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Overview

Hernia - Symptom, Treatment And Causes

What is Hernia?

Hernia is a symptom that happens when an organ tries to push through an opening in the tissue or muscle that hold the organ in place. Like, our intestine may sometimes break through a weak area inside the abdominal wall.Although hernias can happen in upper thigh, groin areas and belly button, but hernia is most common in the abdomen. Generally hernia is not immediately life threatening. But hernias don’t get cured on their own and so requires surgery for recovery and avoid dangerous complications that can happen for this disease.

There are mainly four types of hernia:

  • Inguinal hernia
  • Hiatal hernia
  • Umbilical hernia
  • Incisional hernia

Hernias are formed as a combination of strain and muscular weakness. Depending on the cause, this disease can develop quickly or it may also take a long time.The causes of muscular weakness are, age, damages from surgery or injury and trauma, chronic coughing, failure of the abdominal wall to close rightly while in the mother’s womb (congenital defect).Strain factors that can cause this disease (especially if your muscle is weak) are heavy weightlifting, being pregnant, being constipated, ascites or formation of fluid inside the abdomen, persistent sneezing or coughing and also sudden gain in body weight.

Factors and Risks :

Factors that escalate the risk of developing this disease includes chronic constipation, smoking that can bring about a chronic cough, being obese and having a family history of having a hernia.Incisional or inguinal hernias are generally diagnosed by performing a physical examination of the affected area in the body. The doctor can check for a bulge in your abdomen that gets bigger when you stand up or cough. In case of hiatal hernia, the doctor can recommend an endoscopy or a barium X-ray for seeing the internal locations inside the stomach.If children have umbilical hernia, the doctor can perform an ultrasound scan.

Whether a treatment is required for your hernia completely depends on the severity of your symptoms and the size of your herniation, Dietary changes are generally recommended for treating hiatal hernia. Patients are advised not to eat heavy meals. You can also be advised to give up smoking cigarettes or lose weight. For hiatal hernia, patients are also prescribed over-the-counter medicines that helps in reducing stomach acid to eliminate acid reflux or heart burns.

However, if your hernia has grown larger and is creating discomfort and pain, the doctor may decide to operate. The hernia surgery is most commonly done by patching the herniation with a surgical mesh.Hernia surgery can be done both laparoscopically and by open surgery.

It must be noted, that as hernia recurrence is much higher than other surgical procedures during the post-operative phase, absolute care is needed for total recovery from the disease.

Treatable by medical professional Require medical diagnosis Lab test sometimes required Non communicable
Symptoms
Bulge or lump in the affected area. Pain or discomfort when bending, coughing or lifting heavy objects. Feeling of heaviness in the stomach. Burning, aching or gurgling sensation in the area of the bulge.

Popular Health Tips

Laparoscopic Hernia Repair - What Should You Know

F.I.A.G.E.S , MNAMS (Membership of The National Academy) (General Surgery), DNB (General Surgery), MBBS
General Surgeon, Delhi
Laparoscopic Hernia Repair - What Should You Know

Hernia refers to the condition when an organ or fatty tissue inside the body begins to protrude from its location. Hernias are mostly detected in the groin, belly, or the stomach region. They occur because of muscle weakness in the said region where it is detected but they can be treated with surgery. In most cases, a surgery is prescribed and laparoscopic hernia repair is a very popular surgical procedure that has proven to be successful in most of the cases. This is why a growing number of patients decide to go for it.

Laparoscopic hernia repair: procedure: In this surgical procedure, a laparoscope (an instrument with a high-resolution camera and high-intensity light) is passed inside the abdomen through small incisions that varies between 0.5 and 1.5 inches in length. When the laparoscope moves inside the abdomen, it sheds light on the hernia and sends the images to the monitor connected to it. The surgeon views the hernia on the monitor and then the abdominal cavity is made to swell with carbon dioxide so that the surgeon can find enough space to operate the hernia. Once this is done, the surgeons operate the hernia with tiny surgical instruments. Once the hernia is removed, space or the hole is covered with a mesh from inside the abdomen.

Advantages of laparoscopic hernia repair: The laparoscopic procedure is popular because it is comfortable for the patient in many ways. They have to endure lesser post-operative pain as compared to open surgery, which means the recovery is quicker. They require lesser drugs for healing and the patient can get back to work in fewer days. It is an advanced form of surgery and thus, gives better results.

