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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

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

Hernia Surgery: Quick Recovery Tips!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Hyderabad
Hernia Surgery: Quick Recovery Tips!

Recovery from a hernia after the surgery will need a time of approximately 2-3 weeks. The time for recovery also depends upon the surgery performed. An open surgery performed through a large incision across the region of a hernia will require a longer hospital stay and a longer time for recovery, whereas, in contrast, a laparoscopic surgery performed with 2-3 small incisions will heal faster and will need a shorter hospitalization.

The recovery process can be speeded up by taking appropriate care, and recovery tips for it are as follows:

  1. Medication should regularly be taken as recommended by the doctor to lessen the symptoms of the surgery.
  2. Wound care should be taken properly.
  3. Dressings should be kept clean and dry, and they need to be changed very frequently in order to avoid the infection.
  4. A persistent cough and sneezing need to be treated with the proper medication.
  5. Keep a pillow nearby.
  6. Every time while coughing and sneezing hold the pillow over the suture in order to prevent pressure on the sutures. 
  7. Use an abdominal binder of a proper size. It supports the abdominal muscle and maintains abdominal pressure.
  8. Use clothing which is expandable and has elastic waistbands whenever there is swelling.
  9. Swelling over the incision is a common complication after the surgery. Thus, the incision area should not be closed tightly by wearing tight clothing.
  10. Wearing expandable cloths will give more comfort and will not cause pain due to pressure. Take a stool softener before and after surgery.
  11. Constipation should be treated before the surgery and should be avoided after the surgery by using stool softeners.
  12. Straining for the stools will create pressure over the incision and hernia repair site and will delay the recovery.
  13. Eat healthy food. The food should be fiber-rich as it will help to improve the bowel movements, and it will avoid the risk of constipation.
  14. Drink plenty of water to avoid constipation and improve the bowel movement.
  15. Do not bend to pick up the things or maintain personal hygiene, i.e., cutting toenails as it will create pressure on the sutures and it may break open.
  16. Avoid lifting of any objects as it will create pressure on sutures and will increase the risk of rupture. After a certain period of time, lift only light items (less than 20 pounds), and always use back muscles and knees.
  17. Do moderate exercises, such as walking, as it will speed up the recovery. Do not start with heavy exercises.
  18. Smoking should be avoided after the surgery as it will improve breathing and blood circulation, which will help in the healing process.
3202 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

Laparoscopic Surgery - How It Can Help With Anti-Reflux and Hernia?

MBBS, MS - General Surgery, FIAGES
General Surgeon, Gurgaon
Laparoscopic Surgery - How It Can Help With Anti-Reflux and Hernia?

Anti-reflux surgery (Fundoplication) is a procedure for treating gastroesophageal reflux disease (GERD) incorporated in hiatus hernia operation. GERD occurs when stomach contents reflux and enter the lower end of the esophagus (LES) due to a relaxed or weakened sphincter or a hiatus hernia. GERD is very much treatable and can cause serious complications if left untreated. 

GERD symptoms
The main symptom of GERD is heartburn or indigestion, along with other symptoms, such as 

  1. Acidic sour taste in the mouth
  2. Burning pain in the throat
  3. Difficulty in eating
  4. Bloating and belching
  5. Stomach pains
  6. Regurgitating food
  7. Nausea
  8. Vomiting blood
  9. Dark tarry stools

Laparoscopic Anti-Reflux Surgery
Laparoscopic surgery reinforces the lower oesophageal sphincter’s ability to prevent gastroesophageal reflux from occurring. The surgery involves wrapping the top part of the stomach around the lower end of the esophagus and suturing it in place. Since the esophagus passes through the hiatus, suturing is done to narrow the hiatus as it helps in the prevention and treatment of concurrent hiatal hernia.

Laparoscopic Surgery Procedure
A laparoscope, a long, narrow telescope with a light source and a video camera at the end, is inserted through a tiny incision into the abdomen. Images from the camera are projected onto a large high definition monitor for the surgeon to view enlarged images as it helps the surgeon perform surgery with precision.

