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The most typical sign of a hernia is a bulge under your skin in the groin or abdomen. You may also feel pain when you lift, cough or strain. This common condition affects men, women and children of all ages. The good news is, hernias are highly treatable with surgery and innovative hernia repair products from Gore. Gore Medical Products are designed to work in harmony with your body's own tissues, helping to reduce complications following surgery. Additionally, many Gore products are ideal for use in laparoscopic procedures, which offer the benefits of less pain, reduced hernia recurrence, and quicker recovery time. Best of all, after successful treatment, you're free to get back to your regular activities and lifestyle.
The abdominal lining bulges out through a weak area and begins to form a hernia sac. The sac may contain fat, intestine, or other tissues. At this point the hernia may or may not cause a visible bulge.
As the intestine pushes further into the sac, it forms a visible bulge. The bulge may flatten when you lie down or push against it. This is called a reducible hernia and does not cause any immediate danger.
The sac containing the intestine may become trapped (incarcerated). If this happens, you won't be able to flatten the bulge. You may also have pain. Prompt treatment may be needed.
If the intestine is tightly trapped, it becomes strangulated. The strangulated area loses blood supply and may die. This can A hernia is the protrusion of an organ or part of an organ through the wall of the cavity that normally contains it. A hernia occurs when there is a weakness or tear in your abdominal wall as a result of aging, injury, a previous surgical incision, or a condition present at birth. Hernias generally grow larger due to pressure on them, such as a loop of your intestine or fatty tissue pushing into the weak abdominal tissue or tear. The result is a sac that forms in the abdominal wall. You may or may not see a bulge at this point. As more abdominal contents push into the sac, a bulge will appear. Sometimes the bulge can be flattened out by lying down or pushing against it. Though a hernia at this stage - known as a reducible hernia - is not an emergency situation, you will likely still need surgery to repair it. If the intestine gets trapped, or is non-reducible, it is called an incarcerated hernia, and can be quite painful. The bulge cannot ordinarily be flattened out and immediate surgery may be needed. A hernia that becomes tightly trapped, or strangulated, loses blood supply, blocks intestinal flow, and requires emergency surgery. Unfortunately, a hernia won't go away on its own. In fact, hernias typically get worse over time, making hernia repair surgery the standard of care. Most people with hernias have a common set of signs and symptoms. The questions below can help you determine if you have a hernia. They are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Only a physician or other qualified health provider can diagnose and treat a hernia. Is there a bulge under the skin on your abdomen or in your groin area?
If you have a bulge under your skin, does it ever disappear?
Do you have discomfort or pain when you lift, cough, sneeze, strain, or perform physical activities?
Does your discomfort or pain get worse toward the end of the day?
Most hernias develop in the abdominal wall, which runs from just below your breastbone down into your groin. This wall is similar to the rubber on a tire: it surrounds and protects your organs the same way a tire surrounds and protects the air-filled tube inside of it. Hernias develop when a section of the abdominal wall wears down or tears. There are several possible reasons for this:
Areas of Weakness
There are two main categories of hernias, named according to where they occur on the body. Within each of these categories, there are different types of hernias. Inguinal Hernias (also called Groin Hernias)Direct Inguinal HerniaThis type of hernia occurs in the weak muscle next to the opening of the inguinal canal in the groin area. Direct hernias typically occur in men over 40, and may result from aging or injury. Indirect Inguinal Hernia – image: indirect-inquinal-hernia As the most common type of hernia in men, an indirect hernia occurs when a loop of intestine and/or fat presses into or through the inguinal canal in the groin area. This area may be weak at birth, allowing hernias to form later in life. Both men and women can get this type of hernia. Femoral HerniaThis hernia is more common in women, who may get it as a result of a weakness in the femoral canal area of the groin. Ventral Hernias (also called Abdominal Hernias)Incisional HerniaWith abdominal surgery comes the risk of an incisional hernia. This type of hernia bulges through the scar from a past surgery, and can occur anywhere on the abdomen months or years after surgery. Umbilical HerniaThis hernia is seen in children and adults of both sexes in the umbilical ring that surrounds the navel. It may be caused by a defect that is present at birth, or may occur over time due to obesity, excessive coughing, or pregnancy. Epigastric HerniaAn epigastric hernia pushes through the abdominal wall between your lower breastbone and navel. Both men and women can get this type of hernia, which is usually the result of a weakness present at birth combined with intra-abdominal pressure along the midline. Other types of herniasYour doctor may use other terms to describe your hernia. If you have hernias on both sides of your groin, these are known as bilateral hernias. If your hernia occurs in the same spot as a previous hernia repair, it is called a recurrent hernia. Where Hernias Occur
