hernia
Introduction
The hernia is an abnormal protrusion of visceral organs through an abnormal opening in the wall of the cavity. The combination of the weakness of the wall and the increase in pressure inside the body is in charge of this condition. In this state a part of the internal organs and organs are increased in size by coughing and lifting weights, protruding by forming swelling while passing through feces and urine. In the lying position, swelling enters inside except for strangulation and irreducible hernia.
Cause: -
1, Weak point of body wall: -
a) Congenital weakness.
b) Injury, muscle waste, wall suppurative lesions, presence of weak natural orifice, obesity, lack of exercise, repeated weakness due to pregnancy acquired.
c) inappropriate suturing of the surgical site or surgical manipulation by sepsis
2) The internal pressure increased.
a) Chronic constipation.
b) Recurrent cough.
c) Weightlifting.
d) narrowing of the urethra.
General site for hernia: -
A hernia can occure anywhere in the body. However, there are several common sites for hernia. Due to the presence of hard bones, the chest wall usually covers the wall which is not affected. Lumbar herniation is also rare due to the spine and back muscles and tough ligaments and sheeths. The common part of the hernia is the abdominal wall. Compared to the other parts, the abdominal wall is weak due to the presence of some natural opening. Abdominal muscles are weak and thin, and there are several areas where all these factors make a hernia's chance. The general site for hernia is as follows.
a) Inguinal hernia:
Here the contents of the abdomen protrude through the ducts of the groin (through the passage of the lower abdominal wall just above the inguinal ligament, seen on both sides). This type is common in men. The first swelling comes only while being nervous, and goes back while lying, after which most of the intestine will come out and may not come back easily.
b) Femoral hernia:
This type of hernia is more women. Here the contents of the abdomen pass through the bone canal found just below the junction between the thigh and the lower abdominal wall (the inside of the femoral triangle). The contents pass downward, come out through the openings of the thigh saphena, and form swelling under the skin.
c) Umbilical hernia:
This is common in children. The umbilicus is a weak part of the abdomen. The contents of the abdomen may protrude like a swollen bulb while bowing while crying.
d) incisional hernia:
These hernias can be seen at the operating site. Improper suturing or septicemia weakens the surgical site and becomes a hernia.
e) Upper abdominal hernia:
Here hearniation stands outstanding in the upper abdomen. It is an unusual type.
f) Lumbar hernia:
Here the hernia appears in the lumbar region on both sides of the lumbar vertebra (with the triangular shape of the lumbar vertebra), which is also an unusual type.
g) closed hernia:
This is a rare type of hernia. Here the contents pass through the obturator foramen to the pelvic bone.
Complications of hernia: -
1) Strangling:
If the hernia orifice is narrow, the contents of the abdomen may not be easily returned, and later the constricition may block the blood flow to the disc herniation. This can cause protruding bowel death.
2) Intestinal obstruction:
This is conspicuous when the whole part of the intestine protrudes into the herniated sac. Narrow hernia orifice blocks intestinal passage.
3) Infectious diseases and peritonitis:
If there is death and strangulation of part of the intestine, there is spread of infection to the abdomen that causes peritonitis.
Treatment of hernia: -
Initial Treatment: In the initial phase of hernia, the following procedure may be useful
1) Use of a hernia belt:
A special type of hernia belt is available for each type of heania. This will prevent protrusions and reduce pain.
2) Treatment such as constipation, recurrent cough, urinary tract obstruction is necessary.
3) Fat reduction increases the intensity of the abdominal wall.
4) Abdominal exercise to increase muscle tension.
5) Take a lot of leafy vegetables, fruits and fibrous meals for easy intestinal movement.
6) Try other systems like homeopathy, herbal medicine or ect
If there is no relief by the above procedure, please consult a general surgeon for surgical management.
Surgical treatment.
The next operation is done according to the type and nature of the hernia.
1) Hertniotomy: In this procedure, the contents of the hernia capsule are pushed into the abdomen, the neck of the capsule is connected with the diorama ligating tool, and the capsule is blocked.
2) hernia: Here the rear wall is repaired with herniotomy.
3) Use: This operation is done if herniotomy is impossible due to the wide neck of the sac. Here repair is done with healp of nonabsorbable material like tantalum gauze, polypropylene mesh or stainless steel mesh.
