A hernia happens when part of an internal organ or tissue bulges through a weak area of muscle. Most hernias are in the abdomen.
There are several types of hernias, including
• Inguinal, in the groin. This is the the most common type.
• Umbilical, around the belly button
• Incisional, through a scar
• Hiatal, a small opening in the diaphragm that allows the upper part of the stomach to move up into the chest.
• Congenital diaphragmatic, a birth defect that needs surgery
Include:
• Cause of discomfort and pain,
symptoms often becoming worse when:
• Standing
• Straining
• Lifting heavy items.
Most people who notice increasing swelling or soreness eventually see a doctor.1
In some cases, hernia necessitates immediate surgery, such as when part of the gut becomes obstructed or strangulated by an inguinal hernia.3
Immediate medical attention should be sought if an inguinal hernia produces acute abdominal complaints such as:
Pain
Nausea
Vomiting.
The swelling in these cases is typically firm and tender and cannot usually be reduced back up into the abdomen.3
Hiatal hernia can produce symptoms of acid reflux, such as heartburn which is caused by stomach acid getting into the esophagus.4
• Physical Exam and palpatation
• While the doctor is feeling for the hernia, he/she may be asked to bend or move, or to cough, as this can enlarge the bulge
• Imaging tests: Include
a) Ultrasound scan
b) CT (computerized tomography) scan
Although surgical options depend on individual circumstances, including the location of the hernia, there are two main types of surgical intervention for hernia.
Open 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.5
Laparoscopic operation:
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.5
Surgical repair of a hernia guided by a laparoscope allows for the use of smaller incisions, enabling a faster recovery from the operation.
Consult at Aadil Hospital for open and laproscopic operation.
