A hernia is an abnormal projection of internal organs through an abnormal opening in the wall of the cavity. A combination of increased pressure inside the body with weakness in the wall is responsible for this condition. In this condition, internal organs or corridor of organs are beetled out forming a lump which will increase the size with coughing and lifting weight, and while passing coprolite and urine. In lying down position the lump goes outside except in strangulated and small hernia.
| Umbilical & Abdominal Hernia |
CAUSES-
a- Natural weakness.
b-Acquired weakness due to injuries, wasting of muscles, suppurative lesions in the wall and presence of weak natural openings, rotundity, lack of exercise, repeated gestation.
c-Surgical operation with indecorous suturing or sepsis of operating point.
a) Habitual constipation.
b) Intermittent cough.
c) Weight lifting.
d) Stricture of the urethra.
a) Inguinal hernia
Then the abdominal contents bag through the inguinal conduit ( passage in the lower abdominal wall just above the inguinal ligament. It’s seen on either side). This type is common in males. Initially, the lump comes only while straining and goes back while lying down. Latterly the large portion of the intestine may come out which may not go back fluently.
b) Femoral hernia
This type of hernia is more females. Here the abdominal contents pass through the femoral conduit which is seen just below the junction between the ham and lower abdominal wall (Inside the femoral triangle). The contents pass down and come out through the saphenous opening in the ham and form a swelling under the skin.
e) Epigastric hernia
Then the herniation occurs in the epigastrium. It’s a rare type.
f) Lumbar hernia
Then the hernia appears in the lumbar area on either side of the lumbar chine (in the lumbar triangle). This is also a rare type.
g) Obturator hernia
This is a rare type of hernia. Then the contents pass through the obturator foramen in the pelvic bone.
Complications of hernia-–
| Abdominal and Pelvic hernia |
If there’s strangulation with the death of a portion of the intestine there will be a spread of infection to the tummy performing in peritonitis.
Treatment of hernia-–
Original treatment In the original stages of hernia the following way may be useful
1– Use of hernia belt
Special types of hernia belts are available for each type of hernia. This will help the projection and will reduce pain.
2-Constipation, intermittent cough, urinary inhibition ect should be treated.
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