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jeudi 24 mai 2018

Basic Principles On Hernia Valley Stream NY Patients May Find Useful

By Arthur Wright


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.

Hernias can be said to be reducible or irreducible. Irreducibility literally means that the hernia cannot go back to its original position regardless of an attempt to retract it physically. On the flip side, reducible ones tend to go back when one lies down or when they get hold of the swelling and try to push it back. Similarly, the contents can be reduced when the doctor attempts to do so. The fact that a protrusion can be reduced lessens the risk of it getting complicated.

When blood supply to the contents of the hernia is compromised, it is said to be strangulated. This is bound to happen if the protrusion is irreducible and when the neck is extremely narrow. Ultimately, the tissues within the sac permanently become dysfunctional if the strangulation is not reversed in time. Pain is often the first sign that a hernia could be strangulated.

Closely related to strangulated hernias are obstructed hernias. In the obstructed type, the intestines therein literally get blocked. The patient will have various signs and symptoms that include vomiting, abdominal distention and inability to pass stool. In the long run, late or lack of intervention can cause parts of the bowel to die.

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.

A person is more likely to get this problem if they engage in activities that increase abdominal pressure and therefore weaken the wall. This is especially true for weight lifters. Chronic constipation and the resultant straining on defecation is also a major contributor. Pregnancy and obesity have also been recognized as additional contributory factors, not to mention cigarette smoking.

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.

Herniorrhaphy is the treatment of choice for hernias. In this procedure, the surgeon makes an incision through the sac and returns the protruding tissues back to where they belong. The weak abdominal wall is then repaired using a special kind of mesh which is good at minimizing the chances of recurrence. It is done under general anaesthesia using either the open method or laparoscopy.




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