Abdominal Hernia Support

Hernia Treatment And Prevention

Although there are many different kinds of hernia, when people speak about a hernia,they are most likely to be referring to an abdominal hernia.

About five million Americans have an abdominal hernia, according to statistics provided by the National Center for Health Statistics.

An abdominal hernia occurs when either fatty tissue or an organ in the abdomen protrudes through a weak point or tear in the muscles or tissues around it. The protrusion can be labeled either as reducible, which means it can be pushed back into the abdominal cavity and seem to disappear, or non-reducible, which means it cannot be pushed back into the abdominal cavity.

The American Medical Association says that when a non-reducible protrusion involves a portion of the intestine it is possible for it to become tightly trapped, subsequently losing its blood supply and then that section of the intestine dies. This dangerous condition, called strangulation, often requires immediate surgical repair.

A hernia may be caused by anything that creates increased pressure in your abdominal area. The most common causes of this increased pressure, from which a hernia may result, are:

strenuous coughing;
vomiting
straining, particularly that resulting from constipation;
sudden physical exertion;
obesity;
pregnancy.

Treatment and prevention:

The American Medical Association suggests that most people who develop a hernia should see their doctor, even if the only symptom is the visible protrusion. Depending on the location and size of the protrusion, and considering other factors including your age and general health, the doctor may recommend surgery to reduce the risk of possible strangulation in the future.

The American College of Surgeons (ACS) advises that there two basic methods of surgery:

conventional surgery - which involves an incision in the abdomen. The protruding tissue is then either removed or pushed back into the abdomen and the abdominal wall repaired. If necessary, that section of the abdominal wall can be strengthened either by sewing surrounding muscle over it or by covering that section with a special type of mesh;

laparoscopic surgery - which uses a long metal tube inserted through a tiny incision in the abdomen. This minimally invasive surgical procedure uses telescopes and instruments that are much smaller than normal. If this procedure is appropriate for your condition, smaller incisions will be made and post-operative abdominal tenderness may be significantly reduced. The actual operation is much the same.

Statistics from ACS report that over half a million people undergo hernia surgery each year.

If you have had hernia surgery, or if you have been fortunate enough to avoid developing a hernia to date, there are some ways you can reduce your future hernia risk. This requires you to avoid those things that contribute to the development of hernias - as outlined earlier in this article. These include:

avoiding heavy lifting or strain;
as smoking often leads to chronic coughing, quitting smoking can help;
a high fiber diet combined with plenty of fluids can help avoid constipation and the consequent strain during bowel movements;
losing weight can reduce abdominal strain.

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Author: John Vanse has a network of health related websites providing information to help you establish and maintain a healthy lifestyle. Your Hernia Solutions The Better Health Guide

Taking Care Of A Hernia - Causes Of Hernia - Hernia Treatment 

A hernia can be a painful condition and affects most men, especially those who so not take care when exercising. A Hernia is typically a bulge of an internal organ through the membrane. … If we are to believe an in-depth study conducted by the American Centre For Disease Control and Prevention

recurrent hernia - prevention and treatment

methods were explored to improve surgeons education and look into the multifactorial etiologies to understand the biology of hernia recurrence better

recurrent hernia: prevention and treatment

publisher: springer isbn: 3540375457 isbn-13: 9783540375456 publication date: 12 june 2007 book descriptionrecurrence is a significant public health problem

Treatment and prevention of lymphorrhea after radical

Journal of Cancer Research & Clinical Oncology.

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A Hiatal Hernia Can Really Bite!

A hiatal hernia occurs when there is an abnormality in the abdomen in which a portion of the stomach protrudes through the diaphragm and up into the chest cavity.

There are two primary types of hiatal hernias.

The first type is known as the sliding hiatal hernia and is the most common type of hernias.

In the sliding hernia, the stomach and the section of the esophagus that connects to the stomach push slide up into the chest wall and through the weakened opening.

The second type of hiatal hernia is less common and is known as a paraesophageal hernia. Although less common, it is more serious than the sliding hiatal hernia.

With the paraesophageal hernia, the esophagus and stomach stay tucked into their traditional but a portion of the stomach manages to force its way through the hiatus and move into position next to the esophagus.

