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Overview

Atrial Septal Defect: Treatment, Procedure, Cost and Side Effects

What is the treatment?

How is the treatment done?

Atrial Septal Defect (ASD) refers to a hole in between the atria or the upper two chambers of the heart. It is a congenital heart defect where the two chambers are separated by a wall or septum which prevents the flow of blood from one chamber to the other. If not treated at the right time, ASD may lead to heart failure, high blood pressure, pulmonary hypertension, and a shorter life span. The most common form of ASD is Ostium Secundum comprising 6-10% of heart diseases at birth. This results from an enlarged foramen ovale, growth of the septum secundum, or absorption of the septum primum. Factors like genetic disorder, chromosome abnormality often result in heart ailment.

Common symptoms of ASD include fatigue, sweating, rapid breathing or breathlessness, poor growth, frequent respiratory infections, tiredness or lethargy. If diagnosed with ASD the following treatment methods are used: Echocardiogram- sound waves are used to produce video image of the heart which allows the doctor to have a look at the condition of your heart and its pumping strength; Electrocardiogram (ECG)- records the electrical activity and rhythm of your heart; chest X-ray- produces image to show the condition of your heart and lungs; Cardiac catheterization- the doctor diagnoses congenital heart defect by inserting a catheter into your blood vessel to test how well your heart and the valves are functioning; Magnetic Resonance Imaging (MRI)- if ECG fails to detect ASD an MRI is used where magnetic field and radio waves create 3D images of your heart and other organs or tissues within your body; Computerized Tomography (CT) Scan- a series of X-ray create a detailed image of your heart, thereby detecting ASD.

Who is eligible for the treatment? (When is the treatment done?)

If a person is diagnosed with symptoms of Atrial Septal Defect (ASD), the doctor usually recommends regular and frequent monitoring to see if the condition improves by itself. Various tests need to be performed to determine the condition of the disease. Depending on the health condition of the patient, necessary medications are prescribed.

Although medications do not function effectively in closing the hole in your heart, they may be helpful in reducing the complications at the time of a surgery. Certain medications like beta blockers help to keep your heartbeat regular, while anticoagulants reduce the risk of blood clots.

In most cases where children suffer from ASD, doctors recommend a surgery in order to prevent complication or risk at a later age. The two main types of surgeries considered appropriate are: Cardiac catheterization- a thin tube known as a catheter is inserted into the blood vessel in the groin or arm making its way to the heart. Through this catheter a plug is placed to close the hole. The heart tissue grows around the plug, permanently closing the hole; Open-heart surgery- during this surgery the patient has to be given anesthesia. The surgeon uses patches to seal the hole through an incision in the chest.

Who is not eligible for the treatment?

Atrial Sepal Defect (ASD) is a congenital heart disease which often results from genetic disorder and chromosome abnormality. Children or adults showing symptoms of ASD such as lethargy, fatigue, breathlessness, palpitation etc are eligible for the treatment.

Are there any side effects?

People who do not show symptoms of Atrial Septal Defect, are not eligible for the treatment.

What are the post-treatment guidelines?

Atrial Septal Defect often lead to some side effects: Pulmonary hypertension- excessive blood flow to your lungs increases the pressure of blood in the lung arteries; Eisenmenger syndrome- this occurs when pulmonary hypertension lead to permanent lung damage and usually occurs over a period of time. Other side effects include shorter life span, stroke, right-sided heart failure, and heart rhythm abnormality.

How long does it take to recover?

There are no fixed guidelines to after the treatment. The doctor usually recommends certain medication, healthy diet and rest for at least a few weeks. Some physical exercises or activities may also be prescribed keeping in mind the patients’ health condition.

What is the price of the treatment in India?

Recovery from Atrial Septal Defect surgery usually takes a few weeks keeping in mind the physical fitness and health condition of the patient. During this course of time, doctors recommend necessary medication and some sort of physical activity to keep your body active.

What are the alternatives to the treatment?

A surgery performed to treat Atrial Septal Defect normally yields permanent results. However, the surgery may lead to a few side effects or complications like pulmonary hypertension and eisenmenger syndrome.

Safety: Disease Effectiveness: High Timeliness: Low Relative Risk: Low Side Effects: Medium Time For Recovery: Low Price Range:

Popular Health Tips

Risk Associated With Atrial Fibrillation!

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Noida
Risk Associated With Atrial Fibrillation!