Disadvantages of laparoscopic hernia repair: While the non-invasive laparoscopic surgery has several advantages, it also comes with some drawbacks. It is lengthier in comparison to open surgery and also costs more. It cannot be performed by all the surgeons and only those who are skilled in this type of surgery can do justice to the different cases of a hernia. 

Recovery after laparoscopic hernia repair: The patient takes one to two weeks after the surgery to return to light activity and daily routine. Nevertheless, heavy exercise and strenuous activity should be avoided until four weeks after the surgery. The full recovery time differs from patient to patient depending on their age, gender, and health condition but one month is the average time for full recovery.

555 Manish Technique for inguinal hernia repair:

Totally extra-peritoneal (TEP) repair of inguinal hernia is now a standard surgical technique. A 12 mm incision in infra-umbilical region for Hasson trocar is must for TEP repair of inguinal hernia. This is the only technique known to laparoscopic surgeons. We have innovated a "555 Technique" for completing Mini TEP repair of inguinal hernia by using all three 5 mm ports.

555 Technique" is a feasible option without compromising the principles of TEP repair for inguinal hernia. Innovation of simple "Manish Retractor" is the key in completing Mini TEP repair. This technique is simple, less invasive, less morbid, and cost effective as it avoids dependence over costly Hasson trocar with better cosmetic results. In case you have a concern or query you can always consult an expert & get answers to your questions! 

2164 people found this helpful

Hiatal Hernia - How Is it Diagnosed?

MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
General Surgeon, Bangalore
Hiatal Hernia - How Is it Diagnosed?

What do we mean by a hiatal hernia?

The hiatus is an opening in the diaphragm (the muscular wall) which separates the chest cavity from the abdomen. Normally, the esophagus (food pipe) goes through the hiatus and attaches to the stomach. In a hiatal hernia, the stomach bulges up into the chest through that opening.

What does statistical data say about a hiatal hernia?

Statistically, approximately 60% of individuals who are above age 50 or older have a hiatal hernia.

In which age group is hiatal hernia very common?

The incidence of hiatal hernias increases with age. It is commonly seen in the older age people specifically in people who are above 50.

What are the causes of hiatal hernia?

The most common risk factors are as follows:

  1. Obesity Congenital deformities, such as scoliosis
  2. Certain types of surgery
  3. Major trauma
  4. Conditions which causes an increase in abdominal pressure within the abdomen, such as heavy lifting, or bending over, frequent or violent coughing, violent sneezing, violent vomiting, and straining during bowel movements

What are the types of a hiatal hernia?

There are four types of a hiatal hernia and they are as follows:

  1. Sliding hiatal hernia: This is the most common variant of a hiatal hernia. It occurs when your stomach and esophagus slide into and out of your chest through the hiatus. It is usually asymptomatic.
  2. Fixed hiatal hernia: It is also known as a paraesophageal hernia. In a fixed hernia, part of the stomach pushes through diaphragm and stays there.
  3. Type III hiatal hernia: In this type, as a hernia goes on increasing, the phrenoesophageal ligament stretches and displaces the gastroesophageal junction above the diaphragm
  4. Type IV hiatal hernia: Type IV hiatal hernia includes a large defect in the phrenoesophageal ligament causing other organs, such as colon, spleen, pancreas and small intestine to enter the hernia sac.

What are the sign and symptoms of hiatal hernia?

Common symptoms include:

  1. Heartburn
  2. Chest pain or epigastric pain, coughing
  3. Difficulty in swallowing
  4. Belching, eructation, and hiccups

How to diagnose the condition?

To diagnose this condition following tests or procedures are included:

  1. X-ray of the chest and abdomen Barium follow-through examination of gastrointestinal tract (GI) to visualize GI tract.
  2. Upper endoscopy for examining the esophagus and stomach from inside Esophageal manometry for measuring the rhythmic muscular contractions of esophagus while swallowing, and also, measuring the force exerted by the muscles of esophagus.

What is the treatment available for it?

It includes medications and surgery which are as follows:

  1. Antacids to neutralize stomach acid and to reduce acid production
  2. Medications that heal the esophagus
  3. Surgery of opening of diaphragm to make it smaller and for reconstruction of an esophageal sphincter
1 person found this helpful

Laparoscopic Hiatal Hernia & Paraesophageal Repair

MCh - Pediatric Surgery, MRCS, MS - General Surgery, Fellowship in Minimal Access Surgery(FMAS) & Reproductive Medicine, MBBS
General Surgeon, Hyderabad
Laparoscopic Hiatal Hernia & Paraesophageal Repair

When a tissue or an organ gets displaced abnormally through the wall of the cavity in which it usually resides, then this condition is termed as a hernia. A hernia including stomach or intestine has become a common occurrence.