In this serious health condition you may exhibit no hiatal hernia symptoms but you could be experiencing a condition in which the blood supply to the stomach is literally cut off. This could lead to complications such as tissue death. This hiatal hernia could require surgical repair if it is serious enough.

Hiatal hernias develop for reasons including injuries to the area and performing bodily actions, such as pregnancy, weight gain, or even straining during a bowel movement, all of which can increase intrabdominal pressure. This increased pressure is thought to possibly contribute to the development of a hiatal hernia.

Some folks who suffer from a hiatal hernia may not experience obvious symptoms. Most commonly one of the initial symptoms of a hiatal hernia are symptoms similar to GERD otherwise known as gastroesophageal reflux disease.

These symptoms of hiatal hernia occur because the hernia interferes with proper functioning of the lower esophageal sphincter. When the sphincter works properly it keeps the stomach acid from refluxing upwards into the esophagus.

So you can get the picture, if it functions poorly the stomach acid pushes up and into the esophagus causing pain and irritation. Your physician may choose to order either an x-ray or endoscopy in order to definitively diagnose a hiatal hernia.

This abnormality in the esophagus must be properly diagnosed in order to effectively treat the underlying issue. It is important to note that some hiatal hernias can be rather serious and can even require surgical intervention. So if you are experiencing symptoms of GERD which may indicate a more serious hiatal hernia it is important that you see your healthcare provide in order to get a proper diagnosis. A hiatal hernia is not something that should be ignored, it is a serious matter and requires treatment.

By: Jeff Foster -

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For more information on healthy living, be sure to visit www.the-health-hub.com where you’ll find information on health topics such as hiatal hernias, back pain, fitness, diet & nutrition & more

Anybody with a hiatal hernia? - Lap Band Surgery and Lap Band
Anybody out there with a hiatal hernia before surgery OR found during surgery? I am suspect that I have one and my primary doc told me to go get a scope and have it checked out.

Is there any more pain if you have hiatal hernia repair with Lap
I am going to have my Lapband surgery next Monday, January 19th at Fair Oaks Hospital in Virginia. On my upper GI they found a small-moderate hiatal hernia which my surgeon will repair.

Caring for a Hiatal Hernia | Healthy and Green Living
Here is some information about what is a hiatal hernia, heartburn and acid reflux, how to control a hiatal hernia and is surgery necessary for a hiatal hernia.  

Hiatal Hernia symptom and treatment through surgery and diet …
Hiatal Hernia Treatment:A treatment is unnecessary if there are no signs and symptoms of Hiatal hernia; it’s required only when recurrent gastroesophageal reflux shows up as a sign and symptom of Hiatal hernia.

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Hernia -causes, Symptoms, Treatment

What is Hernia
A hernia is a protrusion of a tissue, structure, or part of an organ through the muscular tissue or the membrane by which it is normally contained. The hernia has three parts: the orifice through which it herniates, the hernial sac, and its contents.A hernia (rupture) is usually noticed as a lump, commonly in the groin or the umbilical region.It appears when a portion of the tissue which lines the abdominal cavity (peritoneum) breaks through a weakened area of the abdominal wall.

Causes of Hernia
Certain medical conditions. Having cystic fibrosis, a life-threatening disorder that causes severe lung damage and often a chronic cough, makes it more likely you’ll develop an inguinal herniaAnything that raises the pressure within the abdomen, such as heavy lifting (for example, weights or building materials), coughing, even straining on the toilet, can cause a weakness or tear in the abdominal wall.

Although abdominal hernias can be present at birth, others develop later in life. Some involve pathways formed during fetal development, existing openings in the abdominal cavity, or areas of abdominal wall weakness.

Sometimes, the intestines can get trapped in this muscular defect and cause umbilical pain and tenderness. This is called an incarcerated hernia and needs to be evaluated by a medical professional to prevent damage to the intestines.

Symptoms of Hernia
Upper endoscopy is more accurate than a barium swallow radiograph and may be performed in a hospital or a doctor’s office. The doctor may spray your throat to numb it and then, after lightly sedating you, will slide a thin, flexible plastic tube with a light and lens on the end called an endoscope down your throat. Acting as a tiny camera, the endoscope allows the doctor to see the surface of the esophagus and search for abnormalities.