Atrial fibrillation is a condition that results in rapid heartbeat leading to heart failure, stroke, and other cardiac complications. In this condition, the upper valves of the heart beat irregularly. Some of the common symptoms of this condition include weakness, heart palpitations and shortness of breath. There could be several episodes of Atrial fibrillation. Although it is not life threatening, there could be serious complications owing to the nature of the condition. Atrial fibrillation can also lead to a condition known as the ischemia.

What are the different types of Atrial fibrillation?

  1. Occasional- This condition is also known as paroxysmal fibrillation. Here the symptoms come and go. For few patients, the symptoms might stay for a few minutes, for others, it can stay up to hours before everything becomes normal again.
  2. Persistent- The beat of the heart does not go back to normal. Medication along with electric shocks might be required to amend the condition.
  3. Long-standing persistent- This is the kind of Atrial fibrillation that can last up to 12 months at stretch.
  4. Permanent- This is the type where the erratic rhythm of the heartbeat can’t be restored. Long term medication is required to fix the condition.

What are the possible causes of Atrial fibrillation?
Some of the possible causes of Atrial fibrillation include Coronary artery disease, sleep apnea, viral infection, lung diseases, exposure to tobacco, caffeine, etc, metabolic imbalance, hyperactive thyroid gland, viral infections, congenital heart defects, stress due to illness, pneumonia and surgery, history of heart surgeries etc.

What are the risk factors for Atrial fibrillation?
Here are some of the common risk factors for this condition:

  1. Age plays a critical role in any cardiac related disorder. The older a person is, the greater are the chances of Atrial fibrillation
  2. High blood pressure along with unhealthy lifestyle can increase the risk of Atrial fibrillation
  3. People with a history of obesity can get this disease
  4. Chronic conditions such as kidney disease, metabolic syndrome, thyroid problems can lead to Atrial fibrillation
  5. People with an existing heart condition such as heart problem, heart palpitation, valve failure, coronary artery disease etc have an increased risk of suffering from Atrial fibrillation.

How is Atrial fibrillation diagnosed?
A doctor might use one of the many tests or diagnostic technique that are available to diagnose this condition:

  1. ECG- This is first but an important test to fathom whether there are any irregularities in the heart beat. The sensor presents in the ECG machine throws heart bit diagram in the form of graphs.
  2. Echocardiogram- This is a technique wherein sound waves are passed through the heart and an image is taken to understand about any possible irregularities. This is a fine test that can readily detect underlying and structural heart diseases.
  3. Blood tests- Blood tests can help to identify any thyroid irregularity or other condition that might lead to Atrial fibrillation.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2987 people found this helpful

Do You Have Atrial Fibrillation - All You Need To Know?

MBBS, Master of Surgery - General Surgery, Magistrar Chirurgiae (Cardio-Thoracic Surgery)
Cardiologist, Faridabad
Do You Have Atrial Fibrillation - All You Need To Know?

Atrial fibrillation is a condition that results in rapid heartbeat leading to heart failure, stroke, and other cardiac complications. In this condition, the upper valves of the heart beat irregularly. Some of the common symptoms of this condition include weakness, heart palpitations and shortness of breath. There could be several episodes of Atrial fibrillation. Although it is not life threatening, there could be serious complications owing to the nature of the condition. Atrial fibrillation can also lead to a condition known as the ischemia.

What are the different types of Atrial fibrillation?

  1. Occasional- This condition is also known as paroxysmal fibrillation. Here the symptoms come and go. For few patients, the symptoms might stay for a few minutes, for others, it can stay up to hours before everything becomes normal again.
  2. Persistent- The beat of the heart does not go back to normal. Medication along with electric shocks might be required to amend the condition.
  3. Long-standing persistent- This is the kind of Atrial fibrillation that can last up to 12 months at stretch.
  4. Permanent- This is the type where the erratic rhythm of the heartbeat can’t be restored. Long term medication is required to fix the condition.

What are the possible causes of Atrial fibrillation?
Some of the possible causes of Atrial fibrillation include Coronary artery disease, sleep apnea, viral infection, lung diseases, exposure to tobacco, caffeine, etc, metabolic imbalance, hyperactive thyroid gland, viral infections, congenital heart defects, stress due to illness, pneumonia and surgery, history of heart surgeries etc.

