|Same Day Discharge|
|Post Surgery Pain||Minimal||Moderate - High|
The doctor starts with a physical examination, which is guided with the complaints, the patient has approached the doctor with. The doctor may also suggest imaging to assess the size of the hernia.
Computed Tomography (CT) scan: Computer combined with X-rays to produce images.Magnetic Resonance Imaging (MRI) scan: A combination of radio waves and strong magnets to produce images of internal structures.
Barium or Gastrografin X-ray: This is suggested if a hiatal or diaphragmatic hernia is suspected. Here the patient will be asked to consume a liquid barium solution or a liquid containing Gastrografin (meglumine sodium and diatrizoate sodium).
This will be followed by imaging where X-ray images of the digestive tract are taken.
The doctor resorts to surgery when the hernia is growing in size and is causing pain and discomfort. The hernia is repaired by pushing back the bulging tissue back in position and sewing the area.
It may involve the use of a surgical mesh to hold the tissue in place. The incision is then stitched to conclude the surgery.
The doctor may decide to perform open surgery or a laparoscopic one. Multiple factors contribute to the doctor’s and patient’s decision to go with either one.
Consistent pressure and muscle weakness in a particular area of the body contribute to the formation of hernia. They may develop rapidly or over a long period, determined by their causative factors.
The common causes of hernias are:
Associated risk factors:
Most hernias do not cause any significant symptoms. It may be diagnosed during a routine medical examination for some other ailment until which time it stays undetected.
A bulge seen in the abdomen or the groin area may be a hernia. It occurs when organ parts or tissues push through the skin and thus exposing a bulge.
This occurs because of the malfunction of the muscular wall which is supposed to hold the organs and tissues in place.
This is the most common type of hernia seen more frequently in males than in females.
In males the inguinal canal is a pathway for the spermatic cord and blood vessels which leads to the testicles and in women, the inguinal canal has the round ligament which supports the uterus.
In this type of hernia, the fatty tissue or a part of the intestine protrudes into the groin.
The symptoms of inguinal hernia are :
Femoral Hernia: Here the bulge or the swelling is seen in the groin and affects older women.
Umbilical Hernia: Here, the swelling is seen through the belly button (umbilicus, navel)
Hiatal or diaphragmatic Hernia: In this hernia, a part of the stomach will be pushed into the chest cavity through an opening in the diaphragm (the horizontal sheet of muscle that separates the chest from the abdomen).
It is commonly seen in older patients( >50 years and in obese patients).
The symptoms of a hiatal hernia will be different and more specific. The lump formed here pushes through the diaphragm, causing chest pain, trouble swallowing, and heartburn.
Incisional Hernia: Here the tissue protrudes through the site of an abdominal scar from a previous or old abdominal or pelvic operation.
Epigastric Hernia: In this type, the fatty tissue protrudes through the abdominal area between the navel and lower part of the sternum (breastbone)
Spigelian Hernia: Here the intestine pushes through the abdomen at the side of the abdominal muscle, below the navel.
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