Hernias are caused by a combination of muscle weakness and strain. The actual cause of Hernia is not known however, some people are either born with an unusually large hiatus or it might occur when too much pressure is exerted on the muscles around your stomach. Obesity, aging, and smoking are the other contributing factors.

A Hiatal Hernia is a condition in which a part of the stomach protrudes through the diaphragm (muscular wall separating the chest cavity and the abdomen) into the chest. There are two types of Hiatal Hernia – Paraesophageal Hernia and Sliding Hernia. Sliding Hernia occurs when your stomach and esophagus slide in and out of your chest through the hiatus. Paraesophageal Hernia is the one where a part of the stomach passes or bulges into the chest beside the esophagus. Particularly if a Paraesophageal Hernia is large, it might slow down the food passage and cause the food to stick in the esophagus once it is swallowed. Fortunately, these types of cases are uncommon.

The treatment of every hernia depends on its size and symptoms. A surgery is recommended for the below-listed cases:

  • Incarcerated Hernia - Where the intestinal tissue gets trapped in the abdominal wall, resulting in pain and discomfort.
  • Strangulated Hernia -  If the Incarcerated Hernia is left untreated it may become Strangulated Hernia wherein the blood supply to the trapped tissue is cut off which can cause permanent damage or death.

Medical Emergency is considered when you experience nausea or vomiting, sudden pain which turns worse, or when Hernia turns red, purple or dark.

Laparoscopy:
The common surgical procedure used for repair of a hiatal hernia is a Laparoscopic method. A laparoscope is a telescope-like instrument connected to a video camera, that is inserted into the abdominal cavity and the surgical video is visualized on high-resolution video monitors in the operating room. Long thin surgical instruments are inserted in the other incision and the surgeon performs the surgery by watching the monitor. This method causes less pain and speedy recovery compared to the conventional techniques. This is proved as a minimally invasive procedure where both pain and healing time is greatly reduced. Since incisions are very small during the surgery you experience less discomfort resulting in the use of lesser painkiller, which is one of the primary advantages of this procedure.

Another significant benefit of a laparoscopic procedure is that there is less risk of post-op infection owing to lesser exposure of the internal organs to any external contaminants. Since healing is so much faster the length of hospital stay required is also significantly shorter with laparoscopic surgery. This implies that you can return to your normal routine quicker as you will get discharged from the hospital on the same-day or the next-day of the surgery.

2 people found this helpful

Hernia - What Should You Know?

MBBS, MS- General Surgery
General Surgeon, Ambala
Hernia - What Should You Know?

When an organ residing in a cavity such as the abdomen tries to push through the muscular layer it resides, it is called as hernia.

Though said to be genetic, hernias can be caused by things such as improper heavy lifting, incorrect posture, or chronic constipation and as a result of surgical complication or injury. Factors like obesity, pregnancy, smoking, chronic lung disease aggravate the severity of the hernia. It is believed that about 27% of all males and 3% of females can have a hernia during their lifetime.

Types of hernias:
Inguinal hernia - The groin is the most common area, where the abdomen pushes through a weak spot in the lower abdominal wall, causing a protrusion into the inguinal canal. More common in men than women.

  1. Hiatal hernia - The abdomen has the diaphragm separating it from the thoracic cavity in the upper border. When it pushes through the diaphragm, a hernia is caused and there is almost always associated food reflux in these cases. Though the most common cause is associated old age, due to muscle weakness, there also are cases of congenital hiatal hernias.
  2. Umbilical hernia - The abdomen finds a weak layer along its length and protrudes through the skin on the stomach. Most commonly seen in babies around the bellybutton, it gradually corrects itself on its own. Quiet rare in adults, seen during pregnancy and in chronic obese people.
  3. Incisional - These are post-surgical, and happen when the organ protrudes through the weakened wall due to surgery. The abdomen is again the most common area and the hernia can happen either onto the external surface or internally, when they are called ventral hernias.

These are the most frequent types, though hernia affects other organs like the spine, brain, appendix, etc.

