What Precisely Is A Hernia?

Intro: Hernia is an unusual protrusion of internal organs through an unusual opening in the wall of the cavity. A mix of increased pressure inside the torso with weak point in the wall is accountable for this condition. In this condition internal organs or parts of organs are protruded out forming a swelling which will increase the size with coughing and raising weight, and though passing stool and urine. In resting position the swelling goes inside except in strangulated and irreducible hernia.

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< br/ > Causes:< br/ > 1 )Weak point in the torso wall:

< br/ >< br/ > a) Genetic weakness.

< br/ >< br/ > b )Gotten weakness due to injuries, losing of muscles, suppurative sores in the wall and presence of weak natural openings, obesity, lack of workout, repeated pregnancy.

< br/ >< br/ > c )Surgery with improper suturing or sepsis of run website.< br/ >< br/ > 2) Increased pressure inside the body.

< br/ >< br/ > a) Chronic irregularity.

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b) Reoccurring cough.

< br/ >< br/ > c) Weight lifting.

< br/ >< br/ > d )Stricture of urethra.< br/ >
< br/ > Typical sites for hernia:< br/ >< br/ > Hernia can occur anywhere in the body. However there are some common sites for hernia. Due to the existence of tough bony covering chest wall is generally not impacted. Hernia in the lower backward is also unusual due to spine and back muscles and hard ligaments and sheeths. The typical site for hernia is stomach wall. Compared with other parts the abdominal wall is weak due to the presence of some natural orifices. There are some areas where the stomach muscles are weaker and thin and all these components make a possibility for herniation. The typical websites for hernia are following.

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a) Inguinal hernia: < br/ > Here the abdominal contents protrude by the inguinal canal( passage in the lower stomach wall simply above the inguinal ligament. It is seen on either side ). This type prevails in males. Initially the swelling comes only whilst straining and returns whilst resting. Later on the big portion of intestine may come out which might not go back easily.

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b) Femoral hernia:< br/ > This type of hernia is more in females. Here the stomach contents travel through the femoral canal which is seen simply underneath the junction between the thigh and lower abdominal wall (Inside the femoral triangle). The contents pass downwards and come out through saphenous opening in the thigh and patterns a swelling under the skin.

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c) Umbilical hernia: < br/ > This prevails in children. The umbilicus is the weaker part of the abdomen. The contents of the abdominal area may protrude as a bulb like swelling whilst crying and defecating.

< br/ >< br/ > d) Incisional hernia:

< br/ > These hernias are seen in operated websites. Due to inappropriate suturing or sepsis the operated website ends up being weak leading to hernia.

< br/ >< br/ > e) Epigastric hernia:< br/ >< br/ > Here the hearniation takes place in the epigastrium. It is an unusual type.

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f) Back hernia:< br/ >< br/ > Here the hernia appears in the back location throughout either side of the back spinal column (in the back triangle ). This is also an unusual type

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g) Obturator hernia: < br/ > This is an unusual type of hernia. Here the contents go through obturator foramen in the pelvic bone.

< br/ >< br/ > Issues of hernia:

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1) Strangulation:< br/ >< br/ > If the hernial orifice is narrow the abdominal contents may not go rearward quickly and later on the blood circulation to the herniated tissues might be obstructed due to constricition. This can trigger death of protruded intestinal tract.

< br/ >< br/ > 2) Intestinal tract blockage:

< br/ >< br/ > This takes place whenever the whole part of the intestinal tract is protruded in to the hernial sac. The narrow hernial orifice will obstruct the passage of bowels.

< br/ >< br/ > 3) Infection and peritonitis:

< br/ >< br/ > If there is strangulation with death of a part of intestinal tract there will be spread of infection to the abdominal area leading to peritonitis.

< br/ >< br/ > Treatment of hernia:

< br/ >< br/ > Initial treatment: In the initial stages of hernia the following actions may work

< br/ >< br/ > 1) Usage of hernia belt:
< br/ >< br/ > Unique kinds of hernia belts are uncommitted for each type of heania. This will prevent the protrusion and will reduce pain.

< br/ >< br/ > 2) Constipation, frequent cough, urinary obstruction ect should be dealt with.

< br/ >< br/ > 3) Fat reduction will increase the strength of stomach wall.

< br/ >< br/ > 4) Abdominal workouts to increase the muscle tone.

< br/ >< br/ > 5) Take a lot of leafy veggies, fruits and fibrous diet plan for simple defecation.

< br/ >< br/ > 6 )Try other systems like Homoeopathy, Herbal medicine and ect

< br/ > If no alleviation through the above actions speak with a basic cosmetic surgeon for surgical management.

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Surgical treatment< br/ >< br/ > The following operations are done depending up on the type and nature of hernia.

< br/ >< br/ > 1) Hertniotomy: In this operation the contents of hernial sac is pushed in to the abdomen and neck of the sac is legated with transfixion ligature and the sac is cut off.

< br/ >< br/ > 2) Herniorrhaphy: Here along with herniotomy the posterior wall is fixed.

< br/ >< br/ > 3) Hernioplasty: This operation is done whenever herniotomy is not possible due to large neck of the sac. Here the repair is finished with the aid of non absorbable products like tantalum gauze, polypropylene mesh or stainless-steel mesh.

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