A heavy feeling in the groin
Pain in the groin while standing or moving
Inguinal hernias appear as a bulge or swelling in the groin or scrotum. The swelling may be more noticeable when the baby cries, and may get smaller or go away when the baby relaxes. If your physician pushes gently on this bulge when the child is calm and lying down, it will usually get smaller or go back into the abdomen.

Hernia - Treatment

Laparoscopic hernia repair. Laparoscopic hernia repair is a newer method for repairing an inguinal hernia in adults. A surgeon inserts a thin, lighted scope through a small incision in the abdomen. Instruments to repair the hernia are inserted through other abdominal incisions.

Holding the hernia in by tape, bandages, or other means sometimes makes the person more comfortable but does not lower the risk of strangulation or allow the opening to close; therefore, these are not recommended treatments. Only umbilical hernias go away without treatment.

Newer hernia repair involves minimally invasive laparoscopic techniques. However, hernia operation with open techniques is still a valid option reaching the highest standards of care. Laparoscopic techniques of hernia repair are especially attractive when patients are dealing with recurrent hernias or bilateral inguinal hernias.

By: James Sameul

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Upper endoscopy is more accurate than a barium swallow radiograph and may be performed in a hospital or a doctor’s office. The doctor may spray your throat to numb it and then, after lightly sedating you, will slide a thin, flexible plastic tube with a light and lens on the end called an endoscope down your throat.

What is a hernia?
What are the symptoms of a hernia? Symptoms of a hernia include pain or discomfort and a localized swelling somewhere on the surface of the abdomen or in the groin area.

Learn What Abdominal Hernia Symptoms Are
For some people the hernia may in fact disappear without any type of medical treatment. You can try to push it back into place - but keep in mind that this does not always work and cannot always be done.

Health Plans Plus: Take Charge of Your Health Care Carnival
Joe Hayes presents Hernia Symptoms posted at Cats Love Plastic Bags, saying, "Some very useful symptoms and insight into the more common hernias and hernia treatments, including surgery."

Hernia Symptom: Sign of Hiatal, Inguinal and Umbilical
Hiatal Hernia Symptom: What occurs because of a portion of the stomach sliding through the diaphragmatic esophageal hiatus is going to show the signs for sure; it’s due to our own ignorance that we mistake the Hiatal Hernia symptoms

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Inguinal Hernia - Inguinal Hernias Information

A hernia is defined as a protrusion of a portion of an organ or tissue through an abnormal opening. For groin (inguinal or femoral) hernias, this protrusion is into a hernial sac. Whether or not the mere presence of a hernial sac (or processus vaginalis) constitutes a hernia is debated. Inguinal hernias in children are almost exclusively indirect type. Those rare instances of direct inguinal hernia are caused by previous surgery and floor disruption.

An indirect inguinal hernia protrudes through the internal inguinal ring, within the cremaster fascia, extending down the spermatic cord for varying distances. The direct hernia protrudes through the posterior wall of the inguinal canal, i.e., medial to deep inferior epigastric vessels, destroying or stretching the transversalis fascia. The embryology of indirect inguinal hernia is as follows: the duct descending to the testicle is a small offshoot of the great peritoneal sac in the lower abdomen.

During the third month of gestation, the processus vaginalis extends down toward the scrotum and follows the chorda gubernaculum that extends from the testicle or the retroperitoneum to the scrotum.

During the seventh month, the testicle descend into the scrotum, where the processus vaginalis forms a covering for the testicle and the serous sac in which it resides. At about the time of birth, the portion of the processus vaginalis between the testicle and the abdominal cavity obliterates, leaving a peritoneal cavity separate from the tunica vaginalis that surrounds the testicle.

Approximately 1-3% of children have a hernia. For infants born prematurely, the incidence varies from 3-5%. The typical patient with an inguinal hernia has an intermittent lump or bulge in the groin, scrotum, or labia noted at times of increased intra-abdominal pressure. A communicating hydrocele is always associated with a hernia. This hydrocele fluctuates in size and is usually larger in ambulatory patients at the end of the day. If a loop of bowel becomes entrapped (incarcerated) in a hernia, the patient develops pain followed by signs of intestinal obstruction. If not reduced, compromised blood supply (strangulation) leads to perforation and peritonitis. Most incarcerated hernias in children can be reduced.