Treatment - This includes a combination of constant monitoring followed by a decision to do surgical treatment. Hiatal hernias and umbilical hernias can be monitored for a while before deciding on surgery. Inguinal hernias may require surgery earlier in the stage. Post-surgery, a mesh is placed to hold back the tissue in its corrected place. The umbilical hernia in children could be self-limiting. If it does not get auto-corrected in the first year of life, that also would qualify for a surgical treatment.

Dependent on each patient, hernias need to be managed under medical supervision. In case you have a concern or query you can always consult an expert & get answers to your questions!

3248 people found this helpful

Hernia (Inguinal Or Ventral) And The Surgical Treatment Options Available!

MS - General Surgery
General Surgeon, Sri Ganganagar
Hernia (Inguinal Or Ventral) And The Surgical Treatment Options Available!

Hernias are quite common and occur more in men than in women. When left untreated, the condition gets very painful, and sometimes become life-threatening. Hence, ignoring a painful hernia is a bad idea, and seeking medical assistance is necessary. To know more about the condition and the treatment available, read on.

What is a hernia?
A hernia refers to an abnormal exit of an organ or tissues. When a fatty tissue or an organ squeezes or penetrates through a weak spot of the surrounding connective tissues or muscles, the condition hernia appears. Though there are various types of a hernia, it is an inguinal hernia and the ventral hernia that are two of the most common types.

Inguinal hernia
When the bladder or the intestine protrudes into the groin's inguinal canal or extends through the abdominal wall, it is referred to as an inguinal hernia. Around 96% of the groin hernias that occur are usually inguinal hernia. It is due to the weakness in the groin area of men that men commonly suffer from this kind of a hernia.

Ventral hernia
A ventral hernia is a type of a hernia that develops in the abdominal wall's front. Usually, it occurs at the weak areas of the abdomen such as the location of a previous surgery. Varying in sizes, it may be small to complex and large, these hernias may appear weeks or months or sometimes years after surgery. The various types of a ventral hernia are an epigastric hernia, umbilical hernia, incisional hernia, Spigelian hernia and parastomal hernia.

Complications, if left untreated...

If left untreated, your hernia may grow and become more painful. A portion of your intestine could become trapped in the abdominal wall. This can obstruct your bowel and cause severe pain, nausea, or constipation. An untreated hernia can also put too much pressure on nearby tissues. This can cause swelling and pain in the surrounding area. If the trapped section of your intestines doesn’t get enough blood flow, strangulation occurs. This can cause the intestinal tissue to become infected or die. A strangulated hernia is life-threatening and requires immediate medical care.

Treatment Options--

Open surgery
Open surgery for treating hernia is the most traditional and old surgical practice. To perform this common type of hernia surgery, local anesthesia is required, while an incision of around 4 to 5 cm is made in a hernia affected area. Even the most complex and large hernias can be easily treated through such surgeries. Open hernia surgery usually takes 30 to 45 minutes.

Laparoscopic surgery
Compared to the open surgery, laparoscopic surgery requires more time, around an hour or so and is one of the modern surgical processes. Though long-standing or chronic or large hernias cannot be removed through laparoscopy as easily as in open surgery, still, when it comes to smaller incision and quicker recovery time, it is definitely the laparoscopic hernia surgery that is chosen by many. But the costs for laparoscopic surgery is a bit higher than that of the open surgery.

Remember, both women and men can get a hernia at any age. People can even be born with a congenital hernia or develop a hernia over time. A hernia neither goes away all by itself, nor it gets healed over time. Getting operated, in the majority of cases, is usually considered to be the best option to get rid of this condition. In case you have a concern or query you can always consult an expert & get answers to your questions!

1784 people found this helpful

Popular Questions & Answers

I am 64 years male. I have frequent urination problem (every 5/10 mts once). I have prostrate problem and hernia problem. I am not using any medications I heard about afdura medicine can I take this medicine? I was told that hernia problem is grade IV stage and advised to for surgery for both hernia and prostrate I want avoid surgery please advice.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
Have you done your USG abdomen and pvrv and urine routine and culture and sensitivity and uroflow done. If reports are ok you can use either afdura or urimax d once daily for 1 month and see how is the response.

My mother is suffering from hiatus hernia. She regurgitate everything she eats after completing her meal. She is consuming levosulpiride medicine to increase her gut movement but still all these medicines seems ineffective. Actually she is also suffering from sarcoidosis from past 10 years and consuming azoran, omnacortil,derifyline but her health starts deteriorating from past 1 month v don't understand what to do. Any advice?