Introduction
The hernia is an abnormal protrusion of visceral organs through an abnormal opening in the wall of the cavity. The combination of the weakness of the wall and the increase in pressure inside the body is in charge of this condition. In this state a part of the internal organs and organs are increased in size by coughing and lifting weights, protruding by forming swelling while passing through feces and urine. In the lying position, swelling enters inside except for strangulation and irreducible hernia.
Cause: -
1, Weak point of body wall: -
a) Congenital weakness.
b) Injury, muscle waste, wall suppurative lesions, presence of weak natural orifice, obesity, lack of exercise, repeated weakness due to pregnancy acquired.
c) inappropriate suturing of the surgical site or surgical manipulation by sepsis
2) The internal pressure increased.
a) Chronic constipation.
b) Recurrent cough.
c) Weightlifting.
d) narrowing of the urethra.
General site for hernia: -
A hernia can occure anywhere in the body. However, there are several common sites for hernia. Due to the presence of hard bones, the chest wall usually covers the wall which is not affected. Lumbar herniation is also rare due to the spine and back muscles and tough ligaments and sheeths. The common part of the hernia is the abdominal wall. Compared to the other parts, the abdominal wall is weak due to the presence of some natural opening. Abdominal muscles are weak and thin, and there are several areas where all these factors make a hernia's chance. The general site for hernia is as follows.
a) Inguinal hernia:
Here the contents of the abdomen protrude through the ducts of the groin (through the passage of the lower abdominal wall just above the inguinal ligament, seen on both sides). This type is common in men. The first swelling comes only while being nervous, and goes back while lying, after which most of the intestine will come out and may not come back easily.
b) Femoral hernia:
This type of hernia is more women. Here the contents of the abdomen pass through the bone canal found just below the junction between the thigh and the lower abdominal wall (the inside of the femoral triangle). The contents pass downward, come out through the openings of the thigh saphena, and form swelling under the skin.
c) Umbilical hernia:
This is common in children. The umbilicus is a weak part of the abdomen. The contents of the abdomen may protrude like a swollen bulb while bowing while crying.
d) incisional hernia:
These hernias can be seen at the operating site. Improper suturing or septicemia weakens the surgical site and becomes a hernia.
e) Upper abdominal hernia:
Here hearniation stands outstanding in the upper abdomen. It is an unusual type.
f) Lumbar hernia:
Here the hernia appears in the lumbar region on both sides of the lumbar vertebra (with the triangular shape of the lumbar vertebra), which is also an unusual type.
g) closed hernia:
This is a rare type of hernia. Here the contents pass through the obturator foramen to the pelvic bone.
Complications of hernia: -
1) Strangling:
If the hernia orifice is narrow, the contents of the abdomen may not be easily returned, and later the constricition may block the blood flow to the disc herniation. This can cause protruding bowel death.
2) Intestinal obstruction:
This is conspicuous when the whole part of the intestine protrudes into the herniated sac. Narrow hernia orifice blocks intestinal passage.
3) Infectious diseases and peritonitis:
If there is death and strangulation of part of the intestine, there is spread of infection to the abdomen that causes peritonitis.
Treatment of hernia: -
Initial Treatment: In the initial phase of hernia, the following procedure may be useful
1) Use of a hernia belt:
A special type of hernia belt is available for each type of heania. This will prevent protrusions and reduce pain.
2) Treatment such as constipation, recurrent cough, urinary tract obstruction is necessary.
3) Fat reduction increases the intensity of the abdominal wall.
4) Abdominal exercise to increase muscle tension.
5) Take a lot of leafy vegetables, fruits and fibrous meals for easy intestinal movement.
6) Try other systems like homeopathy, herbal medicine or ect
If there is no relief by the above procedure, please consult a general surgeon for surgical management.
Surgical treatment.
The next operation is done according to the type and nature of the hernia.
1) Hertniotomy: In this procedure, the contents of the hernia capsule are pushed into the abdomen, the neck of the capsule is connected with the diorama ligating tool, and the capsule is blocked.
2) hernia: Here the rear wall is repaired with herniotomy.
3) Use: This operation is done if herniotomy is impossible due to the wide neck of the sac. Here repair is done with healp of nonabsorbable material like tantalum gauze, polypropylene mesh or stainless steel mesh.
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