| |
|
|
|
|
|
|
| WHAT
IS HERNIA? |
| A hernia occurs when the contents of a body cavity bulge
out of the area where they are normally
contained. These contents, usually portions of
intestine or abdominal fatty tissue, are often
enclosed in the thin membrane that naturally
lines the inside of the cavity. Although the
term hernia can be used for
bulges in other areas, it most often is used to
describe hernias of the
lowertorso (abdominal wall hernias}. hernias by themselves usually
are harmless, but nearly all have a potential
risk of having their blood supply cut off
(becoming strangulated). If the hernia sac contents have their
blood supply cut off at the hernia opening in the abdominal
wall, it becomes a medical and surgical
emergency. |
|
| WHAT
ARE THE COMMON TYPES? |
The common types of hernias
are present in the groin (inguinal), belly
button (umbilical) and the site of a previous
operation (incisional). There are many more
types but those are
rare. |
|
| WHY
DOES A HERNIA OCCUR? |
Most of the time, hernias
develop when pressure in the
compartment of
the residing organ is increased, and the
boundary i s weak or weakened.
By far most hernias develop in the abdomen,
when a weakness in the abdominal wall evolves
into a localized hole, or "defect", through
which fatty tissue, or abdominal organs covered
with peritoneum, may protrude. Another common hernia involves the
intervertebral disc, and causes back pain or
sciatica. Any condition that increases the
pressure of the abdominal cavity may contribute
to the formation or worsening of a hernia. For example: obesity ,
heavy lifting, coughing, straining during a
bowel movement or urination and ch ronic lung d
i seaie
|
|
| WHAT
ARE ITS SYMPTOMS? HOW CAN IT BE
DETECTED? |
hernias may be present
either with pain at the site, a visible or
palpable lump or in some cases by more vague
symptoms resulting from pressure on an organ
which has become "stuck" in the hernia, sometimes leading to
organ dysfunction. Fatty tissue usually enters a hernia first, but it may be
followed by or accompanied by an
organ, |
|
| WHEN
TO SEEK MEDICAL CARE? |
All newly diStovered hernias
or symptoms that suggest you
might have a hernia should prompt a visit to
the doctor. hernias, even those
that ache, if they are not tender and easy to
reduce (push back into the abdomen), are not
surgical emergencies, but all have the potential
to become serious. Referral to a surgeon should
generally be made so that you can have surgery
by choice (called elective surgery) and avoid
the risk of emergency surgery should your hernia become irreducible or
strangulated.
If you find a new, painful,
tender, and irreducible lump, it's
possible
you may have an irreducible hernia, and you should have it
checked in an emergency setting. If you already
have a hernia and it suddenly
becomes painful, tender, and irreducible, you
should also go to the emergency department.
Strangulation (cut off blood supply) of
intestine within the hernia sac
can lead to gangrenous (dead) bowel in as little
as 6 hours. Not all irreducible hernias are strangulated, but
all cases of strangulation are irreducible hernias. |
|
| WHEN
SHOULD HERNIA BE TREATED? |
In general, all hernias should be repaired
unless severe preexisting medical
conditions make surgery unsafe. Once hernia is detected, it should
be treated as early as possible. Surgery is the
only cure for majority of hernias. This ensures best
results. Moreover, early operation will
prevent complications like obstructions and
strangulation. Surgical results of large hernias are not as good as the
result of an early operation
when hernia is
small. |
|
| WHAT
IS STRANGULATION OF HERNIA? |
Strangulation of hernia is a
surgical emergency. The hernia becomes very painful, does not reduce and the
overlying skin becomes red. The patient will
require hospitalisation and Immediate
surgery, |
|
| WHAT
ARE THE TYPES OF SURGERY AVAILABLE FOR TREATING
HERNIAS? |
The
types of surgery available for treating hernia are:
Laparoscopic
surgery (also known as Minimal Access
Surgery/Minimal Invasive Surgery yEndoscopic
Surgery)
Conventional (open)
Surgery
|
|
| HOW
IS LAPAROSCOPIC/ENDOSCOPIC REPAIR FOR HERNIA
PERFORMED? |
Three (5-10) mm siied incisions are made and
cannulas (a small hollow tube) are placed in
them, A laparoscope (a long narrow telescope)
connected to a special camera is inserted
through a cannula, allowing the surgeon to view
the hernia and surrounding area
on a video screen. Other cannulas are inserted
which allow the surgeon to work "inside." A
piece of surgical mesh is fixed over the hernia defect and held in place
with small surgical
staples. |
|
| WHAT
ARE THE ADVANTAGES OF LAPAROSCOPIC/ENDOSCOPIC
SURGERY OVER CONVENTIONAL SURGERY? |
| Endoscopic surgery causes much less
pain and patients are mobile within hours after
surgery. They are also allowed to resume all
activities much earlier and can go back to work
within 5-7 days. Another advantage is that both
sides can be operated in the same sitting
without any extra pain or stay. The cosmetic
results are excellent. Contrary to common belief
a mesh can also be placed in laparoscopic
procedures |
|
| HOW
SAFE ISTHE ENDOSCOPIC SURGERY? |
| If
done by a well trained surgeon in a well
equipped centre it is a safe surgery with
excellent results |
|
| WHAT
HAPPENS AFTER ADMISSION FOR SURGERY? |
Patients are admitted to the hospital on
thedayofsurgeryora day prior to surgery, On
admission patients are examined and
investigations reviewed by one of the members of
the surgica! team. A member of the anaesthesia
team conducts the pre anaesthetic
check-upSL
Pre-operative investigations are
performed rf needed. Patients need to be fasting
overnight for the surgery.
Next morning, the
patient is shifted to the operating theatre half
an hour prior to surgery. After surgery, he/she
is shifted to the recovery room for 2-4 hrs
under the care of our anaesthesia team. It takes
about 4-3 hours before the patient comes back to
his or her room.
The patient is given a
normal meal for a dinner and discharged from
hospital after a visit by one of the surgery
team members*. On discharge, a discharge summary
with medication advised is handed over to the
patient. |
|
|
|
|
|
|
|
|
| |
|
|
| |
|
|
|
|
| |
|
| |
| |
| Hernia, Hernia Surgery, Hernia Surgery
Hospital, Hernia Surgery Center, Hernia Symptoms, Hernia
Treatment, Hernia Operations |
   |
|