A Few Concepts On Hernia Valley Stream NY Patient May Find Beneficial
Hernias can be defined as swellings on the skin surface as a result of abdominal contents breaching the abdominal wall. A hernia is classically made up of a neck which fans out to form the body that holds the protruding contents within the sac as whole. Generally, most contain intestines even though they could also contain the stomach or other abdominal organs. These are some of the basic principles on hernia Valley Stream NY residents may be interested in.
Whether a hernia is reducible or not is determined by the ability of the swelling being able to disappear spontaneously or when purposefully pushed in. The doctor observes the protrusion with the patient standing and when they are lying down. Given a choice, it is better to get a reducible hernia than an irreducible one which is not only uncomfortable but is at risk of being twisted.
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.
When a hernia is described as obstructed, particularly one containing intestines, it means that bowel contents can no longer pass down the canal with ease. The affected patient will complain of frequent bouts of vomiting and difficulty in passing stool. The examiner will also note that the abdomen is distended and peristalsis may be visible from the skin surface. This needs to be addressed urgently otherwise it can lead to perforation and further widespread damage.
Another way to classify these swellings is with regard to their site. For instance, those in the inguinal region are called inguinal hernias, those passing through the femoral canal are called femoral while those passing through the diaphragm are referred to as diaphragmatic, and so on and so forth. The inguinal types are arguably the most familiar because they occur more frequently. They can sub classified as direct or indirect. Femoral forms are typical in the female gender.
Increased abdominal pressure due to one reason or the other contributes to weakening of the abdominal muscular wall and hence a tendency of organs to bulge through. This may occur when one strains every time they pass stool because of constipation from low fiber diet, when they use some drugs or due to dehydration. People with lower urinary tract obstruction also tend to strain during urination and are therefore also predisposed to developing this problem. Cigarette smoking, weight lifting, obesity and pregnancy are also part of this list.
Surprisingly, some people may get hernias and yet have none of the common risk factors. Such people could be having some abnormality in their connective tissue that makes it weak. More often than not, they get umbilical hernias which is especially common in the young population. Lucky enough, most of them regress spontaneously.
Management of hernias involves incision of the sac and return of contents back to their rightful place in the abdominal cavity, after which the defect is corrected using a special patch, much stronger than the original tissue. This greatly reduces the risk of the the problem recurring. The whole procedure is called herniorraphy and is usually done when the patient is fully anaesthetized.
Whether a hernia is reducible or not is determined by the ability of the swelling being able to disappear spontaneously or when purposefully pushed in. The doctor observes the protrusion with the patient standing and when they are lying down. Given a choice, it is better to get a reducible hernia than an irreducible one which is not only uncomfortable but is at risk of being twisted.
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.
When a hernia is described as obstructed, particularly one containing intestines, it means that bowel contents can no longer pass down the canal with ease. The affected patient will complain of frequent bouts of vomiting and difficulty in passing stool. The examiner will also note that the abdomen is distended and peristalsis may be visible from the skin surface. This needs to be addressed urgently otherwise it can lead to perforation and further widespread damage.
Another way to classify these swellings is with regard to their site. For instance, those in the inguinal region are called inguinal hernias, those passing through the femoral canal are called femoral while those passing through the diaphragm are referred to as diaphragmatic, and so on and so forth. The inguinal types are arguably the most familiar because they occur more frequently. They can sub classified as direct or indirect. Femoral forms are typical in the female gender.
Increased abdominal pressure due to one reason or the other contributes to weakening of the abdominal muscular wall and hence a tendency of organs to bulge through. This may occur when one strains every time they pass stool because of constipation from low fiber diet, when they use some drugs or due to dehydration. People with lower urinary tract obstruction also tend to strain during urination and are therefore also predisposed to developing this problem. Cigarette smoking, weight lifting, obesity and pregnancy are also part of this list.
Surprisingly, some people may get hernias and yet have none of the common risk factors. Such people could be having some abnormality in their connective tissue that makes it weak. More often than not, they get umbilical hernias which is especially common in the young population. Lucky enough, most of them regress spontaneously.
Management of hernias involves incision of the sac and return of contents back to their rightful place in the abdominal cavity, after which the defect is corrected using a special patch, much stronger than the original tissue. This greatly reduces the risk of the the problem recurring. The whole procedure is called herniorraphy and is usually done when the patient is fully anaesthetized.
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