The incidence of inguinal hernia (IH) in premature babies (9-11%) is higher than full-term (3-5%), with a dramatic risk of incarceration (30%). Associated to these episodes of incarceration are chances of: gonadal infarction (the undescended testes complicated by a hernia are more vulnerable to vascular compromise and atrophy), bowel obstruction and strangulation. Symptomatic hernia can complicate the clinical course of babies at NICU ill with hyaline membrane, sepsis, NEC and other conditions needing ventilatory support.
Inguinal Hernia symptom

Symptoms of an inguinal hernia may include:

* Groin discomfort or groin pain aggravated by bending or lifting
* A tender groin lump or scrotum lump
* A non-tender bulge or lump seen in children
* Heaviness, swelling, and a tugging or burning sensation in the area of the hernia, scrotum, or inner thigh.
* Discomfort and aching relieved only when the person lies down. This is often the case as the hernia grows larger.

Inguinal Hernia Repair - laparoscopic inguinal hernia repair

Repair should be undertaken before hospital discharge to avoid complications. Prematures have: poorly developed respiratory control center, collapsible rib cage, deficient fatigue-resistant muscular fibers in the diaphragm that predispose then to potential life-threatening post-op respiratory complications such as: need of assisted ventilation (most common), apnea and bradycardia, emesis, cyanosis and re-intubation (due to laryngospasm).

Outpatient repair is safer for those prematures above the 60 wk. of postconceptual age. The very low birth weight infant with symptomatic hernia can benefit from epidural anesthesia.
At times, the indirect inguinal hernia will extend into the scrotum and can be reduced by external, gentle pressure. Occasionally, the hernia will present as a bulge in the soft tissue overlying the internal ring. It is sometimes difficult to demonstrate and the physician must rely on the patient’s history of an intermittent bulge in the groin seen with crying, coughing or straining.

Independent risk factors associated to this complications are (1) history of RDS/bronchopulmonary dysplasia, (2) history of patent ductus arteriosus, (3) low absolute weight (< 1.5 Kg), and (4) anemia (Hgb < 10 gm- is associated to a higher incidence of post-op apnea). Postconceptual age (sum of intra- and extrauterine life) has been cited as the factor having greatest impact on post-op complications. These observation makes imperative that preemies (with post conceptual age of less than 45 weeks) be carefully monitored in-hospital for at least 24 hours after surgical repair of their hernias.
Inguinal Hernia treatment - inguinal hernia surgery

Elective herniorrhaphy at a near convenient time is treatment of choice. Since risk of incarceration is high in children, repair should be undertaken shortly after diagnosis. Simple high ligation of the sac is all that is required. Pediatric patients are allowed to return to full activity immediately after hernia repair. Patients presenting with incarceration should have an attempt at reduction (possible in greater than 98% with experience), and then admission for repair during that hospitalization. Bilateral exploration is done routinely by most experienced pediatric surgeons. Recently the use of groin laparoscopy through the hernial sac permits visualization of the contralateral side.

Approximately 1% of females with inguinal hernias will have the testicular feminization syndrome. Testicular feminization syndrome (TFS) is a genetic form of male pseudohermaphroditism (patient who is genetically 46 XY but has deficient masculinization of external genitalia) caused by complete or partial resistance of end organs to the peripheral effects of androgens. This androgenic insensitivity is caused by a mutation of the gene for androgenic receptor inherited as an X-linked recessive trait. In the complete form the external genitalia appear to be female with a rudimentary vagina, absent uterus and ovaries.

The infant may present with inguinal hernias that at surgery may contain testes. Axillary/pubic hair is sparse and primary amenorrhea is present. The incomplete form may represent undervirilized infertile men. Evaluation should include: karyotype, hormonal assays, pelvic ultrasound, urethrovaginogram, gonadal biopsy and labial skin bx for androgen receptor assay. This patients will never menstruate or bear children. Malignant degeneration (germ cell tumors) of the gonads is increased (22-33%). Early gonadectomy is advised to: decrease the possible development of malignancy, avoid the latter psychological trauma to the older child, and eliminate risk of losing the pt during follow-up. Vaginal reconstruction is planned when the patient wishes to be sexually active. These children develop into very normal appearing females that are sterile since no female organs are present.

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Inguinal hernia repair with the peduncled fascial flap a new 

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  Inguinal Hernia

 An inguinal hernia is an abnormal bulge, or protrusion, that can be seen and felt in the groin area (the area between the abdomen and the thigh).

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