MBBS, DNB (General Surgery), Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Faridabad
Hiatus hernia has very good response with surgery and relief from symptoms is quick. Surgery can be done laparoscopically with small holes. But get her assessed first if she is fit to undergo surgery as you say she has othet assocated problems. Otherwise medication as is going and some lifestyle change is the only solutuon, eg head end up when lying down by 30 deg, not bending forward. Regds.
1 person found this helpful

I have a little bit groin pain for previous days -what is reason behind this? Can it affect on my sexual life? I am afraid. Please tell me the truth doctors.

MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
Please see a general surgeon. It could be due to various causes from musculoskeletal pain, hernia, appendicitis, epididymoorchitis or urinary calculus. They would examine you and if needed ask for an ultrasound. Feel free to contact me directly if you want to discuss this further.

Hi sir, The hernia size increases day by day or not? And what type of surgery is done in hernia (open or laparoscopy) and how much does it cost for operation?

MBBS, MS - General Surgery
General Surgeon, Agra
Hernia size increases with time plus there are chances of more complications if not operated Both methods are good in hand of a competent surgeon Choose your surgeon and he will choose the method Charges are dependent on surgeon and setups Let me know your progress please.
2 people found this helpful

Table of Content

What is Hernia?

Factors and Risks :

Play video
Hernia: Time Not To Delay The Treatment
I am Dr. Hemendra Singh, a senior surgeon.

I welcome you to Singh Surgical Clinic based in Indirapuram practicing general and laparoscopy for the last 30 years. The introduction of my topic today in on Hernia. What is Hernia? Basically when tissues procure through a week part of the Abdomen wall or some other parts, it leads to procuration of internal organs. It may be in the abdomen or it may be in the intestines. The most common type of Hernia are, especially in males, in the groins which are called Inguinal Hernia. They may be of one side or both sides. In females, the common Hernia are Ventral Hernia which are usually an old scar or near an old scar. In today s world when there are lot many busy schedule of people and lack of sleep also will be develop Hiatal Hernia which sometimes is congenital also. The hernia is caused when the muscle is weak in the abdominal wall or the person usually states either for due to constipation or for urination. Pregnancy, recent increase in weight, cough, etc. or weight lifting in gym is also plays an important role in development of Hernia. So the people, even in younger age, because even in small age children the risk of developing Hernia is because of the congenital diseases. In the adults these play accumulated factors play an important role. The symptoms of Hernia are very simple. A place where you never used to find and a bulge or lump, you will find in the groin or in the abdomen wall near by abdomen scars. The treatment options for hernia are a simple strategy of weight reduction, balanced diet, routine exercise like walk etc. but mostly the cases require surgery and the surgery is in the form of a laparoscopic surgery very small keyhole incisions are made and we put a mesh through the smaller holes and we place it into the abdomen wall. Very very advanced technique for development the methodology are developing for the treatment for the treatment of hernias for the bigger hernias because now we at a time take major surgeries in the abdomen for cancers, for trauma etc. and which later on only took large Hernia also where we require all these new techniques the risk of not operating especially patients in home there are a lot of symptoms like bulge, pain is because of the obstruction in the Hernia set. It may bet strangulated when the surgery becomes very very necessary and urgent. If you delay the surgery people may develop perforation of the intestines and contamination of the while abdominal cavity, then it becomes a very very life threatening issue we should take care of the hernias especially at an early age. Sometimes we have seen people asking whether this will come again or not. So if you for an early surgery and take a good surgical course the chances of developing a recurrence are very low. Right so all these things for today.

Thank you very much.
Play video
Get Rid of Hernia
Hernia: Types, symptoms and treatment

Good Morning this is Dr. Nimesh Shah. I'm a Surgeon, endoscopic, laparoscopic and GI surgeon associated with Global Hospitals as a consultant and S.L Raheja Fortis Hospital. I have my own hospital at Dadar, Sanjeevani Hospital. I am going to talk about Hernia.

It is basically the protrusion of the abdominal contents of the abdominal walls that contains it. We are talking about external hernia right now so we will be talking about inguinal, umbelical, lumbar and incisional hernias. So inguinal hernias are hernias which occur in the groin region. They occur both in the males as well as females, however they are more prominent in males. They can be congenital or acquired congenital that is usually seen in the younger age group. Very rarely we see very large hernias in the adults which are congenital in nature which we come to know only during surgery. Congenital hernias are basically because of patent processes vaginalis which is the tract that takes the testis into the scrotum.

