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A classification of hernias by Fabiola Groshan





A classification of hernias by
Article Posted: 07/26/2012
Article Views: 108
Articles Written: 9460
Word Count: 543
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A classification of hernias


 
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When an organ protrudes the walls of the cavity containing it, that is called a hernia. Most often that cavity is the abdomen and the hernia occurs due to a defect in the abdominal wall, being called an abdominal hernia. There are many symptoms a patient suffering from hernia may experience, such as pain, swollen bumps in the abdomen, visible lumps in the area and many more. The various symptoms match the various types of hernia, such as incisional hernia, umbilical, ventral or femoral hernia. Not many types of this illness are accompanied by pain, which is generally a symptom for the irreducible hernias. Depending on the type of hernia as well, patients can also present with nausea, fever or even vomiting, the symptoms becoming more and more severe in the cases of strangulated hernias. To that extent, a proper diagnose of the illness is essential, because each and every type involves a different treatment and management. However, when it comes to hernia repair there are two main surgical techniques, the open surgery and the laparoscopic approach, which is less invasive and preferred by many of the young surgeons. The thing is that some cases, whether of an incisional hernia or a ventral hernia, are not suitable for this method, due to other complications or causes, which is another reason why having a clear classification of hernias is important.

Inguinal hernias, for example, are the most common type of abdominal hernia, 75% of the cases being inguinal. However, they can also be classified in direct and indirect inguinal hernias, the latter being a lot more common than the first type. Counting for almost 2/3 of the cases of the class, indirect inguinal hernias are caused by a congenital weakness in the inguinal canal, enabling the hernia to protrude through the weak areas. The direct inguinal hernia refers to the protrusion of an organ through the back wall of the inguinal canal and, as the indirect kind, affects both men and women in the same rate. In some cases, inguinal hernias do not require surgery. If the hernia protrudes below the inguinal ligament, then it is called a femoral hernia, which means that the abdomen will push over the femoral canal, due to a weak spot in the posterior wall. The femoral hernia is very similar to the inguinal one, making it slightly difficult for doctors to differentiate and put a clear diagnosis.

Also very difficult to treat and manage is the incisional hernia, which occurs due to improperly or incompletely healed surgical wounds. In this case, the tissue is already damaged and weakened, therefore the risks of complications and infection are a lot higher. The laparoscopic approach is often preferred in incisional hernia cases. There are several other classes of hernia, such as umbilical hernias or diaphragmatic hernias, which are very different because of their location, in the chest cavity. Regardless of the type or class of hernia a patient suffers from, the surgeons always have to study the patient carefully, his or her previous surgeries, the development of the illness and the risks involved in each treatment approach, before proceeding to action.

For more resources about incisional hernia or about femoral hernia, please review this link http://hernialosangeles.com.

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