What are the risk factors for Atrial fibrillation?
Here are some of the common risk factors for this condition:

  1. Age plays a critical role in any cardiac related disorder. The older a person is, the greater are the chances of Atrial fibrillation
  2. High blood pressure along with unhealthy lifestyle can increase the risk of Atrial fibrillation
  3. People with a history of obesity can get this disease
  4. Chronic conditions such as kidney disease, metabolic syndrome, thyroid problems can lead to Atrial fibrillation
  5. People with an existing heart condition such as heart problem, heart palpitation, valve failure, coronary artery disease etc have an increased risk of suffering from Atrial fibrillation.

How is Atrial fibrillation diagnosed?
A doctor might use one of the many tests or diagnostic technique that are available to diagnose this condition:

  1. ECG- This is first but an important test to fathom whether there are any irregularities in the heart beat. The sensor presents in the ECG machine throws heart bit diagram in the form of graphs.
  2. Echocardiogram- This is a technique wherein sound waves are passed through the heart and an image is taken to understand about any possible irregularities. This is a fine test that can readily detect underlying and structural heart diseases.
  3. Blood tests- Blood tests can help to identify any thyroid irregularity or other condition that might lead to Atrial fibrillation. If you wish to discuss about any specific problem, you can consult a Cardiologist.
3148 people found this helpful

Possible Causes And Risk Factors Of Atrial Fibrillation

M.Ch - Cardio Thoracic Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Durgapur
Possible Causes And Risk Factors Of Atrial Fibrillation

Atrial fibrillation is a condition that results in rapid heartbeat leading to heart failure, stroke, and other cardiac complications. In this condition, the upper valves of the heart beat irregularly. Some of the common symptoms of this condition include weakness, heart palpitations and shortness of breath. There could be several episodes of Atrial fibrillation. Although it is not life threatening, there could be serious complications owing to the nature of the condition. Atrial fibrillation can also lead to a condition known as the ischemia.

What are the different types of Atrial fibrillation?

  1. Occasional- This condition is also known as paroxysmal fibrillation. Here the symptoms come and go. For few patients, the symptoms might stay for a few minutes, for others, it can stay up to hours before everything becomes normal again.
  2. Persistent- The beat of the heart does not go back to normal. Medication along with electric shocks might be required to amend the condition.
  3. Long-standing persistent- This is the kind of Atrial fibrillation that can last up to 12 months at stretch.
  4. Permanent- This is the type where the erratic rhythm of the heartbeat can’t be restored. Long term medication is required to fix the condition.

What are the possible causes of Atrial fibrillation?
Some of the possible causes of Atrial fibrillation include Coronary artery disease, sleep apnea, viral infection, lung diseases, exposure to tobacco, caffeine, etc, metabolic imbalance, hyperactive thyroid gland, viral infections, congenital heart defects, stress due to illness, pneumonia and surgery, history of heart surgeries etc.

What are the risk factors for Atrial fibrillation?
Here are some of the common risk factors for this condition:

  1. Age plays a critical role in any cardiac related disorder. The older a person is, the greater are the chances of Atrial fibrillation
  2. High blood pressure along with unhealthy lifestyle can increase the risk of Atrial fibrillation
  3. People with a history of obesity can get this disease
  4. Chronic conditions such as kidney disease, metabolic syndrome, thyroid problems can lead to Atrial fibrillation
  5. People with an existing heart condition such as heart problem, heart palpitation, valve failure, coronary artery disease etc have an increased risk of suffering from Atrial fibrillation.

How is Atrial fibrillation diagnosed?
A doctor might use one of the many tests or diagnostic technique that are available to diagnose this condition:

  1. ECG- This is first but an important test to fathom whether there are any irregularities in the heart beat. The sensor presents in the ECG machine throws heart bit diagram in the form of graphs.
  2. Echocardiogram- This is a technique wherein sound waves are passed through the heart and an image is taken to understand about any possible irregularities. This is a fine test that can readily detect underlying and structural heart diseases.
  3. Blood tests- Blood tests can help to identify any thyroid irregularity or other condition that might lead to Atrial fibrillation.
3585 people found this helpful

What Are The Different Types of Atrial Fibrillation?

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
What Are The Different Types of Atrial Fibrillation?

Atrial fibrillation is a condition that results in rapid heartbeat leading to heart failure, stroke, and other cardiac complications. In this condition, the upper valves of the heart beat irregularly. Some of the common symptoms of this condition include weakness, heart palpitations and shortness of breath. There could be several episodes of Atrial fibrillation. Although it is not life threatening, there could be serious complications owing to the nature of the condition. Atrial fibrillation can also lead to a condition known as the ischemia.

What are the different types of Atrial fibrillation?

