Symptoms and Treatment of Hernia
What is Hernia?
A hernia occurs when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue called fascia. The most common types of hernia are inguinal (inner groin), incisional (resulting from an incision), femoral (outer groin), umbilical (belly button), and hiatal (upper stomach). It can often be harmless and pain-free, but at times it can bring discomfort and pain.
In adults, hernias are most common in the groin or abdomen, according to NYU Langone Health. (1) When you have a hernia, you may see or feel a bulge in one of these areas. You may also experience pain that worsens during certain activities, such as when you lift something or stand for a long period of time.
You can develop a hernia all of a sudden after you bend, cough, laugh, or lift weights or heavy items. Alternatively, it can form over a period of weeks or months.
Most hernias are external, which means the tissue is pushing through the abdominal wall toward the outside of the body. This often creates a bulge that you can see. But a hernia can also be internal, which means that it remains inside the body (within the abdomen).
St. Theresa's Hospital best quality Treatment for Hernia in Hyderabad at most affordable cost
Dr. Varun Raj
H.O.D. OF GENERAL SURGERY
M.B.B.S , D.N.B (SURGERY), FIAGES, FMAS, FALS
Experience – 25 years
Experience – 17 years
DR. BASKAR REDDY
Experience – 7 years
Symptoms of Hernia
The hernia is a common problem in society where people notice swelling, a balloon-like swelling that is there at the umbilicus or at the groin area. Groin means the junction between the thigh and abdominal. They notice after the surgery also. So they say that after the surgery there is a kind of swelling that is coming out while standing and when they lie down, the swelling is not there. When they cough, the swelling is going to again increase in size. So, some people have pain. Some people don’t have the ability to compress the hernia. Some of them are present in emergency with pain, vomiting, and distension symptom that is called emergency. So any hernia is nothing but the intestines which is there in the abdomen. They are projecting out from a weak point of the abdomen and they are settling down just behind the skin. That is a hernia. So when there is a hernia, the treatment of choice is always surgery. There is no medical management for Hernia.
Types of Hernia
When they are located near the umbilic it is called an umbilical hernia. When it is present in the groin, then it’s called an inguinal hernia. When it is an upper part of the thigh, it is called a femoral hernia. When it is after surgery, it is called an incisional hernia. It may be a lumbar hernia or it may be a subcostal hernia and it may a rare hernias like muteal hernias, or perennial hernias. So, in the abdomen also we have the Hiatus Hernia. So there are different types of hernias but any hernia is nothing but the structures which should be there in the abdomen. They are projected outside. So they need a surgical correction.
Investigation of Hernia
The patients will come to the hospital and they meet the surgeon with their complaints the surgeon will examine the patient with proper investigations like the ultrasound of abdomen the CT scan of abdomen the and also blood investigations and cardiac checkups and other things. Usually, there are many ways of doing a Hernia surgery. Whether it may be an open surgery or a hybrid surgery or a completely laparoscopic surgery. Okay, so the thing is most of the time here now in society there ask the surgeons whether they can do a laparoscopic surgery or not so laparoscopic surgery has got the advantage of minimally invasiveness that means the patients can go home early with less pain the pain killers and antibiotics in the hospital stay very less most probably 48 hours they can go to the office within about three to five days and we put a mesh, mesh is a kind of a polypropylene material where the hernia repair is done in laparoscopy this mesh is going to be put there so that there is a additional support for the weak point so that hernia won’t come again so that is an advantage.
There is one more entity that many of the times some surgeons or the patient factors hernia recurs that means there comes once after surgery twice after surgery thrice after surgery I have done the surgeries where the sixth time failure of the surgery different surgeons and different methods so these are called as a recurrently recurrent hernias so they have a big hole in the abdominal muscles and it is very difficult to operate on these patients but in our center we have a provision we have abdominal wall reconstruction where all the muscles of abdomen are rearranged properly by doing release of the muscles that is called as transverse abdominis muscle release (TAR) surgery okay this can be done the laparoscopy or open surgery but most of the times these big gaps after surgery failures can be done with re approximation of all these muscles it is possible in our hospital so this is briefly about the situation common situation in the society, it can be done nicely the laparoscopic surgery