Wednesday, 18 March 2015

Laparoscopic Hernia Repair

What is hernia and causes or symptom? A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in p... thumbnail 1 summary
What is hernia and causes or symptom?

A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place.
Hernia Symptoms in the beginning

For example, the intestines may  break through a weakened area in the abdominal wall.
Hernias are  most common in the  abdomen. However, they can also appear in the upper thigh, belly button, and  groin regions.  Though the majority of hernias are not immediately life threatening, they will not go away on their own and will require surgical correction to prevent potentially dangerous complications.


Type of Hernia

Inguinal

Inguinal hernias are the most common type of hernia. They make up about 70 percent of all hernias, according to the British Hernia Centre (BHC). These hernias occur when the intestines push through a weak spot or tear in  the lower abdominal wall, often in the inguinal canal.
The inguinal canal is  found in the groins of both men and women. In men, it is the area where the spermatic cord passes from  the abdomen to the scrotum. This cord holds up the testicles. In women, the  inguinal canal contains a  ligament that helps to hold the uterus in place.
This type of hernia is more  common in men than in women. This is because a man’s testicles descend  through the inguinal canal shortly after birth, and the canal is supposed to close almost completely   behind them. Sometimes, the canal does not close properly, leaving a weakened spot prone to hernias.

Hiatal

A hiatal hernia  occurs when part of your stomach protrudes up through the diaphragm into the chest. The diaphragm is  a sheet of  muscle that helps you breathe by contracting, drawing air into the lungs. It separates  the organs in your  abdomen from those in your chest.
This type  of hernia is most common in  patients over 50 years old. If a child has the condition, it is typically  caused by a congenital (birth) defect.  Hiatal hernias almost always cause gastroesophageal reflux (when the stomach contents leak backward into the esophagus, causing a burning sensation).

Umbilical

Umbilical hernias occur in  babies and children under six months of age if their intestines bulge through the abdominal wall near  the bellybutton. Parents may notice a bulge in or near their child’s bellybutton, especially when  the child is  crying.
An umbilical hernia is the only  kind that usually goes away on its own, typically by the time the child is one year old. If the hernia has not  gone away by this point, surgery may be used to correct it.

Incisional

Incisional  hernias  can occur after you have abdominal surgery. Your intestines may push through the incision scar or the surrounding,   weakened tissue.


Causes of Hernia Especially Men Health?

Hernias are caused by a combination of muscle weakness and strain. A hernia can develop quickly or over a long period of time, depending on its cause.
Common causes of muscle weakness include:
  • failure  of the abdominal wall to close properly in the womb (congenital defect)
  • age
  • chronic  coughing
  • damage  from injury or surgery
Factors that strain your body and may cause a hernia (especially if your muscles are weak) include:
  • being pregnant  (puts pressure on your abdomen)
  • being constipated (causes you to strain when having a bowel movement)
  • heavy weight  lifting
  • fluid in the abdomen (ascites)
  • suddenly   gaining weight
  • persistent coughing or sneezing
In some cases, hernias have no   symptoms. You may  not know you have a hernia unless it shows up during a routine physical or a medical  exam for an unrelated problem. 


Diagnose your target area from Hernia

     Your doctor will likely diagnose an inguinal or occasional hernia by performing a physical examination. Your doctor may feel for a bulge in your abdomen or groin that gets larger when you stand, cough, or strain.

     If you have a hiatal hernia, it may be diagnosed with a barium X-ray or endoscopy. These tests allow your doctor to see the location of your stomach inside your body. A barium X-ray is a series of X-ray pictures of your digestive tract that are recorded after you've drunk a liquid solution containing barium, which shows up well on X-ray images.
   
An endoscopy involves threading a small camera attached to a tube down your throat and into your esophagus  and stomach.
If your child has an umbilical hernia, your doctor may perform an ultrasound. An ultrasound uses high-frequency sound waves to create an image of the structures inside the body.

Watch your Hernia from infect your life

Based on the size of your hernia and the severity of your symptoms, you may not need treatment. Your doctor may simply  monitor your hernia for possible complications.

     The symptoms of a hiatal hernia can often be treated by simply changing your diet. Avoid large or heavy  meals, don’t lie down or bend over after a meal, and keep your body weight in a healthy range. If these changes in diet  do not eliminate your discomfort, you may need surgery to correct the hernia.
If your  hernia is growing larger or causing you pain, your doctor may decide that it’s best to operate. Your doctor may repair your hernia by sewing the hole in  the abdominal wall closed during surgery. However, the more  common treatment for  hernias is to patch the hole with surgical mesh.

     Hernias can be  repaired with either open or laparoscopic surgery. Laparoscopic surgery uses a tiny camera and  miniaturized surgical equipment to repair the hernia using only a few small incisions. Laparoscopic  surgery is less damaging to the surrounding tissue.

      Open surgery requires a longer  recovery process. You may be unable to move around normally for up to six weeks. Laparoscopic surgery has a much shorter recovery time. However, the risk of your hernia reoccurring  is higher. In   addition, not all hernias are suitable for   laparoscopic repair, including those in  which a portion of your  intestines has  moved down into the scrotum.

You can’t always  prevent  the muscle weakness that allows a hernia to occur. However, you can reduce the amount  of strain you  place on your body. This may help you avoid a hernia or keep an existing hernia from   getting worse. Prevention tips include:
  • not smoking
  • seeing your doctor  when you are sick to avoid developing a persistent cough
  • maintaining a healthy  body weight
  • avoiding straining during  bowel movements or urination
  • not lifting weights that are too heavy for you and lifting with your knees, not your back. 



Avoid from to be victim of Hernia

     If left untreated, your hernia will probably grow larger and more painful. A portion of your intestine could become trapped,  or “incarcerated,” in the abdominal wall. This can obstruct your bowel, causing severe pain, nausea, and  constipation.
     If the trapped section of intestine cannot receive enough blood  flow, “strangulation” occurs. This can cause the intestinal tissue to become infected or die and is a life threatening medical emergency.





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