Facts On Ventral Hernias Houston Residents Should Know

By Michael Davis


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.

These problems may set in at any age. Many of them are first noticed at birth indicating a presence of an anatomical defect in the anterior abdominal wall. Although a few inguinal hernias may disappear as the child grows, many of them require surgical correction. Another period at which these swellings may be seen is the period that follows pregnancy or surgery since both of these conditions weaken the abdominal wall muscles.

Most, if not all ventral hernias, provide a route for intestines to protrude from their natural position. This poses a great danger due to the likelihood of the intestinal loops to be trapped into the hernia sac. This may lead to intestinal obstruction that requires surgery to be corrected. In some cases where the obstruction is severe, blood supply to the intestinal loops may be cut off causing them to lose viability.

The signs and symptoms of hernias are similar regardless of the region that is involved. Swelling is one of the most obvious symptoms. The swelling is intermittent and is most likely to increase in prominence if there is an increase in intra-abdominal pressure such as when bearing down or during a cough. Pain is often present but may not be experienced if the defect is large enough to allow free movement of the intestinal loops.

Apart from the suggestive symptoms, your doctor will have to conduct a physical examination. The examination will be centered on establishing characteristics such as location, size, contents and reducibility among others. Some doctors may also request for some investigations to confirm the diagnosis. Those that are commonly used include ultrasound scans and CT scans. Blood tests may be needed as well if a decision to have surgery is made.

There are several treatment options that are used once the diagnosis has been confirmed. If the defect is small and with a low risk of being obstructed it may be managed through watchful waiting unless the patient wants the operation. All other types should be operated. There are two main types of surgical techniques that can be used. They include laparoscopic surgery and the open surgical technique.

The open technique involves the creation of a surgical cut (incision) near the site of the defect. The next step is to insert a mesh or to repair the weakened area using sutures so that the contents can no longer move through the defect. The laparoscopic option involves the creation of three small incisions near the defect and the insertion of instruments that are then used to place sutures or a mesh.

No drug can help seal this defect. This means that you have to sign up for the operation if you hope to be free of hernias. The surgery itself is usually simple and with very few complications. Those that are likely to be encountered include bleeding, injuries to structures such as intestines and the bladder and infections in the intermediate term. Resumption of the normal routine is usually in a matter of days.




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