  • The patient is placed under general anesthesia
  • The surgeon makes a small incision in the upper abdomen and inserts the laparoscope into the abdomen.
  • The surgeon introduces carbon dioxide into the abdominal cavity near the belly button to expand the viewing area of the abdomen giving the surgeon a clear view and room to work.
  • Additional small incisions are made for a variety of surgical instruments to be used during the procedure.
  • After the identification of critical structure, the hole in the diaphragm, through which the esophagus passes, is then tightened with sutures.
  • The surgeon wraps the upper part of the stomach around the lower esophagus guided by the images on the laparoscope, then creates a valve which is precisely sutured in its place.
  • The laparoscope and other instruments are removed and the gas is released.
  • The tiny incisions are closed and covered with waterproof dressings to avoid any kind of infections.
  • The patient is usually discharged within 1-2 days of the surgery.

Post-surgery, hospitalization is required just for one day - no bed rest is required after that. The patient can quickly return to all normal activities and immediate relief from symptoms also happen. 

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

1 person found this helpful

Popular Questions & Answers

Undergone inguinal hernia surgery on 14 May. After surgery my testicles became larger than earlier. It causing problems like uneasiness & pain. Will it be remain larger?

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Barpeta
Well, I advice my patients to wear scrotal support for 6 weeks after any groin level surgery, as scrotum is a potential space for accumulation of fluid. So, do not worr. Wear scrotal supporting bandage, take medicines as prescribed. It will be fine.
1 person found this helpful

Can I avoid the surgery of hernia and after 2 months I will surgery of hernia so will it create any problem or not please tell me.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, Warm welcome to Lybrate.com I have evaluated your query thoroughly. That depends upon the type, severity of hernia can consult in private with a photo picture of the hernia for best possible guidelines and management Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance at my private URL https://www.Lybrate.com/gandhinagar/doctor/dr-bhagyesh-patel-general-surgeon Regards take care.

My inguinal hernias surgery was on 13th April, my question is that I didn't feel comfortable because there is a light pain near the cut and in lower tummy. Please tell me that can I wear belt which are available in markets for hernia support. Is hernia belt help me in doing my normal college works, stairs and traveling.

MS
General Surgeon, Panipat
Mr. lybrate-user. It is only few weeks when you got operated I hope your operating surgeon must’ve told you to take precautions for 4-6 weeks I hope pain will go after some time and avoid climbing to much. You can travel .But when you. Feel fine please reduce your weight otherwise you may hernia on opposite side. I don’t think you require hernia belt to support your operated side. please consult your doctor if you have increased pain.
1 person found this helpful

I am suffering from inguinal hernia (left side only). Pls say some medicines which can cure inguinal hernia. I have no pain. Left side inguinal canal is bigger than right. (i have no bad habits like smoking ,drinking alcohol, eating junk food. Pls help me.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Fellowship In Minimally Invasive Bariatric Surgery
General Surgeon, Pune
The only cure for any type of hernia is surgery. The reason for that is because hernia is an anatomical defect in the body which can be only be cured by operation and so no medicines or any kind of injection will ever be useful for it. But do not get worried by the term surgery. Nowadays the surgery is so advanced that you will not feel any pain and the cut on your body is also very small (approx 1.5 cm) with the laparoscopic approach. We at our center are doing laparoscopic hernia surgeries daily since last so many years and the patients are getting treated very well.
1 person found this helpful

I am 18 old since 4 months my stomach is bloating at upper left part and having watery stools after eating morning breakfast bowl moment starts with watery stools i'm having hiatal hernia and gerd ,i had taken ultrasound scanned report is normal, had endoscopy test result is sliding hernia ,i have bloating problem in my right upper abdomen, while taking breath it feels like air directly goes into right abdomen and feels like short breath.Please suggest.

M.Ch. PAEDIATRIC SURGERY, M.B.B.S., GRANT GOVERNMENT MEDICAL COLLEGE,SIR JJ GROUP OF HOSPITALS
Pediatric Surgeon, Mumbai
What medicines you taking take tblet razo 40 mg half hour bfre breakfast and diner 15 days syrup sucrafil o 2 teaspun 3 times a day avoid heavy meals take short frequent meals kep your head end propud up in bed.
1 person found this helpful

Table of Content

What is Hernia?

