A hernia is simply an external protrusion of internal structures as a result of a defect in the muscular wall of a body cavity. It comprises a sac and its contents together with a neck. In most instances, hernia sac contents are intestines. They could also be other soft tissue structures and organs. These are some of the facts on hernia Valley Stream NY patients may find useful.
These protrusions can be classified based on different factors. For instance, they can be reducible or irreducible. Reducible hernias are more prominent when the patient coughs and when they are standing. They, however, retract when one lies down or manual reduction is attempted. Irreducible hernias, on the other hand, show neither spontaneous nor manual reduction. These are more dangerous because they can easily get twisted and interfere with circulation.
When blood supply to the contents of the hernia is compromised, it is said to be strangulated. This is bound to happen if the protrusion is irreducible and when the neck is extremely narrow. Ultimately, the tissues within the sac permanently become dysfunctional if the strangulation is not reversed in time. Pain is often the first sign that a hernia could be strangulated.
When a hernia is described as obstructed, particularly one containing intestines, it means that bowel contents can no longer pass down the canal with ease. The affected patient will complain of frequent bouts of vomiting and difficulty in passing stool. The examiner will also note that the abdomen is distended and peristalsis may be visible from the skin surface. This needs to be addressed urgently otherwise it can lead to perforation and further widespread damage.
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.
Increased abdominal pressure due to one reason or the other contributes to weakening of the abdominal muscular wall and hence a tendency of organs to bulge through. This may occur when one strains every time they pass stool because of constipation from low fiber diet, when they use some drugs or due to dehydration. People with lower urinary tract obstruction also tend to strain during urination and are therefore also predisposed to developing this problem. Cigarette smoking, weight lifting, obesity and pregnancy are also part of this list.
Some hernias happen as a result of a familial form of connective tissue disorder. In this case, children are born with an already weakened abdominal wall. The most common form that occurs in this situation is the umbilical type. The good news about this kind is that most of them heal spontaneously over a number of years.
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.
These protrusions can be classified based on different factors. For instance, they can be reducible or irreducible. Reducible hernias are more prominent when the patient coughs and when they are standing. They, however, retract when one lies down or manual reduction is attempted. Irreducible hernias, on the other hand, show neither spontaneous nor manual reduction. These are more dangerous because they can easily get twisted and interfere with circulation.
When blood supply to the contents of the hernia is compromised, it is said to be strangulated. This is bound to happen if the protrusion is irreducible and when the neck is extremely narrow. Ultimately, the tissues within the sac permanently become dysfunctional if the strangulation is not reversed in time. Pain is often the first sign that a hernia could be strangulated.
When a hernia is described as obstructed, particularly one containing intestines, it means that bowel contents can no longer pass down the canal with ease. The affected patient will complain of frequent bouts of vomiting and difficulty in passing stool. The examiner will also note that the abdomen is distended and peristalsis may be visible from the skin surface. This needs to be addressed urgently otherwise it can lead to perforation and further widespread damage.
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.
Increased abdominal pressure due to one reason or the other contributes to weakening of the abdominal muscular wall and hence a tendency of organs to bulge through. This may occur when one strains every time they pass stool because of constipation from low fiber diet, when they use some drugs or due to dehydration. People with lower urinary tract obstruction also tend to strain during urination and are therefore also predisposed to developing this problem. Cigarette smoking, weight lifting, obesity and pregnancy are also part of this list.
Some hernias happen as a result of a familial form of connective tissue disorder. In this case, children are born with an already weakened abdominal wall. The most common form that occurs in this situation is the umbilical type. The good news about this kind is that most of them heal spontaneously over a number of years.
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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