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HERNIA

Hernia Treatment with Hernia Surgery

What is a hernia ?

When a fatty tissue or organ protrudes through a weak area in the surrounding muscle or the fascia (connective tissue) it is called a hernia. There are several types of hernias but groin hernias (inguinal type) are the most common. Some groin hernias can also be femoral. Patients experience discomfort during exercising or coughing. There is pain in the area which reduces when the patient is lying down.

Hernia Causes

Weakness in the abdominal wall or other areas can develop due to a variety of factors such as:

  • Twisting
  • Lifting heavy objects
  • Chronic and constant coughing and sneezing
  • Obesity and weight gain
  • Chronic constipation
  • Congenital presence of a weakness in the abdominal wall
Hernia treatment in kochi, ernakulam

Types of hernias

  • Inguinal hernia :
    1. Very common
    2. Occurs more in men than in women
    3. Located the inguinal canal
    4. Two subtypes : direct inguinal hernia and indirect inguinal hernia
  • Ventral hernia
    1. Also known as incisional hernia
    2. Affect the site of previous surgery
    3. Can appear any time: weeks, months or years after surgery
  • Femoral hernia
    1. A type of groin hernia
    2. More common in women than in men
    3. Weakness in the lower groin
    4. They are prone to incarceration / strangulation
  • Epigastric hernia
    1. Arise due to a weakness in the tendons of the upper abdominal wall
  • Umbilical hernia
    1. Materialize near the navel or belly button
    2. Can occur in infants right after birth
  • Hiatal hernia
    1. Weakness in the opening of the diaphragm
    2. They can cause acid reflux

Hernia signs and symptoms

  • Asymptomatic hernia :
    1. Swelling and fullness at the site
    2. Ache that radiates into the area of the hernia
    3. Tenderness on physical examination
    4. Increased intra-abdominal pressure when standing
  • Incarcerated hernia :
    1. Painful enlargement
    2. Inability to manipulate the hernia
    3. Nausea
    4. Vomiting
    5. Bowel obstruction (symptoms)
  • Strangulated hernia :
    1. Toxic appearance
    2. Ischemic bowel

Hernia Treatment

Surgery is the best treatment modality for a hernia. The types of repair are:

  • Tension repair :
    1. An incision is made of over the hernia site
    2. Any protruding tissue is pushed back into its original position
    3. The incision is then sutured
  • Tension-free repair :
    1. A very common repair technique
    2. A piece of mesh is used to bridge the hernia defect
    3. Two subtypes are: Flat mesh repair and three-dimensional mesh repair
  • Laparoscopic tension-free repair :
    1. 3 to 4 tiny incisions are made in the abdominal wall
    2. Small tubes, an Endoscope and dissecting instruments are passed through each incision
    3. The abdominal wall or space under the inguinal is dissected
    4. A mesh is placed on the weak area and held in place

Under the expert supervision of Dr. Zubin Jacob at Jacob’s hospital, Kochi provides a variety of repairs for all types of hernias. Jacobs Multispeciality Hospital, Ernakulam provides Hernia Treatment in Kochi with Hernia Repair Laparoscopic Surgery in Kerala, India.

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