  1. Occasional- This condition is also known as paroxysmal fibrillation. Here the symptoms come and go. For few patients, the symptoms might stay for a few minutes, for others, it can stay up to hours before everything becomes normal again.
  2. Persistent- The beat of the heart does not go back to normal. Medication along with electric shocks might be required to amend the condition.
  3. Long-standing persistent- This is the kind of Atrial fibrillation that can last up to 12 months at stretch.
  4. Permanent- This is the type where the erratic rhythm of the heartbeat can’t be restored. Long term medication is required to fix the condition.

What are the possible causes of Atrial fibrillation?
Some of the possible causes of Atrial fibrillation include Coronary artery disease, sleep apnea, viral infection, lung diseases, exposure to tobacco, caffeine, etc, metabolic imbalance, hyperactive thyroid gland, viral infections, congenital heart defects, stress due to illness, pneumonia and surgery, history of heart surgeries etc.

What are the risk factors for Atrial fibrillation?
Here are some of the common risk factors for this condition:

  1. Age plays a critical role in any cardiac related disorder. The older a person is, the greater are the chances of Atrial fibrillation
  2. High blood pressure along with unhealthy lifestyle can increase the risk of Atrial fibrillation
  3. People with a history of obesity can get this disease
  4. Chronic conditions such as kidney disease, metabolic syndrome, thyroid problems can lead to Atrial fibrillation
  5. People with an existing heart condition such as heart problem, heart palpitation, valve failure, coronary artery disease etc have an increased risk of suffering from Atrial fibrillation.

How is Atrial fibrillation diagnosed?
A doctor might use one of the many tests or diagnostic technique that are available to diagnose this condition:

  1. ECG- This is first but an important test to fathom whether there are any irregularities in the heart beat. The sensor presents in the ECG machine throws heart bit diagram in the form of graphs.
  2. Echocardiogram- This is a technique wherein sound waves are passed through the heart and an image is taken to understand about any possible irregularities. This is a fine test that can readily detect underlying and structural heart diseases.
  3. Blood tests- Blood tests can help to identify any thyroid irregularity or other condition that might lead to Atrial fibrillation.
2951 people found this helpful

Symptoms, Types and Treatment For Atrial Fibrillation

MD - Cardiology, PG Diploma In Clinical Cardoology
Cardiologist, Rudrapur
Symptoms, Types and Treatment For Atrial Fibrillation

We all know about the heartbeat, which is produced by the opening and closing of the valves in the heart, which in turn controls our blood flow. There is a regular pattern to this beat, and when, due to various reasons, it becomes irregular, it is known as arrhythmia. Atrial fibrillation, known shortly as AFib, is one of the common types of arrhythmia.

Why AFib: The heart has an electrical impulse system, which controls the opening/closing of its valves. Due to various changes, be it lifestyle, dietary, or regular wear and tear, this electrical system is affected and so the valves do not function properly. This leads to altered rhythm, and when it happens on the right side of the heart, in the valves between the two atria, it is known as atrial fibrillation.

Signs and Symptoms: It is not something which shows up as soon as the onset happens. It is a gradual condition, and many people with AFib may go for months with no symptoms. There could be general symptoms like fatigue and headaches. Gradually, more symptoms like heart palpitations, shortness of breath, dizziness, occasional chest pain, or fainting set in. It is usually when workup for some other disease is being done.

Monitoring the pulse or heartbeat is one of the best ways to keep a check on the condition.

Types: There are different forms of it – paroxysmal, persistent, and permanent. In the first one, there are brief bursts of AFib lasting less than 7 days. With gradual progression, symptoms are more frequent and last longer, converting into persistent AFib, which lasts longer than 7 days. If the condition is longstanding and the doctor (as well as the patient) have decided not to treat it, it is permanent AFib.

Risk Factors: The chances of developing AFib increase with family history, age, obesity, smoking, hyperthyroidism, chronic lung diseases, and sleep apnea.

Living with AFib: It is a longstanding condition, and the following precautions are necessary, which are generally heart-healthy.

  1. Quit Smoking: In addition to the multiple benefits of quitting, managing AFib is one.

  2. Diet Changes: Change to a heart-healthy diet with whole grains, fresh fruits and vegetables, increased fish oils, reduced fat, reduced salt and sugar etc.

  3. Work It Out: Get into an exercise regimen. Discuss with your doctor to identify and agree on the type and level of exercise. This helps manage weight and stress, both essential for controlling AFib.

  4. Manage Alcohol Consumption: Avoid excess consumption of alcoholic beverages. Avoid them completely if they trigger symptoms.

