they reach 60.
Symptoms of hiatal hernia include acid reflux, chest pain, and difficulty swallowing.
Epigastric hernia
Epigastric hernias are found above your belly button and below your ribcage. You may notice a small lump or soreness in the affected area, but not all epigastric hernias cause symptoms.
Epigastric hernias may trigger pain when you cough, sneeze, or strain.
Umbilical hernia
Umbilical hernias develop in or near your belly button. A weak spot around your belly button may be susceptible to hernia and organs or tissue begin pushing through, creating a visible bulge. It may be worse when you cough or use the toilet.
2. Groin hernia
Inguinal hernias are possibly the most common type of hernia, with an estimated 27% of men developing one at some point in their lifetimes. These hernias develop when tissue or organs push through the lower abdominal wall into the groin. A lump may be visible in the groin or sc***um.
Femoral hernias- are less common, making up 2-4% of all groin hernias. Both men and women can develop inguinal and femoral hernias, but femoral hernias are much more common in women.
A femoral hernia may create a small lump in the groin or inner thigh. Because they’re often located close to the femoral artery and vein, femoral hernias often require surgery to reduce the risk of complications.
3. Incisional hernia
Incisional hernias can develop after a surgical procedure. If you’ve had abdominal surgery, it’s possible that the incision didn’t heal correctly and left a weak spot in your abdominal wall. Organs or tissue can protrude through the incision, creating a noticeable bulge around the incision scar
CAN IT BE HEALED ON THEIR OWN
Hernias cannot heal on their own — if left untreated, they usually get bigger and more painful, and can cause serious health risks in some cases.” If the wall through which the intestine is protruding closes shut, it can cause a strangulated hernia, which cuts off blood flow to the bowel.
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.
Types Of Surgery
-Open surgical repair
closes the hernia using sutures, mesh, or both, and the surgical wound in the skin is closed with sutures, staples, or surgical glue.
-Laparoscopic repair
is used for repeat operations to avoid previous scars, and while usually more expensive, is less likely to cause complications such as infection.
Surgical repair of a hernia guided by a laparoscope allows for the use of smaller incisions, enabling a faster recovery from the operation.
The hernia is repaired in the same way as in open surgery, but it is guided by a small camera and a light introduced through a tube. Surgical instruments are inserted through another small incision. The abdomen is inflated with gas to help the surgeon see better and give them space to work; the whole operation is performed under general anesthetic.
TREATMENT
-Surgery
-Palliative care
WHAT HAPPENS IF UNTREATED
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.