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Hernia Treatment

Hernia Treatment

Hernia is referred to as the abnormal protrusion of an organ through a surrounding  tissue. The cause is mainly a weak spot that due to the laxity of the muscles allows part of the organ to protrude. Hernias can develop in any part of the body, but the most affected area is commonly the muscles of the abdominal wall.

Hernia symptoms are pain and general mobility reduction. Some hernias can be cured by external manual manipulation, but they can never cure by themselves. Surgical hernia treatment is always necessary to avoid serious complications.

Causes and Symptoms

Hernias can be present since birth, but most types of hernia appear later due to muscle weakness and pressures. Hernias can be hereditary and can be caused by straining, coughing, during elimination, while lifting heavy objects, accumulation of fluid in abs cavity and obesity.

Depending on the cause of the hernia, the location in the body and the structures involved, symptoms may vary. At the beginning, hernias are small and hardly noticeable, like soft lumps under the skin. There is no pain at this stage. The lump increases due to the pressure of the internal contents against weak walls.

At this point, hernia treatment can consist of massages in the body part and pushing the protruding structures gently back into their normal places.

Types of Hernia

The common types of hernia are:

  • Abdominal wall hernia – It is also known as epigastric hernia or ventral hernia.
  • Indirect inguinal hernia – It affects men only, evolves in the canal from where a testis descends into the scrotum in early childhood. It increases progressively and causes the scrotum to expand.
  • Direct inguinal hernia – Forms a swelling in the inner part of the groin.
  • Femoral hernia – It creates a bulge in the groin, between the abdomen and the thigh.
  • Umbilical hernia – happens in the abdominal wall at the navel, and remains beneath the skin.
  • Hiatal hernia – happens in the stomach, and protrudes through the diaphragm and enters the chest into the esophagus.
  • Incisional hernia – occurs at the site of a surgical incision due to strain or excessive muscular effort.

Hernia Treatment

Some supports and trusses offer temporary relief for non-incarcerated or non-strangulated hernias. The best hernia treatment is herniorrhaphy, a surgical repair of the muscle wall.

In this procedure, a strong synthetic material is sewn over the defect in order to reinforce the weak area.

Post-operative care involves protection from respiratory infections that may cause coughing or sneezing and thus straining the suture line.

For specific hernia types there are different treatments:

  • Hiatal hernia treatment – hietal hernia is diagnosed through upper gastrointestinal X-ray or endoscopy. Hietal hernia treatment requires surgery: the stomach is pulled down into the abdomen, the esophageal hiatus made smaller and the esophagus attached firmly to the diaphragm.
  • Inguinal hernia treatment – also requires surgery because of the high risk of strangulation and incarceration.
  • Sports hernia treatment – Sports hernia, also called “athletic pubalgia”, happens when the muscle pulls away from the pubic bone. There is no diagnostic test and doctors who do not treat athletes are unfamiliar with sports hernia treatment. A common approach is laparoscopy, but it has a high risk of complications. Open surgery is the best option.
  • Umbilical hernia treatment – requires surgery both in children and in adults.
  • Hiatus hernia – can be treated with medication and lifestyle change. Some medication treatment for hiatus hernia includes Antacid medicines to relieve symptom, Alginates, H2-receptor antagonists, Proton-pump inhibitors and Prokinetiks.

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