Anyway this is acquired in any age group, younger as well as in older people. Basically they occur because of msucle weakness or gaps between the muscle weakening because of sudden increase or sudden loss of weight and also due to lifting heavy weights. Now the umbilical hernias occur or are most commonly seen in individuals who are doing very hard physical labour. The other hernias are not so common. Incisional hernias are hernia which occur because of surgery. Any surgery in the past that becomes a weak area over the abdominal wall and this may give away over a period of time and you may get protusion of intestines or abdominal fat through that. Most often these are elective procedures. Very rarely a patient comes in emergency where the intestinal contents have come out and they are not going back, so they can become an obstracting hernia or very rarely they can become gangrenous and become strangulate hernia.

The investigation or clinical examination is the only way that this can be confirmed. It is very obvious even to the patients that there is a bulge which is not normal to that area. So that bulge reduces the line down. This is the most common symptom or complain that the patient comes with. Ultrasound maybe neccessary at times to confirm size of the defect. However, in small hernias like in the ingenial hernia the ultrasound maybe helpful in trying to pick up the sack. The main state of treatment remains surgery.

Surgery is an elective brand procedure, very rarely as I said in obstructed hernias it is an emergency where in the patient needs to be taken in as early as possible for the benefit of the patient. Surgeries can be done either with laparoscopy or open surgery. Open surgery has been done since time immemorial and various kinds of methods are used from fishnets to now polypropelyn to prevent recurrences of hernia. In the laparoscopic procedure three small holes are made and the hernial sac is reduced and the mesh is placed. For the other hernias there is a special mesh that can prevent lisons of intestines to the mesh however in the laparoscopic or inguinal hernia special polypropelyn mesh is used. Sometimes we even use a 3D mesh which takes the shape of the pelvis bone. It's usually fixed into place using takers which are screws made up of absorbale or non absorbable depending on the choice of the surgery.

Typically a patient after a laparoscopic or an open surgery should be fine to go home after 48hrs. The laparoscopic patient only has a little soreness around the operated area around the groin. However, the open surgery patient has a little longer recovery time because getting in and out of bed is usually difficult. Laparoscopic repairs inguinal hernia, both side hernia is a norm. One sided is also done on certain patients who insist on doing that. Other than that for the umbilical, lumbar and incisional hernias the holes are made at different places and special methods introduced through those pores after reducing the contents and it is also fixed with the help of protax. Recurrences are known in both open as well as in laparoscopic, inguimal or umbilical hernia. It has more to do with the patient factors rather than to do with techniques. Initially it was more with tehniques due to learning but now its more to do with patient factors because its a common norm in these procedures.

That's it for now, if you want to know more about the procedures contact me through librate. Thank you.
Play video
Hernia
Hernia: Types, symptoms and treatment

Yeah! Hi, I m Dr. Nitin Jha, I m a senior consultant laparoscopic surgeon at Fortis hospital, Noida and I also have a clinic in sector 61 Noida which goes by the name of Agarwal Clinic and today we ll be discussing about Hernia.

By Hernia we mean that there is a small gap in the muscle of the abdomen wall and through this gap there is a protrusion of the contents which are inside of the abdomen like small intestine or the, even large intestine or the omentum fat and which tries to come out of this hole and as long as they go out and then they come back it s okay. But the day it gets stuck, you know if you have a swelling in which the swelling refuses to go in, that means it is like an emergency then you have to immediately go to the hospital and get it operated upon.

Now, what is the cause, the basic cause of any hernia is, the weakness in the muscle wall and it can be even sometimes without any cause. That is called as Idiopathic. Now, there are basically there are three types of common hernia that we all encounter. The one is the Inguinal Hernia which are present in the lower part of the abdomen on the left as well as on the right side. Then you have our Umbilical hernia which is a hernia in the umbilicus itself, so that in the umbilicus instead of being a pit it becomes a elevated out pouching and then you have something called Incisional hernia in which after any surgery in the abdomen you can have a small bulge occurring from that incision side which is called basically insicional hernia. So be it any type of hernia the treatment is always surgical only. In contents, the usually, the intestine, the small ball, the large ball or the omentum fat can be the content of the hernia.