If you have the risk factors for AFib, implementing these changes earlier than the onset of symptoms can help delay progress and reduce severity of the symptoms. Consult an Expert & get answers to your questions!

2980 people found this helpful

Popular Questions & Answers

Im suffering from asd Atrial septal defect. It is 2.27 to 2.58 cms .it will be cure with device closure or not?

DHMS (Hons.)
Homeopath, Patna
hello, liberate user, it depend upon the severity of individual case, some times surgical intervention might be needed to repair atrial septal defect. the care.

My daughter age 8 months old with congenital heart defect, recently echocardiogram report says ostium secundum atrial septal defect sizes of 0.8mm diameter, left to right shunt. No feeding problem. Is it necessary for open heart surgery to close the hole now at these age?

MD - Paediatrics
Pediatrician, Ranchi
Hello thanks for the query first of all I would like to know the exact size of atrial septal defect (asd. I think it should be 0.8 cm not 0.8 mm (as 0.8 mm asd will not cause any significant problem). The management depends on the following parameters 1) growth of the baby, 2) how frequent she is getting symptomatic 3) how severe are the symptoms 4) what is the exact hemodynamic finding in the echo (including pulmonary pressure) 8 mm asd considered to be large and chances of spontaneous closure is less. The weight and height you have mentioned is appropriate for age. Also I would like to know the margin of the defects. As on the basis of rims of the defect we can decide whether device closure can be done to avoid the open heart surgery. I request you to give detail history and to attach the echo report so that I better able to help you out. Regards.
1 person found this helpful

My Son (D.O.B.- 05th Oct 2017) is suffered from Ventricular septal defect (06 mm) & Atrial Septal Defect (04 mm. His Surgery is recommended by AIIMS-Delhi, & surgery is expected in coming months. My question is about using DTaP-Pentaxim (Pain-Less) or DPT-Pentavac (Pain-Full). Baby weight is also seems not utpo the mark & feels little lower from standard charts. Since starting we are injecting DTaP-Pentaxim (Pain-Less). Please suggest do I need to move for Pain-Full? Because i've read over google that pain-less is not so effective. Also suggest if anything else you wish to. Thank you in advance.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query for your son thoroughly.* Practically there are no major advantages of Pentavac over Pentaxim, so I do not recommend switching over it and increase pain to the baby. Hope this clears your query. Wishing him fine recovery. Welcome for any further assistance. Regards take care.
1 person found this helpful

Hi, I have ias atrial septal aneurism .im 30 years old. Im planning to get gynecomastia surgery under general anaesthesia. Pls let me know does it have any side effects.

MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Cosmetic/Plastic Surgeon, Delhi
Hello. There is a slight risk in the surgery due to your comorbity, you have another option of doin the surgery in local anaesthesia, visit your plastic surgeon for more detailed explanation.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
What are the alternatives to the treatment?
Play video
Rhinoplasty Surgery
Hi! Everybody

I am Dr. Gambhir. I am a cosmetic and plastic surgeon in Sir Ganga Ram Hospital, New Delhi. I have my cosmetic clinic in karor bagh by the name of Personna.

Today I ll be talking on Rhinoplasty. Reason being I my self is a Rhinoplasty surgeon. Most of my practice involves Rhinoplasty. What I have seen in the past few years that most of the patients with breathing difficulty, they go to the ENT surgeon for Septal correction, but this is not going to solve all that problems. Just simple correction of the septum did not solve the breating problem. It requires the total of septal framework correction as a Rhinoplasty surgeon and as a plastic surgeon I have been trained to do a septal framework correction. Just the ENT surgeon, they do the septal part, but for the framework correction the involve the plastic surgeon. What I suggest that patient who have difficulty in breathing, who have debated as a septum, or who want a groped nose correction to be done should go to a person, to a doctor, who is qualified Rhinoplasty surgeon and who has been doing Rhinopasties. For those doctors, they are not going to solve just the breathing problem but give you an aesthetic correction simultaneously.

Thank you.
Play video
Types of Trauma and Their Reconstruction
Hi, I am Dr YV Rao, a plastic and cosmetic surgeon. In this video, I will briefly mention about the various types of Trauma and their reconstruction.

Starting from the Fingertip injury to various severe injuries of different parts. This can be divided into 4-5 categories. We deal with the reconstruction, be it whatever it causes. The common cause is the birth defects, that is, congenital.

