Hernias are swellings or bulges on the skin usually due to the pressure of underlying structures being pushed through an area of weakness in the abdominal muscles. Ventral hernias are those that are located in the anterior abdominal wall. They include incisional, epigastric, umbilical and inguinal hernias. If they have been diagnosed with ventral hernias Houston residents need to know a number of things even as they consider undergoing treatment.
The onset of these defects can be at any time. A significant number are seen at birth due to a congenital anatomical defect. Those that fall in this category are usually corrected during childhood. Some tend to resolve without treatment as the child continues to grow. Some follow conditions that weaken the abdominal muscles such as pregnancy and surgeries. Increase physical activity such as heavy lifting aggravates the problem.
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.
The most obvious sign of these defects is a visible swelling in an area of the abdominal wall. This swelling is most prominent when there is an increase in abdominal pressure such as when one bears down or coughs. Pain is also a possible symptom but is not always present especially if there is a large defect. Other symptoms may include vomiting (when intestinal obstruction sets in) and constipation.
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 a number of approaches to treatment that exist. Watchful waiting is adopted for patients who have small, reducible hernias that have no associated symptoms and have a low risk of becoming obstructed. Surgery may be carried out, however, if the patient requests. Two main types of surgery exist: the open technique and the laparoscopic technique. Each is associated with various advantages and disadvantages.
In the open approach, an incision is first made in area near the defect. Once the defect is accessed, a mesh is inserted and this effectively prevents the movement of abdominal contents through it. Another option is to use non-absorbable sutures such as nylon to close the defect. If laparoscopy is chosen, the approach will involve the creation of three incisions (ports of entry) in the anterior abdomen for insertion of the instrument.
There is no drug that can be used to treat ventral hernia. Surgery is almost always a necessity if the problem is to be dealt with once and for all. The operation is usually straightforward in most cases. Possible risks include bleeding, injury to intestines and the bladder and infections. Fortunately, these complications are a rare occurrence. After surgery, most people can resume their normal routine within a few days.
The onset of these defects can be at any time. A significant number are seen at birth due to a congenital anatomical defect. Those that fall in this category are usually corrected during childhood. Some tend to resolve without treatment as the child continues to grow. Some follow conditions that weaken the abdominal muscles such as pregnancy and surgeries. Increase physical activity such as heavy lifting aggravates the problem.
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.
The most obvious sign of these defects is a visible swelling in an area of the abdominal wall. This swelling is most prominent when there is an increase in abdominal pressure such as when one bears down or coughs. Pain is also a possible symptom but is not always present especially if there is a large defect. Other symptoms may include vomiting (when intestinal obstruction sets in) and constipation.
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 a number of approaches to treatment that exist. Watchful waiting is adopted for patients who have small, reducible hernias that have no associated symptoms and have a low risk of becoming obstructed. Surgery may be carried out, however, if the patient requests. Two main types of surgery exist: the open technique and the laparoscopic technique. Each is associated with various advantages and disadvantages.
In the open approach, an incision is first made in area near the defect. Once the defect is accessed, a mesh is inserted and this effectively prevents the movement of abdominal contents through it. Another option is to use non-absorbable sutures such as nylon to close the defect. If laparoscopy is chosen, the approach will involve the creation of three incisions (ports of entry) in the anterior abdomen for insertion of the instrument.
There is no drug that can be used to treat ventral hernia. Surgery is almost always a necessity if the problem is to be dealt with once and for all. The operation is usually straightforward in most cases. Possible risks include bleeding, injury to intestines and the bladder and infections. Fortunately, these complications are a rare occurrence. After surgery, most people can resume their normal routine within a few days.
About the Author:
When you need surgery for your ventral hernias Houston surgeon comes highly recommended. Make an appointment right now by clicking on this link http://www.ataahmadmd.com.
No comments:
Post a Comment