When a part or all of an abdominal organ protrudes through a weakness in the abdominal wall as a swelling, it is referred to as a hernia. Parts of a typical hernia include a neck, body and a sac together with its contents. Protruding structures could be the stomach, intestines and the bladder among others. There are a number of things on hernia Valley Stream NY patients may find beneficial if suffering from the condition.
Whether a hernia is reducible or not is determined by the ability of the swelling being able to disappear spontaneously or when purposefully pushed in. The doctor observes the protrusion with the patient standing and when they are lying down. Given a choice, it is better to get a reducible hernia than an irreducible one which is not only uncomfortable but is at risk of being twisted.
Strangulated hernias are those whose blood supply has been cut off completely. Strangulation is more likely to happen if the neck is narrow. Irreducible hernias suffer the same fate if they are not surgically repaired in a timely manner. The end result is death of tissues meant to serve key roles in the body. The possibility of strangulation is almost a hundred percent if the individual experiences severe pain.
Other than strangulation, hernias can also be obstructed. This usually happens the tissues in question are intestines. The normal contraction and relaxation of intestinal muscles is interfered with and as a result, intestinal contents accumulate in one part leading to enforcement and possible perforation. This is why surgical correction needs to be prompt. Some of the physical pointers to intestinal obstruction include vomiting, abdominal bulging and constipation.
Another way to classify these swellings is with regard to their site. For instance, those in the inguinal region are called inguinal hernias, those passing through the femoral canal are called femoral while those passing through the diaphragm are referred to as diaphragmatic, and so on and so forth. The inguinal types are arguably the most familiar because they occur more frequently. They can sub classified as direct or indirect. Femoral forms are typical in the female gender.
A person is more likely to get this problem if they engage in activities that increase abdominal pressure and therefore weaken the wall. This is especially true for weight lifters. Chronic constipation and the resultant straining on defecation is also a major contributor. Pregnancy and obesity have also been recognized as additional contributory factors, not to mention cigarette smoking.
Surprisingly, some people may get hernias and yet have none of the common risk factors. Such people could be having some abnormality in their connective tissue that makes it weak. More often than not, they get umbilical hernias which is especially common in the young population. Lucky enough, most of them regress spontaneously.
Treatment of a hernia is technically referred to as herniorrhaphy. It involves opening up the sac and returning the contents back to the abdominal cavity. The defect is then repaired using a mesh to increase surface area and to provide a more concrete support. The mesh also reduces the risk of recurrence. This procedure can be done using either the open or laparoscopic approach under general anaesthesia. Although the laparoscopic approach has a higher learning curve, it has more long term advantages compared to open surgery.
Whether a hernia is reducible or not is determined by the ability of the swelling being able to disappear spontaneously or when purposefully pushed in. The doctor observes the protrusion with the patient standing and when they are lying down. Given a choice, it is better to get a reducible hernia than an irreducible one which is not only uncomfortable but is at risk of being twisted.
Strangulated hernias are those whose blood supply has been cut off completely. Strangulation is more likely to happen if the neck is narrow. Irreducible hernias suffer the same fate if they are not surgically repaired in a timely manner. The end result is death of tissues meant to serve key roles in the body. The possibility of strangulation is almost a hundred percent if the individual experiences severe pain.
Other than strangulation, hernias can also be obstructed. This usually happens the tissues in question are intestines. The normal contraction and relaxation of intestinal muscles is interfered with and as a result, intestinal contents accumulate in one part leading to enforcement and possible perforation. This is why surgical correction needs to be prompt. Some of the physical pointers to intestinal obstruction include vomiting, abdominal bulging and constipation.
Another way to classify these swellings is with regard to their site. For instance, those in the inguinal region are called inguinal hernias, those passing through the femoral canal are called femoral while those passing through the diaphragm are referred to as diaphragmatic, and so on and so forth. The inguinal types are arguably the most familiar because they occur more frequently. They can sub classified as direct or indirect. Femoral forms are typical in the female gender.
A person is more likely to get this problem if they engage in activities that increase abdominal pressure and therefore weaken the wall. This is especially true for weight lifters. Chronic constipation and the resultant straining on defecation is also a major contributor. Pregnancy and obesity have also been recognized as additional contributory factors, not to mention cigarette smoking.
Surprisingly, some people may get hernias and yet have none of the common risk factors. Such people could be having some abnormality in their connective tissue that makes it weak. More often than not, they get umbilical hernias which is especially common in the young population. Lucky enough, most of them regress spontaneously.
Treatment of a hernia is technically referred to as herniorrhaphy. It involves opening up the sac and returning the contents back to the abdominal cavity. The defect is then repaired using a mesh to increase surface area and to provide a more concrete support. The mesh also reduces the risk of recurrence. This procedure can be done using either the open or laparoscopic approach under general anaesthesia. Although the laparoscopic approach has a higher learning curve, it has more long term advantages compared to open surgery.
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