Now, What is the problem? Why to get it operated? As long as, as I told you, as long as it comes out and then goes back in, it is okay. But the day it refuses to go back in, that means it has become a bit complicated hernia. It starts with irreducibility, matlab, it doesn t go back inside. Then there is something called as obstruction in which the intestine gets stuck in that pouch and it causes obstruction of the intestine. That is obstruction to the flow of the contents of the intestine. In that case the abdomen becomes bloated, the patient is not able to pass gas or motion from below and he or she can have a continuous vomiting from up. So, and obviously if the time goes on like this because of a decrease in blood supply of the intestine, the intestine can sometimes become strangulated. In that case it is an emergency and we have to immediately go to the surgeon and get it operated upon because if we give it more time the intestines can lose its blood supply and then we have to do a proper, major, big surgery. In which we have to cut the caught part of the intestine and rejoin the normal part. So, obviously we should definitely avoid this kind of circumstances which increases the cost also and plus it increases the morbidity, the trouble to the patient also.

Talking about surgery we initially had only open surgery, in which a small cut almost of this size used to be given whether it was inguinal or umbilical or incisional, but it had its own problems. The issue was, with open surgery, was you had to have a big incision on the belly. Then the bigger the incision the more the pain. The bigger the incision the more the chances of infection. But usually now we don t do it by open surgery. We do it by something called laparoscopic surgery, in which there are almost two or three small, small holes of the size of around 5 millimeter or 1 centimeter and through, without cutting open the abdomen, through these small, small holes only the whole surgery is done. So the advantage is the patient becomes alright much faster. He needs to stay in the hospital for lesser number of time. He can be back to his work probably in three to four days. But as the thing is you know is any good thing is costly. Similarly the laparoscopic surgery is costly because the mess and the things which are required to fix the mess to the abdominal wall are costly. But if you compare between these two methods, laparoscopic surgery is far, far, far better than open surgery.

My specialty is doing the same surgery which is usually done by all other laparoscopic surgeons by three or four small, small cuts, I do it by only one single cut. So, especially with a uncomplicated simple hernia of the anteroapical wall, be it incisional or be it umbilical or super umbilical hernias which is commonly referred as ventral hernia. They are done by single incision only. That means I just put a small cut almost of this size around 1 to 1.5 centimeters size in the left part of the abdomen and through this same incision we conduct the whole surgery. So, the patient has not three small cuts but only one small cut. That s the advantage of single incision laparoscopic surgery. So, you can consult me at my clinic in

So, you can consult me at my clinic in sector 61 Noida, Agarwal Clinic C122 and, otherwise you can also meet me in Fortis hospital Noida. Plus you can take an appointment via Lybrate and we ll be glad to discuss your problems, thank you.
Play video
Hernia: Types and Treatment
Non-Surgical way to get relief from Hernia

I am Dr Mukul Khaitan, senior consultant at Institute of minimal access metabolic and bariatric surgery Sir Ganga Ram Hospital. I am having a vast experience of laparoscopic and bariatric surgery since last 20 years. Sir Ganga Ram Hospital is a prestigious Institute and is serving the society in the field of laparoscopic and bariatric surgery since last 3 or 4 decades. Today I am going to talk about hernia. I will be talking about hernia in terms of like whether a patient or you know that you are suffering from hernia? How hernia can be diagnosed? What are the signs and symptoms and then what is the treatment option?

Hernia is the protrusion or I will say a break in abdominal wall cavity. It is similar to a wear and tear in your tire. So your tube is coming out of the tire or maybe a hole in your cloth. When we repair a tire with the patch of tire or maybe when we repair a cloth with a piece of cloth, similarly hernia is to be repaired and it needs a surgical intervention. Now how to know that you are suffering from hernia or not. Any patient who is having a sudden onset pain in the abdominal wall or sudden onset appearance of a swelling in the abdominal wall or in the groin should consult a surgeon to look further the developing hernia. Hernia occur anywhere in your abdominal wall or groin starting from just below the chest wall upto near your junction of abdominal wall and thigh and can be divided into depending upon their sites. Like epigastric hernia occurs in upper abdomen. Umbilical hernia occurs near the umbilicus.

