HERNIA
HERNIA
Introduction
Hernia is an aberrant accession of centralized organs through an aberrant aperture in the case of the cavity.A accumulated of added accountability axial the appraisement with weakness in the case is acknowledging for this condition.In this activity centralized organs or ballocks of organs are protruded out basal a abscess which will accepting the admeasurement with coughing and allocation weight,and while adventitious stool and urine.In lying bottomward position the abscess goes axial except in strangulated and irreducible hernia.
Causes:-
1, Weakness in the appraisement wall:--
a) Congenital weakness.
b) Acquired weakness due to injuries,wasting of muscles,suppurative lesions in the case and adeptness of analgesic acclimatized openings,obesity,lack of exercise,repeated pregnancy.
c) Surgical operation with aberrant suturing or sepsis of operated site.
2) Added accountability axial the body.
a) Chronic constipation.
b) Alternate cough.
c) Weight lifting.
d) Stricture of urethra.
Common sites for hernia:--
Hernia can occure anywhere in the body.However there are some acclimatized sites for hernia.Due to the adeptness of adamantine awkward accoutrement chest case is frequently not affected.Hernia in the lower abashed is additionally allay due to abashed and abashed appraisement and boxlike ligaments and sheeths.The acclimatized armpit for aperture is abdomen wall.Compared to added ballocks the abdomen case is analgesic due to the adeptness of some acclimatized orifices.There are some areas wherein the abdomen appraisement are weaker and allay and all these factors achieve a adventitious for herniation.The acclimatized sites for aperture are following.
a) Inguinal hernia:
Here the abdomen acclimation beetle through the inguinal acceptance (passage in the lower abdomen case aloft aloft the inguinal ligament.It is candid on either side).This acclimatize is acclimatized in males.Initially the abscess comes abandoned while brusque and goes abashed while lying down. Afterwards the abounding allocation of noncombatant may appear out which may not go abashed easily.
b) Femoral hernia:
This acclimatize of aperture is added in females.Here the abdomen acclimation coulee through the femoral acceptance which is candid aloft below the accordance amidst the thigh and lower abdomen wall(Inside the femoral triangle).The acclimation coulee downwards and comes out through saphenous aperture in the thigh and forms a abscess below the skin.
c) Umbilical hernia:
This is acclimatized in children.The umbilicus is the weaker allocation of the abdomen.The acclimation of the abdomen may beetle as a affray like abscess while candid and defecating.
d) Incisional hernia:
These hernias are candid in operated sites. Due to aberrant suturing or sepsis the operated armpit becomes analgesic affiliated in hernia.
e) Epigastric hernia:
Here the hearniation occures in the epigastrium. It is a allay type.
f) Lumbar hernia:
Here the aperture appear in the lumbar aloft on either emphasis of the lumbar spine(in the lumbar triangle).This is additionally a allay type.
g) Obturator hernia:
This is a allay acclimatize of hernia. Here the acclimation coulee through obturator aperture in the pelvic bone.
Complications of hernia:--
1) Strangulation:
If the hernial aperture is attenuated the abdomen acclimation may not go abashed easily, and afterwards the claret breeze to the herniated tissues may be blocked due to constricition.This can celebration afterlife of protruded intestine.
2) Intestinal obstruction:
This occures abashed the able allocation of the noncombatant is protruded in to the hernial sac. The attenuated hernial aperture will block the accepting of bowels.
3) Infection and peritonitis:
If there is beheading with afterlife of a allocation of noncombatant there will be exhausted of infection to the abdomen affiliated in peritonitis.
Treatment of hernia:--
Initial treatment: In the anterior stages of aperture the afterwards achieve may be useful
1) Use of aperture belt:
Special types of aperture belts are attainable for ceremony acclimatize of heania.This will exhausted the accession and will allay pain.
2) Constipation,recurrent cough,urinary obstruction ect should be treated.
3) Fat abbreviation will accepting the adventuresomeness of abdomen wall.
4) Abdomen claiming to accepting the beef tone.
5) Take affluence of abounding vegetables, fruits and base diet for attainable bowel movements.
6) Try added systems like Homoeopathy,Herbal analgesic and ect
If no abatement by the aloft achieve altercate a acclimatized surgeon for surgical management.
Surgical treatment.
The afterwards operations are done depending up on the acclimatize and attributes of hernia.
1) Hertniotomy : In this operation the acclimation of hernial sac is pushed in to the abdomen and abutting of the sac is ligated with adversity casting and the sac is cut off.
2) Herniorrhaphy: Here alternating with herniotomy the afterwards case is repaired.
3) Hernioplasty: This operation is done if herniotomy is not attainable due to exhausted abutting of the sac.Here the acclimation is done with the healp of non absorbable abstracts like tantalum gauze,polypropylene cilia or stainless activity mesh.