The goal of surgery is to repair the weak tissue in your abdominal wall so that intestine and other tissue can't push through it again. Generally, the earlier the repair, the smaller the hernia, and the less trauma from surgery. Typically, a more rapid recovery is experienced with smaller hernias. Therefore, it may be beneficial to seek medical attention sooner rather than later. Once your hernia has been successfully repaired and you have recovered from surgery, you will be able to return to your regular activities. Surgical options:Ventral (Abdominal) Hernia Repair SurgeryDepending on the location and severity of your abdominal hernia, as well as your medical history, your doctor will recommend either open or laparoscopic surgery. Within each surgical option there are different hernia repair techniques. The following information will help you understand these hernia repair options. Open SurgeryYour doctor makes an incision in your abdomen where the hernia is located. Intestine or tissue inside the hernia sac is placed back into the abdominal cavity. The hernia is repaired in one of two ways: "Primary repair" - This repair involves sewing the abdominal wall tissues back together with sutures, such as GORE-TEX® Suture. "Patch repair" - A patch, such as GORE® DUALMESH® PLUS Biomaterial, is placed so that it covers and overlaps the hernia defect. The patch is then attached. Over time, your body's tissue grows naturally into the patch to help it stay in place and add strength to the repair. GORE® DUALMESH® Biomaterials are designed to firmly attach to the tissue of your abdominal wall on one side, but not to intestines and vulnerable tissue on the other side. GORE® DUALMESH® PLUS Biomaterial is the first two-surface hernia repair product containing antimicrobial agents that inhibit microbial growth (called colonization) on the patch for up to 14 days following surgery. This feature may be helpful for patients, since it is reported that infections may be expected in about 10% of open ventral hernia repairs.* The skin incision is closed with stitches, staples, surgical tape, or special glue. * Klinge U, Conze J, Krones CJ, Schumpelick V. Incisional hernia: open techniques. World Journal of Surgery 2005;29(9):1066-1072. Laparoscopic SurgeryYour doctor makes several small incisions (usually three to six) in the abdominal wall surrounding the hernia. Your abdomen is inflated with carbon dioxide gas. Surgical instruments and a laparoscope (special camera) are inserted through the incisions into the abdomen Using the surgical instruments, a "patch repair" is performed (See description in Open Surgery, above). The gas is released and the skin incisions are closed. Laparoscopic ventral hernia repair is typically performed under general anesthesia, and many are same-day procedures. Laparoscopic ventral hernia surgery offers potential benefits such as quicker recovery time, decreased pain, lower infection rate, reduced hernia recurrences, and fewer complications. Whether you have open surgery or laparoscopic surgery, medical studies have shown that a patch repair is the most effective approach in the majority of ventral hernia cases. Inguinal (Groin) Hernia Repair SurgeryDepending on the location and severity of your groin hernia, as well as your medical history, your doctor will recommend either open or laparoscopic surgery. Within each surgical option are different hernia repair techniques. The following information will help you understand these hernia repair options. Open surgery
Laparoscopic surgery
Most laparoscopic surgeries are same-day procedures done under general anesthesia. Because only small incisions are required, laparoscopic surgery offers quicker recovery time, decreased pain, reduced recurrence of hernia, and fewer complications.
Before hernia repair surgery, your doctor will perform a medical evaluation. This typically includes the following:
Your doctor will also talk with you about whether you are having open surgery or laparoscopic surgery, along with the benefits and risks of each. How you can prepareThere are several things you will need to do to help make your surgery go more smoothly: The week before surgery
The day before surgery
When you return home after hernia surgery, it will take several days to recover from laparoscopic surgery and possibly longer if you have had open surgery. Below are ways you can help yourself feel better and get back to your normal routine.
When to call your doctor
To help you get the information you need about your hernia and your treatment options, Gore has developed this list of questions to ask your doctor.
Be sure to bring this form to your next appointment and write down the doctor's answers in the space provided. This website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Only a physician or other qualified health provider can diagnose and treat a hernia. |