Abdominal hernia : symptoms and treatment

Abdominal hernia : symptoms and treatment
All you need to know about abdominal hernias, their types, complications, and prognosis and treatment.


hernia Hernia - moving, punching internal organ, preserving the shell through a weak spot in the wall surrounding the adjoining cavity.

Usually, the term "hernia" in common parlance refers to the abdominal hernia, although there is still brain herniation, muscle, lung and even herniated disks.

abdominal hernia: what is it

hernia abdomen (ventral hernia) - out of the abdominal cavity through an opening in the abdominal wall to form a pocket of the peritoneal membrane.

opening the abdominal wall may be of natural origin (eg, umbilical hernia) or pathological (post-operative hernia).Normally, the abdominal wall has "weak" places through which the peritoneum (abdominal shell) is forced under pressure.

To increase intra-abdominal pressure can cause:

  • excessive exercise (weight lifting),
  • overvoltage during childbirth (common cause in women),
  • tendency to constipation or difficulty urinati
    ng (often strained abdominals)
  • andeven chronic painful cough.

In all these cases, as a rule, a contributing factor is the weakness of the connective tissue, which may have other symptoms (eg varicose veins).

abdominal hernia: symptoms

first and main symptom of abdominal hernia is the appearance of the skin under the soft-elastic formation, similar to the tumor.From tumors it features a dramatic appearance, shortly after the precipitating factors (weight lifting, coughing, laughing, etc.).

moment of occurrence may be accompanied by unpleasant sensations, this is due to the fact that emerging hernia hernial squeezes in, stretching and pushing the surrounding tissue.

very first hernia is usually not painful, easy to reduce a.This is called a hernia vpravimoy.

But with each output hernia opening in the abdominal wall (hernial) becomes larger, and the effort to bulge need less.Over time, the hernia sac acquires subcutaneous adhesions and reduce a stop (irreducible hernia).

The most common hernia content becomes greater omentum, a fatty apron covering the front our intestines.But in the hernial sac may fall and gut loops.

Since the promotion of the intestines content in this case is difficult, the patient may experience symptoms of intestinal obstruction.Because the blood supply to the hernia contents is broken, and in the case of infringement - stops completely strangulated hernia dangerous complications such as necrosis (necrosis) of the bowel wall.That is why strangulated hernia is an urgent surgical illness, subject to immediate surgical treatment.

Treatment of abdominal hernia

After identifying abdominal hernia patients for a long time do not attach much importance the disease, hoping that the hernia will remain in its original form, small and painless, until the end of life.

Never abdominal hernia not regress, it soon becomes only more if, of course, did not infringe in the hernial ring and emergency operation is over.To avoid serious consequences (denial, necrosis, obstruction and peritonitis) identified hernia is better to operate in a planned manner.

Planned treatment allows for intervention under local anesthesia, without large incisions and without a high risk of complications.

In addition, developed and implemented a minimally invasive laparoscopic methods of treatment in the last 20 years, allowing to operate through small punctures the stomach without incisions.

Although over the years, the scope of application of laparoscopy in the treatment of hernias greatly reduced, elective surgery remains the most attractive in the treatment of hernias.

But patients do not think so.Trying to pull the last moment of operation, most patients prefer to wear bandages and pelota - devices that secure the hernial outside.

As practice shows, these tricks can not save people from complications.Therefore try to prevent the problem, which is known to be much easier.

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