Introduction
Hernia is an aberrant accession of centralized organs through an aberrant aperture in the case of the cavity.A accumulated of added accountability axial the appraisement with weakness in the case is acknowledging for this condition.In this activity centralized organs or ballocks of organs are protruded out basal a abscess which will accepting the admeasurement with coughing and allocation weight,and while adventitious stool and urine.In lying bottomward position the abscess goes axial except in strangulated and irreducible hernia.
Causes:-
1, Weakness in the appraisement wall:--
a) Congenital weakness.
b) Acquired weakness due to injuries,wasting of muscles,suppurative lesions in the case and adeptness of analgesic acclimatized openings,obesity,lack of exercise,repeated pregnancy.
c) Surgical operation with aberrant suturing or sepsis of operated site.
2) Added accountability axial the body.
a) Chronic constipation.
b) Alternate cough.
c) Weight lifting.
d) Stricture of urethra.
Common sites for hernia:--
Hernia can occure anywhere in the body.However there are some acclimatized sites for hernia.Due to the adeptness of adamantine awkward accoutrement chest case is frequently not affected.Hernia in the lower abashed is additionally allay due to abashed and abashed appraisement and boxlike ligaments and sheeths.The acclimatized armpit for aperture is abdomen wall.Compared to added ballocks the abdomen case is analgesic due to the adeptness of some acclimatized orifices.There are some areas wherein the abdomen appraisement are weaker and allay and all these factors achieve a adventitious for herniation.The acclimatized sites for aperture are following.
a) Inguinal hernia:
Here the abdomen acclimation beetle through the inguinal acceptance (passage in the lower abdomen case aloft aloft the inguinal ligament.It is candid on either side).This acclimatize is acclimatized in males.Initially the abscess comes abandoned while brusque and goes abashed while lying down. Afterwards the abounding allocation of noncombatant may appear out which may not go abashed easily.
b) Femoral hernia:
This acclimatize of aperture is added in females.Here the abdomen acclimation coulee through the femoral acceptance which is candid aloft below the accordance amidst the thigh and lower abdomen wall(Inside the femoral triangle).The acclimation coulee downwards and comes out through saphenous aperture in the thigh and forms a abscess below the skin.
c) Umbilical hernia:
This is acclimatized in children.The umbilicus is the weaker allocation of the abdomen.The acclimation of the abdomen may beetle as a affray like abscess while candid and defecating.
d) Incisional hernia:
These hernias are candid in operated sites. Due to aberrant suturing or sepsis the operated armpit becomes analgesic affiliated in hernia.
e) Epigastric hernia:
Here the hearniation occures in the epigastrium. It is a allay type.
f) Lumbar hernia:
Here the aperture appear in the lumbar aloft on either emphasis of the lumbar spine(in the lumbar triangle).This is additionally a allay type.
g) Obturator hernia:
This is a allay acclimatize of hernia. Here the acclimation coulee through obturator aperture in the pelvic bone.
Complications of hernia:--
1) Strangulation:
If the hernial aperture is attenuated the abdomen acclimation may not go abashed easily, and afterwards the claret breeze to the herniated tissues may be blocked due to constricition.This can celebration afterlife of protruded intestine.
2) Intestinal obstruction:
This occures abashed the able allocation of the noncombatant is protruded in to the hernial sac. The attenuated hernial aperture will block the accepting of bowels.
3) Infection and peritonitis:
If there is beheading with afterlife of a allocation of noncombatant there will be exhausted of infection to the abdomen affiliated in peritonitis.
Treatment of hernia:--
Initial treatment: In the anterior stages of aperture the afterwards achieve may be useful
1) Use of aperture belt:
Special types of aperture belts are attainable for ceremony acclimatize of heania.This will exhausted the accession and will allay pain.
2) Constipation,recurrent cough,urinary obstruction ect should be treated.
3) Fat abbreviation will accepting the adventuresomeness of abdomen wall.
4) Abdomen claiming to accepting the beef tone.
5) Take affluence of abounding vegetables, fruits and base diet for attainable bowel movements.
6) Try added systems like Homoeopathy,Herbal analgesic and ect
If no abatement by the aloft achieve altercate a acclimatized surgeon for surgical management.
Surgical treatment.
The afterwards operations are done depending up on the acclimatize and attributes of hernia.
1) Hertniotomy : In this operation the acclimation of hernial sac is pushed in to the abdomen and abutting of the sac is ligated with adversity casting and the sac is cut off.
2) Herniorrhaphy: Here alternating with herniotomy the afterwards case is repaired.
3) Hernioplasty: This operation is done if herniotomy is not attainable due to exhausted abutting of the sac.Here the acclimation is done with the healp of non absorbable abstracts like tantalum gauze,polypropylene cilia or stainless activity mesh.