Upwards of 90,000 surgical operations are performed annually to correct various types of ventral hernias. These include epigastric, umbilical, inguinal and incisional types. These three defects are all located on the anterior abdominal wall in various regions due to a weakness that exist in the muscular layer of the region. If they intend on undergoing the corrective operation for ventral hernias Houston patients should understand a number of things beforehand.
Any of these problems can be seen at any age as long as the predisposing factors are present. A significant proportion are present from birth and indicate the presence of a congenital defect in the area that is affected. A few of the inguinal hernias seen at this age may vanish as the child grows especially if the defect is very small. For most of the others, however, surgery is required.
A hernia usually contains the contents of the underlying cavity. In this case, it contains intestinal loops and other tissues from the abdominal cavity. The presence of intestinal loops in the hernia sac puts them at risk of obstruction. When this happens, an emergency surgical operation is required. Without the operation part of the loops may have their blood supply cut off and they may lose viability.
There are a number of signs and symptoms that are associated with this condition. One of the commonest is the presence of a swelling in the affected area. The swelling will be seen intermittently as abdominal pressure increases and reduces. The pressure may increase when one bears down, coughs or lifts heavy items. Pain may also be experienced especially if the defect is restricting the movement of herniated structures.
Apart from taking your medical history, the doctor will also conduct a physical examination that is aimed at evaluating the problem further. Areas of interest will include the size, the location and the reducibility of the defect among others. Some investigations may be requested for in select cases. Such will include ultrasound scans and CT scan images. If a decision to have surgery is made, some blood tests will be done as well.
There are several treatment options that are used once the diagnosis has been confirmed. If the defect is small and with a low risk of being obstructed it may be managed through watchful waiting unless the patient wants the operation. All other types should be operated. There are two main types of surgical techniques that can be used. They include laparoscopic surgery and the open surgical technique.
The open technique is where a surgical incision is made near the hernia pouch to gain access to the defect. Once it is opened, a mesh is fitted near the defect to block the defect. An alternative is to close the defect using permanent sutures. In the laparoscopic technique, an instrument known as a laparoscope is inserted into the abdominal cavity using three ports. The defect is accessed from the inside and repaired through suturing or meshing.
It is important to note that there is no drug that can seal the defect in the anterior abdominal wall. If one wants to deal with this problem then surgery is a necessity. The operation itself is usually fairly simple and free of complications except in rare circumstances. Complications that may be encountered may include excessive blood loss, injury to structures such as the balder and intestines and infections.
Any of these problems can be seen at any age as long as the predisposing factors are present. A significant proportion are present from birth and indicate the presence of a congenital defect in the area that is affected. A few of the inguinal hernias seen at this age may vanish as the child grows especially if the defect is very small. For most of the others, however, surgery is required.
A hernia usually contains the contents of the underlying cavity. In this case, it contains intestinal loops and other tissues from the abdominal cavity. The presence of intestinal loops in the hernia sac puts them at risk of obstruction. When this happens, an emergency surgical operation is required. Without the operation part of the loops may have their blood supply cut off and they may lose viability.
There are a number of signs and symptoms that are associated with this condition. One of the commonest is the presence of a swelling in the affected area. The swelling will be seen intermittently as abdominal pressure increases and reduces. The pressure may increase when one bears down, coughs or lifts heavy items. Pain may also be experienced especially if the defect is restricting the movement of herniated structures.
Apart from taking your medical history, the doctor will also conduct a physical examination that is aimed at evaluating the problem further. Areas of interest will include the size, the location and the reducibility of the defect among others. Some investigations may be requested for in select cases. Such will include ultrasound scans and CT scan images. If a decision to have surgery is made, some blood tests will be done as well.
There are several treatment options that are used once the diagnosis has been confirmed. If the defect is small and with a low risk of being obstructed it may be managed through watchful waiting unless the patient wants the operation. All other types should be operated. There are two main types of surgical techniques that can be used. They include laparoscopic surgery and the open surgical technique.
The open technique is where a surgical incision is made near the hernia pouch to gain access to the defect. Once it is opened, a mesh is fitted near the defect to block the defect. An alternative is to close the defect using permanent sutures. In the laparoscopic technique, an instrument known as a laparoscope is inserted into the abdominal cavity using three ports. The defect is accessed from the inside and repaired through suturing or meshing.
It is important to note that there is no drug that can seal the defect in the anterior abdominal wall. If one wants to deal with this problem then surgery is a necessity. The operation itself is usually fairly simple and free of complications except in rare circumstances. Complications that may be encountered may include excessive blood loss, injury to structures such as the balder and intestines and infections.
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