Strangulated hernia

What is Strangulated hernia?

A hernia is the exit of an organ, such as the bowel, through the wall of the cavity in which it normally resides. Hernias come in a number of different types. Most commonly they involve the abdomen, specifically the groin. Groin hernias are most common of the inguinal type but may also be femoral. Other hernias include hiatus, incisional, and umbilical hernias. --> This may include pain or discomfort especially with coughing, exercise, or going to the toilet. Often it gets worse throughout the day and improves when lying down. A bulging area may occur that becomes larger when bearing down. Groin hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the bowel is blocked. This usually produces severe pain and tenderness of the area. Hiatus hernias often result in heartburn but may also cause chest pain or pain with eating.

Risk factors for the development of a hernia include: smoking, chronic obstructive pulmonary disease, obesity, pregnancy, peritoneal dialysis, collagen vascular disease, and previous open appendectomy, among others. --> It is unclear if groin hernias are associated with heavy lifting. Hernias can often be diagnosed based on signs and symptoms. Occasionally medical imaging is used to confirm the diagnosis or rule out other possible causes. The diagnosis of hiatus hernias is often by endoscopy.

Groin hernias that do not cause symptoms in males do not need to be repaired. Repair, however, is generally recommended in women due to the higher rate of femoral hernias which have more complications. If strangulation occurs immediate surgery is required. Repair may be done by open surgery or by laparoscopic surgery. Open surgery has the benefit of possibly being done under local anesthesia rather than general anesthesia. Laparoscopic surgery generally has less pain following the procedure. A hiatus hernia may be treated with lifestyle changes such as raising the head of the bed, weight loss, and adjusting eating habits. The medications, H2 blockers or proton pump inhibitors may help. If the symptoms do not improve with medications the surgery known as laparoscopic fundoplication may be an option.

About 27% of males and 3% of females develop a groin hernia at some time in their life. Inguinal, femoral and abdominal hernias resulted in 51,000 deaths in 2013 and 55,000 in 1990. The first known description of a hernia dates back to at least 1550 BC in the Ebers Papyrus from Egypt.

Questions and answers on "Strangulated hernia"

hi i had undergone hernia surgery for strangulated hernia with gangrene mesh was not putupit was successful but dr had to again open it due to...

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* There is only treatment in form of surgery for hernia ,...

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I am a 66 year old female, fairly healthy. I awakened this morning with what felt like a slight tugging on my right side, just above the top of my...

doctor1 MD

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Need to rule out Strangulated hernia

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The location of pain and acute...

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Recent questions on  Strangulated hernia

doctor1 MD

hi i had undergone hernia surgery for strangulated hernia with gangrene mesh was not putupit was successful but dr had to again open it due to...

doctor1 MD

I am a 66 year old female, fairly healthy. I awakened this morning with what felt like a slight tugging on my right side, just above the top of my...

doctor1 MD

I have a lump about three inches long on what I assume is my my left lower intestine. Looking at my frontal, the swelling starts at the...

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how do I select a specialist for a possible strangulated umbilical hernia in XXXXXXX XXXXXXX NC??

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MY SON, AGED 11 YRS HAS TO UNDERGO SURGERY FOR INGUINAL HERNIA..HE HAD TAKEN HOMEO TREATMENT FOR hYDROCELE( EARLIER IT WAS DIAGNOSED AS HYDROCELE),...

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