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More Great Information on Hernia Truss:
Hernia Repair " Part One by Jonathan Blood Smyth
A hernia is a bulge due to bowel or fat from inside the abdomen protruding out through a weak area. The most common kind is an inguinal hernia in the groin. Above the ligament of the groin is a small hole, deep in the muscle wall of the abdomen, through which arteries and veins pass to the testicle. If this hole, or the area near to it becomes weak and stretched then a pocket (or sac) of the membrane lining the abdomen (the peritoneum) can bulge through. On standing, coughing or vigorous activity, the sac becomes filled with bowel or fat from within the abdomen.
Aching and discomfort can be caused by the bulge of the hernia but the protrusion generally returns back into the abdominal area when the person lies down, with the necessity to manually press it back into place at times. Aching can occur without any visible bulging and then a doctor's examination is needed to find the hernia. A very longstanding hernia may develop into a very large protrusion, even going so far as to fill up a man's scrotum. A very large hernia like this will likely remain protruded most of the time and be very difficult to relocate.
Women suffer inguinal hernias less commonly than men but a different kind of hernia, a femoral hernia, occurs more often in women than men and a doctor can diagnose this by examination. Femoral hernias are more typically repaired as a matter of course.
Hernias are usually troublesome only because they cause a bulge and aching whilst the most serious risk of a hernia is strangulation which means the bowel which becomes completely trapped and its blood supply may become cut off. The produces sudden severe pain and requires an urgent operation when the affected piece of bowel may need to be removed. Strangulation is not very common and many people have hernias for years without them ever becoming strangulated. Obstruction of the bowel can also occur it the bowel becomes trapped and this demands an operation even if the blood supply has not been cut off.
An operation is the only permanent cure for a hernia and can prevent the long term presence or increase in size of the hernia. Hernias can cause discomfort and strangulation can occur but is not common. An operation is not mandatory if the hernia is not causing any trouble and patients should discuss this with their surgeons. A symptomatic hernia can be held in place by a truss which needs to be put on before the patient gets up and makes the hernia bulge. A symptomatic hernia is mostly much better treated by an operation. Having medical problems or being older should not stop hernia repair due to the safe use of local and general anaesthetics.
A hernia repair operation is usually done through an incision about 12cm long in the groin. At operation, one of the muscle layers is opened and the sac of the hernia is then carefully separated from the arteries, veins and tube from the testicle. Any bowel or fat from within the abdomen is pushed back, and the sac is then either stitched back into the abdomen or tied off at its neck.
A repair is then done to strengthen the weak area and to restore the hole for the arteries and veins of the testicle to its normal small size. The repair is necessary to prevent the hernia from coming back. This is usually done by stitching a plastic mesh over the whole area. Occasionally stitches are used without a mesh, for example in femoral hernias. Both these methods have been shown to give good long term results, and the chance of the hernia coming back is about 2% (1 in 50) for most people.
Some surgeons do the operation laparoscopically, under general anaesthetic. The telescope is inserted just below the tummy button and gas is introduced through the telescope to open up the space between the muscles in the lower part of the abdomen and groin. Two tiny 5mm incisions are made in the lower abdomen for further instruments to be inserted which are used to place a sheet of plastic mesh to repair the hernia.
Jonathan Blood Smyth is the Superintendent of Physiotherapists at an NHS hospital in the South-West of the UK. He writes articles about back pain, neck pain, and injury management. If you are looking for Physiotherapists in Kensington visit his website.
Article Source: http://www.earticlesonline.com/Article/Hernia-Repair---Part-One/532490
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