Factors and Risks :

Play video
Laparoscopic Surgery & Repair For Hernia
I m Dr. Gorakshanath Khomane. I m Laparoscopic consultant surgeon in Kandivali Manat working in Sanchaiti and Suchak hospital.

Today we are talking about hernias. What is hernia? Hernia is a it occurs when organs or fatty tissues which squeezes out through some part into the surrounding tissue, connected tissue and surrounding fascia, is called hernia. Hernia usually is of different types. There are inguinal hernias; which are lower abdomen hernias, then femoral hernias, incisional hernias, umbilical hernias also called as belly button hernia. Inguinal hernias are most common hernias, these are around 96% hernias are inguinal hernias. These are above the groin areas and then usually they are present in man commonly in man. Femoral hernia are common in females which is below the groin, it is usually protrude out through the femoral canal which is the femoral vessels and it comes into the upper thigh. Then umbilical hernia is at the umbilicus around the umbilicus which usually protrude through the umbilical area. It is weak part due to obesity or sometimes in childhood newborn, sometimes due to poor nutrition, and in elderly it is quite common. Where is another hernia called as incisional hernia, these hernia are due to some surgeries on the abdominal cavity which causes incisions and then there is weakness in the inner part which they through which the intestine or the contents of the abdominal cavity protrudes out into the surrounding tissues and causes the obsessions and triangulation. These are common in elderly people and or in women. The another hernia is hiatal hernia which is totally different. In this hernia the stomach protrudes through the abdominal cavity into the chest through hiatus of diaphragm. So what are the causes of these hernias? Mainly there is a pressure increased pressure in the abdominal cavity and weakening of the abdominal muscle wall. Main things are like lifting heavy weight without stabilizing the abdominal wall muscles, then obesity then nutritional poor nutritional diet so that there is a weakness of abdominal wall, continuous loose motions or diarrhea or constipation. Sometimes also there is persistent coughing, sneezing, which can cause these types of hernias. In elderly patient where benign enlargement of prostate can cause resistance of frequency of urine straining of urine which also can cause hernias.

How to diagnose hernia? For diagnosing hernia one thing is that physical examination by a healthcare provider is very important by which you can actually diagnose hernia. Second ultrasound of the abdominal wall abdominal cavity by which you can know the different types of hernia. Third is taking x-ray abdomen in which you can see whether there is option of the intestine or not. Sometimes you can do CT scan of the abdomen, the triangulation of the hernia is present or if the obstruction of the abdominal wall or the abdominal cavity because of the intestinal obstruction it can be diagnosed. How to treat hernia? In babies umbilical hernias can get resolved of its own in the beginning periods of the years. Sometimes it may remain and it can increase in size then it has to be treated. In elderly age or in later age groups if the hernia occurs then simply you can monitor it you can be with the hernia but then it is risky. Sometimes intestines can get strangulated there it can obstruct the complete bowl and there will be swelling of the abdomen there will be risk of life because of perforation of the intestine or shock or sometimes death. So it has to be treated it should be treated in conventional manner in recent advances there are other moralities of the surgeries. Conventionally they is to treat the hernia with mentoplasty where the mesh is kept on the part where the gap is there where the defect is there the defect is closed and then the mentoplasty is done. That is done usually in the conventional surgery which is called as herniorrhaphy. In all these hernias the mesh is used nowadays. There are other recent moralities via a laparoscopically where putting the telescope inside you put the hernia mesh on the defect and you close it properly, Trans abdominally or proportionally you can do it. Umbilical hernia can also be done by laparoscopy by which you can put double layer mesh and repair the umbilical hernia. Whereby you can actually move on very fast you can life start early, the movement or conversant period is very less and risk is less. So nowadays the laparoscopic hernia repair is given a choice and should be done. Hernia may reoccur after surgeries so preventive measures has to be taken care. Preventive measures has to be done so that the hernia should not occur.

