Because of the weakness of the abdominal wall some internal organs especially intestines bulge into the peritoneum. This type of hernia is an uncomplicated case because the organs can be manipulated back into the body. Even so no one can guarantee that these organs will stay in place without surgical help. This type of hernia is termed a reducible hernia.
There are two more levels of hernia. The second type of hernia is incarcerated hernia. In these cases the intestines bulge and become trapped. This type of hernia may lead to gangrene if the hernia gets strangulated (if the blood supply to the incarcerated hernia is shut off). Strangulated hernia represents the third level of hernia.
Incarcerated and strangulated hernias need surgical interventions. These are considered medical emergencies and need to be corrected in time. That is why doctors recommend a surgical intervention in the first phase, even though reducible hernia causes no pain to the patient.
Hernia is a problem that can be treated. Its repair may be performed under local or general anesthesia. Even though is a safe surgery, hernia repair is not recommended for all the patients. Many factors may influence the choice of having a surgical intervention. These factors include age, health the type of hernia. Complications may occur if the patient is a smoker or an alcoholic.
Depending on the factors mentioned earlier patients may be able to leave the hospital even the second day after the surgery. When complications occur the patient must be hospitalized more than tree days.
There are two ways of repairing hernia. The first one is used for the simple hernias and is called herniorraphy. This procedure will make possible the return of the intestines to their proper place and a strengthening of the abdominal wall. For larger hernias hernioplasty is used. This procedure includes the usage of a plastic or steel mesh that is added to the abdominal wall.
We know five kinds of common hernia repairs. These are named after the closest organ next to the hernia. Femoral hernia repair is called this way because the hernia occurs near the spot where the femoral artery passes from the leg to the trunk of the body. We should also mention inguinal hernia repair, umbilical hernia repair, incisional hernia repair and hiatal hernia repair.
Pain After Hernia Repair
While a defect in the muscle wall of the abdomen appears, parts of internal organs, especially intestines, are pushed through, developing hernia. The problem is caused either because of genetic factors or because mechanical ones such as heavy lifting. Hernia may occur in both men and women or children and adults. The main solution for hernia is surgery. We know three types of hernias. The first type is termed as reducible hernia. This is an uncomplicated form of hernia that does not cause discomfort. The other two levels of hernia complete the more complicated phases of this problem. Incarcerated hernia represents the case when intestines bulge become trapped. When to the bulge the blood stops pumping we have a strangulated hernia. This complication is not so often occurred because nowadays hernia is repaired early on.
Talking about inguinal hernias we have to say that it occurs because of a defect in the groin. Inguinal hernia is not the result of individual weakness. This form of hernia rather occurs at people that develop a physical work. Men are more prone to develop inguinal hernia at almost any age. The statistics show us that about 95 % of the people that need inguinal hernia repair are men.
We also know two other forms of hernia. Femoral hernia is named this way because of the organ that is next to. It occurs near the spot where femoral artery passes from the leg to the trunk of the body. Incisional hernia occurs elsewhere in the abdominal wall because of a scar or a previous incision.
About inguinal hernia people should know that it can be repaired with the help of an incision in the groin. This incision that measures 10 to 14 cm long will extend through muscle layers for the defect muscle to be isolated and closed. New techniques involve the usage of a mesh to patch the hernia.
Another known technique is the laparoscopic hernia repair. It does not involve a large skin and muscle cut but unwanted problems during the procedure may occur. The positive thing about this technique is the usage of a small incision and the decreased postoperative pain.
The laparoscopic operation consists of the incision of a laparoscope connected to a monitor. Two smaller incisions are done and then a patch of mesh is applied over the exposed defect. The mesh allows patients to leave hospital after only a few days permitting an immediate return to normal activities.
Even though it has a quick effect the laparoscopic technique involves a higher risk because surgeons are guided by what they see in the monitor and problems may anytime occur because of that.