Inguinal hernia occurs in the groin area and there is other called the incisional hernia occurs at the site of previous surgery. Now once you know you are suffering from the hernia what complications you should expect from if you are not seeking a medical advice for your hernia. If the hernia slowly grows in size the contents of the abdominal wall like your intestines, your fat inside the abdominal wall or maybe abdominal organs can come out through that hernial defect and can get and trapped leading to surgical emergency. Hernia as I said earlier requires a surgical treatment. In the era maybe 4 or 5 decades prove that heading are required I repair in terms of open surgery. Now last two decades we have a vast experience and we are running a Indian hernia Academy over there at our Institute at Sir Ganga Ram Hospital.

ENT doctors from all over the India are coming to learn the laparoscopic hernia repair skills from us acme Institute of minimal access metabolism and bariatric surgery. Hernia requires a laparoscopic repair in terms of either it is abdominal wall hernia or groin hernia. We are having a vast experience off recurrent or we will say re-recurrent hernias. Re recurrent hernias means the hernia which have recovered after a open surgical repair over after laparoscopic surgical repair. In those cases we have a very vast experience and we do almost 30 to 40 such hernia as a month and we are getting referals all over the country. So in the last I'll say if you are having a sudden onset of pain in your abdomen or a sudden onset swelling which you are not able to understand the cause you should see the surgical advise and come to our clinic for getting a surgical advice.

If you want to consult me for your hernia or any such problems you can contact me either on my website or you can connect me on lybrate or you can visit my OPD at Sir Ganga Ram Hospital. It F42, 1st floor. You can come and meet me over there.
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Problems Of Hernia
Here are some problems related to hernia

Dear Friends, I am Dr. Manish Kumar Gupta, I am consultant laparoscopic and robotic surgeon at Sir Ganga Ram Hospital. I have my own clinic with the name of New Life Clinic in Indirapuram, Ghaziabad. Friends, I will be talking about a very common problem today, which is Hernia. So we all sometimes hear about it that someone has got Hernia and got operated.

what is Hernia? Hernia is basically, whenever the content of the abdomen comes out through an opening, which is an abnormal opening or a normal opening and present as a swelling or a lump over the tummy. So whenever such sort of a swelling appears in the abdomen, patients get worried, what this type of swelling appeared over their abdomen. These hernia is usually present whenever patients walks, coughs, sneezes or strains, these swellings come out through these defects and whenever patients lie down these swellings go down into the tummy, so these are the initial symptoms and as the time passes these defects gets increases in sizes and more and more internal component like intestines or fat comes out through these opening and hernia swelling sizes keeps on increasing day by day.

What happens in hernia is that It can occur in any part of the abdomen, the most common site for developing these hernias are basically belly buttons and in the groin region. If a patient has undergone some surgery, some operation for some intestine or something like that in the abdomen, this is the weaker side and from this side a hernia can appear. So initially the symptom is like there is a lump, which comes out and goes in once you press or lies down.

The chances of complication can occur and the complication are initially irreducibility, it means that it doesn t go inside the abdomen and remains there because there are some additions in between the content of the hernia and the abdominal wall and the second complication is the obstruction, it means, that intestine has come into the hernial sac and there is non passage of any content like food or any fluid through the intestine and patient gets started vomiting, there distinction of abdomen and pain, the third complication is that whenever the blood supply of this intestine gets disrupted then there is strangulation, it means that it can lead to gangrene of the intestine. So these complications are like an emergency complication and one has to go and get operated as early as possible so that one doesn t develop any gangrene of the intestine.
The treatment for Hernia is basically surgery. Whenever one sees such hernial swelling, one should go and contact a surgeon so that he can advise you when to go for surgery but the earlier the better. One should not wait and watch to get the complications to occur.

Nowadays, the surgery for hernia is basically a laparoscopic surgery, it means that we make three holes which is like pencil size holes through which we put a mesh which is a polypropylene or a bio degradable mesh and put this mesh over the hernia defect and fix it with multiple tackers.
Nowadays, the chances for recurrence is quite less because of formation of application of these mesh over the hernial defect.
There are few precautions one can take. There are some precautions which a person can take, like one should not sneeze too much or cough too much so that these hernial swellings do not increase in size and don t get impacted into the defect.

So friends i have told you about hernia swellings today and if you have such problems then you should go and meet a surgeon or if you want to come to me, you can come at Ganga Ram hospitals, which is in central Delhi or you can come to me and meet me at my clinic which is in Indirapuram, Ghaziabad or you can talk to me through Lybrate, you can chat me or you can text me through Lybrate.com.
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