For further and more information on hernia or treatment of hernia you can contact at me by through lybrate.com or booking an appointment. Thank you!
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
Debunking Myths of Endoscopy
Namashkar dosto

Aaj ham bat karen gy ek jhanch ki jo bohat common ajkal hoti hy ar patient ko aksar wo jhanch karvany ki salah milti he to unky is bary me bohat sawal hoty hein.

To ye jhanch he endoscopy .boht sy logo ko endoscopy advice hoti he wo is sy darty bhe hein ar bohat anaek sii jo he ghalat dharnaaye is test ky bary me patient k dimagh me rehti hein. To aj isky bary me ham thori si bat karty hein. Endoscopy ek bohat hi simple bohat he useful test he ar endoscopy sy boht si bemariyon ko bht asani sy diagnose kiya jata he. Endoscopy sedha he base me hojati he isky liye koi admission ki zarurat nahe hoti ar ziada sy ziada is me do sy teen minute ka time lagta h. Endoscopy ek totally painless investigation he Endoscopy me koi dard nae hota ar is me apko koi bohat ziada ehtiyat bhe nahe baratnay party. Aksar ye local aresa sunnnn kr ke he hojati he is me koi behoshi ki zarurat nahe parti but agar kisi mareez ko bohat he dar lagta he ya mareez boht he apprehensive he to us case me ham usy nind ka injection laga ke endoscopy ko do teen minute me kar sakty hein. Endoscopy ky bohat faide hein is me khanny ke nali ,pait ya uperli antt ki jo bemariyan hein unko bohat he achy sy diagnose ar bohat he simple way me diagnose kiya ja sakta he kiu ky is me doctor direct andar jhaank raha he dekh raha he , Ar wahan oy dosra faida ye he ke wahan py koi nuqss dikhta he to us nuqss ka ap wahi sy sample utha sakty hein ar us sample ko test bhe karva sakty hein. Jo bemariyan is sy diagnose ki jati hein commonly us me acidity ki bemari ati he. Pait or khany ki nali ky cancer aty hein ,ulcer ki bemari ati he ,pait ki TB ki bemari ati he ,hiatal hernia waghera jo hein wo is sy diagnose ho skti hein ar is ky ilava liver ki bemariyon me iska bohat he muhutapun role he jahan pe liver sy hony wali bohat si jo problems hein wo ham endoscopy ky duwara diagnose kar sakty hein. Isky ilava bad hazmi,bar bar dast lagna ya apki jo digestive system me jo problems hein wo bhe ham is endoscopy sy diagnose kar skty hein ar ye kuch hi minutes ki kahani he ar is sy bohat faidy hein. Isky ilava na kewal diagnosis bohat sari bemariyan esi hein jinka ilaj bhe endoscopy sy asambhav he. Agar mareez ko khon ki ulti ati he ,ya uska ulcer phat jata he usy khon ata he agar andar mass ki wja sy usy khon ata he ya ulti me khon aya he to in sari bemariyon me ham treatment endoscopy duwara kar skty hein. Liver ky mareezo ki bohat sari pareshania hoti hein jin me unhy khon ki ultia ati hein aur pareshaniyan hoti hein jinhy ham endoscopy sy na kewal diagnose kar sakty hein balky ilaj bhe kar sakty hein. Pait ki choti moti jo rasoolia hoti hein unko ham endoscopy ky duwara nikal sakty hein. Aksar galti sy specially bacho sy mu mein kuch coin ya pin ya koi ar chez andar chali jati he to usy bina operation ky ham minutes me endoscopy ky duwara nikal sakty hein . Esi kaai aur bemariyan hein jin me endoscopy bohat he kam ati he diagnose karny me bhe aur treat karny me bhe.

So agar apko kbi endoscopy specialist ki salah mily to kiripya is sy daryn nahe ye bohat he simple aur painless test he bohat asani sy ho jata he ar kch he minutes me isy kiya ja sakta he.
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.
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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.
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