As I mentioned, some people are born with some defects, starting from nose, face, limbs or anywhere in the body. All these led to a problem if not corrected. These correctable deformities need to be corrected at certain stages. This is the Congenital birth defects.

Now comes the Traumatic defects. Deformities are caused due to trauma which may be accidental, may be operative, or may be a cancer surgery or any other deformation related to surgical. For example, reconstruction following a breast removal. Breast is considered as one of the feminine sign in females. If one breast is removed and another breast is there, so definitely she likes to have another breast. Now the time has gone in which people could live with one breast or apply padding on the defected one. Now, people are getting forward and when the possibility is there then why not get it done. Yes, it is possible. So the reconstruction of the breast is possible because of the plastic surgery. Likewise, in trauma, be it a fingertip injury or a major crush injury by road traffic accidents
Play video
Rhinoplasty: What You Need To Know?
Rhinoplasty is a plastic surgery procedure for correcting and reconstructing the form, restoring the functions, and aesthetically enhancing the nose by resolving nasal trauma , congenital defect, respiratory impediment, or a failed primary rhinoplasty.
Play video
Rhinoplasty
Rhinoplasty, commonly known as a nose job, is a plastic surgery procedure for correcting and reconstructing the form, restoring the functions, and aesthetically enhancing the nose by resolving nasal trauma, congenital defect, respiratory impediment, or a failed primary rhinoplasty.
Play video
Hernia: What You Need To Know?
Hello Everybody!

This is Dr. Muffi here from Digestive Health Institute. So, we specialize in laparoscopic surgery or minimal surgery in any form be it obesity surgery, hernia surgery, we do laparoscopic surgery for various ailments. What is hernia is the question I am quite often asked. So, hernia is any defect in your muscles of the abdomen cavity. Now, what are the different types of a hernia. So, the hernia can be divided into different types and location. Most often seen in men is a groin hernia which happens usually in the groin and it can also be an inguinal hernia, which happens because the testis which causes the problem to the kidney. And the track which leads testis to come down and that's why you get an inguinal hernia. You also get a femoral hernia. You can get the hernia which is located in the belly button which is umbilical hernia or it can be around the umbilical region called paraumbilical hernia.

This usually happens because of obesity and it is more commonly seen in women. You can also get the hernia which can also happen because of the previous surgical scar and these are called incisional hernia. You can have a hernia at the lateral side of the abdomen cavity which called spigelian hernias. The hernia can also happen because of lung cavity to abdominal cavity. Hernia can happen congeniality in your wall. Or it can have a small defect in the muscle because of the obesity and it is called hiatal hernia which causes a lot of acidities. Sometimes it is called as internal hernia that can happen post surgery especially after bypass surgery and the small defects left inside and called an internal hernia.

So, is there any emergency for surgery. Whenever the intestine comes up, either they stuck or obstructed and you start vomiting or absolute constipation. And some of the blood supply to that part of intestine gets stuck and the skin around the hernia defects starts turning into blue, start turning into fever than it becomes an emergency. Right I said an internal hernia needs high emergency. Most of the surgeries are not emergency. And in old patients, you can avoid some of these surgeries. There are various reasons that why hernia might need to operate. Sometimes you need to make lifestyle changes. Especially in hiatal hernia you might have to sleep at 30 degree of position, eat your meals and walk at least for half an hour. Try to avoid lifting heavy weights.

Try to avoid anything which is very acidic, dark coffee, dark chocolates or the citric drinks. In terms of lifestyle changes, you have to avoid lifting weight after having surgery. All you try to prevent holding stress. How do we treat the hernia? A hernia is the defect in the muscles definitely come with any kind of medications. Gone are the days when we used to do open surgeries for hernia to now laparoscopic and robotic surgery. Very less scars with these surgery. So, most surgeries either gives few stitches or place a piece of pen which is an artificial material which covers the defects. These surgeries work really well. When sometimes if you use 2 smaller size of large defects and if surgeries are not done correctly or you have not taken proper stitches or it will pull the muscles too tight than you can get the recurrence of hernia.

Sometimes, the defects are too large, then you have to go for new techniques called AWR abdominal wall hernia repair or the trans-abdominal repair of hernia wherein you pull muscles the sides and put them closer. In the case of hiatal hernia, laparoscopic surgery is done to repair the muscles defect. In case of an internal hernia, again it is the case of emergency, you have to bring the intestine through the defect, bring it out and than close it with surgery. For all those who want to get in touch with me, consult me, seek an appointment, please do consult me through lybrate.com.
Having issues? Consult a doctor for medical advice