A hydrocele is a collection of fluid in the scrotum. The baby's scrotum will appear swollen or large and may fluctuate in size throughout the day. A passage between the abdomen and the groin normally closes before the baby is born. When this passage does not close, a hernia or hydrocele can result.
HOW IS HYDROCELE HERNIA DIAGNOSED?
This disease is diagnosed with the help of a physical examination and the use of imaging tests such as an ultrasound. Blood and urine tests could be conducted to check for infections.
HOW IS HYDROCELE HERNIA TREATED?
General surgery is one of the only modes available to treat this problem and the same can be done at a very young age too. This would help in eliminating the problem from the root.
DID YOU KNOW?
Hernias are not known or proven to be inherited even though members of the same family might have them. Most hydroceles do not require any treatment.
Hernia is a condition in which an organ is displaced from the cavity in which it resides and protrudes through it. In most cases, they involve the groin and abdomen areas. Hernias are often hereditary is nature but may also be caused by the following factors:
• Chronic Obstructive Pulmonary Disease
• Peritoneal dialysis
• Collagen Vascular Disease
• Previous open appendectomy.
The three main types of hernia include inguinal, umbilical and incisional hernia. Femoral and hiatal hernias are the other types.
• Inguinal hernia: It occurs when the contents of the abdominal cavity protrudes into the inguinal canal. Though it is mostly painless, the symptoms of inguinal hernia include discomfort when the patient coughs, exercise or try to defecate and a visible bulge which grows bigger when it bears down. If the bulge cannot be placed aback into the abdomen, the hernia is ‘incarcerated’ and requires surgical removal. When the inguinal hernia blocks the blood supply to a part of the intestine, it is called ‘strangulated’ hernia which may result in gangrene and gut ischemia. It is potentially fatal if not removed surgically.
• Umbilical hernia: It develops when the abdominal wall and navel are damaged. Though hernia is present at the umbilicus (commonly called a navel, or belly button) in newborn infants, they tend to disappear without treatment by around the age of 2–3 years. The types of umbilical hernia requiring medical attention may either be ‘congenital’ (congenital malformation of the navel) or ‘acquired’ (a result of increased intra-abdominal pressure due to obesity, prolonged coughing and/or multiple pregnancies).
• Incisional hernia: It develops when a surgical wound is imperfectly healed. Incisional hernia is characterized by the appearance of a bulge at or near the spot of the surgical wound.
• Femoral hernia: Femoral hernias occur when the contents of the abdominal cavity pass through a weak spot called the femoral canal. They are more common in women than in men. It manifests itself in the form of a lump in the groin and is distinguished from an inguinal hernia by its globular shape as opposed to the pear shaped lump formed in inguinal hernia.
• Hiatal hernia: A hiatus or hiatal hernia is the protrusion of the upper part of the stomach into the thorax through the esophageal hiatus as a result of a tear or weakness in the diaphragm. Largely symptomless, a hiatal hernia can cause heartburn, heart palpitations, shortness of breath and dull chest pains.
Untreated hernias can be complicated by:
• Irreducibility, Incarceration and Strangulation.
• Obstruction of lumen.
• Hydrocele of the hernial sac.
• Autoimmune problems.
Hydrocele which refers to the accumulation of body fluid in a body cavity, develops because of a hernia of the peritoneal cavity in the congenital variety.
Abdominal hernias can be diagnosed with the help of imaging or MDCT (Multidetector CT).
Hernias are usually treated surgically to prevent the aforementioned complications. Umbilical and hiatal hernias may however be treated with medicines and observation. Hernia operations may be open surgeries or laparoscopic. The latter reduces the time needed for recovery.
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