Hernia Symptoms: Is there Reason for Panic?

Hernia Symptoms: Is there Reason for Panic?


Hi I'm James Harris I'm a drill surgeon practicing at Johns Hopkins Howard County General Hospital an inguinal hernia is a protrusion abdominal contents into the inguinal or groin

region it could be either in terminal fat or intestine that actually protrudes into the groin it's

most commonly seen in men about ten times more commonly than women and it's largely

because of the growing anatomy during development when the testicles descend from the

abdomen into the scrotum that actually leaves an area where men are prone to developing a

protrusion of abdominal contents into this region about 1 in 4 min during their lifetime will

actually develop a growing hernia when someone has a hernia they notice a bulge in their their groin area sometimes this could be associated with pain they could also have a experience of

fullness in that area when they do heavy lifting call sometimes when they lay down they

notice that the bulge goes down and then they get up and they start taking part in physical

activity they notice that the Bulge gets bigger most of the time people will experience
symptoms and that's the most common reason someone will come in for treatment of a

hernia if this is something that's detected on physical exam and it's not causing any problems

quite often you could just do watchful waiting and just follow a patient because of these types

of incidental findings but if it's causing symptoms or if it's causing any increase bulge or

pressure or any incidence of a bowel obstruction then there's the situation is where it needs to

 be a repaired the surgery there are two different options there is either open or a laparoscopic approach an open approach entails incision about four or five centimeters in the groin area

and essentially you identify the area of the hernia you find the SAC the hernia sac and you put

the abdominal contents back where they're supposed to be and they use a piece of mesh to

reinforce the repair and and then you close the defect that way the laparoscopic approach you

 use very small incisions and use a laparoscopic camera to go through the incisions the biggest incision probably be about as wide as my thumbnail you go in through that incision and then

use very tiny instruments through two other incisions other those would be about maybe about

 the size of an eraser head and you find the area of the defect and you reduce the abdominal

contents back where they're supposed to be and then you actually place a piece of mesh over

that area where the defect was to stop the abdominal contents from going back into the heart
of his face immediately after surgery the patient will recover in the post-operative recovery

room it's a same-day operation so you get to come in you know have your operation then

have someone escort you home typically we require some family member to be there because

 you will be recovering for anesthesia you usually don't have a whole lot of pain right after

surgery because we use some local numbing medication most of the pain happens the following

day but we give you pain medication to help take care of that usually I blew in off of the pain

medication after you know after a few days I prevent people from taking part in a heavy
lifting for about six weeks because the risk of recurrence is higher if you try doing heavy

lifting because it puts strain on the repair but typically people are able to go back to work

within the next couple of days usually they need to you know wait until they're off of pain

medications before they you know are able to drive but typically back to complete normal

about six weeks these hernias can recur certain people tend to be more prone to recurrence

than others people who are obese smokers they have lung disease they have any kind of

connective tissue disease if their own steroids if they take part in heavy lifting you know if

their weight lifters these are things that cause increased abdominal pressure it could cause more strain on the repair and lead to a recurrence. See also: Diverticulitis Symptoms 101: What is It, Causes, Symptoms, and How to Prevent

Tag:
groin hernia symptoms, abdominal hernia symptoms female, hiatal hernia symptoms, incisional hernia symptoms, hernia groin, hernia treatment, inguinal hernia symptoms no bulge, abdominal hernia pictures
source: youtube.com

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