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.
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.
Twisting may lead to a phenomenon known as strangulation. This means that the contents in the sac are receiving very little or no blood supply at all. This is bad for the patient because it is very painful and the affected tissues could die. It, therefore, needs to be detected in time and the tissues at risk salvaged. A patient is more predisposed to strangulation if their hernia is irreducible and has a limited neck.
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.
Hernias can also be classified based on their location in the body. Groin hernias can be inguinal or femoral. The inguinal type can further be described as being direct and indirect. This type is by far the commonest. The femoral type tends to occur more in women than men. Other types include diaphragmatic, umbilical and esophageal.
Predisposing factors to herniation include weight lifting, pregnancy, obesity, straining on defecation and urination, among other factors. Common among all these factors is the fact that they all result in an increase in abdominal pressure which makes the wall to easily break down. People whose diet is poor in high fiber are highly susceptible to constipation, so are those who are fluid deprived. In addition, obstruction of the urinary tract just below the bladder is likely to cause strained urination.
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.
Management of hernias involves incision of the sac and return of contents back to their rightful place in the abdominal cavity, after which the defect is corrected using a special patch, much stronger than the original tissue. This greatly reduces the risk of the the problem recurring. The whole procedure is called herniorraphy and is usually done when the patient is fully anaesthetized.
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.
Twisting may lead to a phenomenon known as strangulation. This means that the contents in the sac are receiving very little or no blood supply at all. This is bad for the patient because it is very painful and the affected tissues could die. It, therefore, needs to be detected in time and the tissues at risk salvaged. A patient is more predisposed to strangulation if their hernia is irreducible and has a limited neck.
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.
Hernias can also be classified based on their location in the body. Groin hernias can be inguinal or femoral. The inguinal type can further be described as being direct and indirect. This type is by far the commonest. The femoral type tends to occur more in women than men. Other types include diaphragmatic, umbilical and esophageal.
Predisposing factors to herniation include weight lifting, pregnancy, obesity, straining on defecation and urination, among other factors. Common among all these factors is the fact that they all result in an increase in abdominal pressure which makes the wall to easily break down. People whose diet is poor in high fiber are highly susceptible to constipation, so are those who are fluid deprived. In addition, obstruction of the urinary tract just below the bladder is likely to cause strained urination.
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.
Management of hernias involves incision of the sac and return of contents back to their rightful place in the abdominal cavity, after which the defect is corrected using a special patch, much stronger than the original tissue. This greatly reduces the risk of the the problem recurring. The whole procedure is called herniorraphy and is usually done when the patient is fully anaesthetized.
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