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:
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.
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:
What are the types of a hiatal hernia?
There are four types of a hiatal hernia and they are as follows:
What are the sign and symptoms of hiatal hernia?
Common symptoms include:
How to diagnose the condition?
To diagnose this condition following tests or procedures are included:
What is the treatment available for it?
It includes medications and surgery which are as follows:
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:
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.
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!
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.
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.
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.
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.
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!
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.
The main symptom of GERD is heartburn or indigestion, along with other symptoms, such as
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.
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!
What is Hernia?
Factors and Risks :