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Hernia Hernia is an abnormal protrusion of an organ through normal or abnormal opening of the walls of cavity containing it. Hernia are if various types, External or internal Simple or complicated Congenital or acquired Unilateral or Bilateral The commonest Hernias are Inguinal or Groin Hernia Incisional Hiatus Hernia Femoral Hernia The causes are: Congenital Increased abdominal pressure in chronic cough Constipation prostatism Weakness of abdominal wall due to appendix surgery or old age Hernia diagnosis are: Pain at the site of hernia Burning sensation at the site Protrusion of internal organs on coughing and its disappearance on lying down Redness and increased swelling when the hernia gets complicated. Vomiting Complications of Hernia Pain Irreducibility Obstruction Strangulation Hernia Treatment In Jalandhar Hernia specialist Doctor in Jalandhar
What is Inguinal Hernia or Groin Hernia? Inguinal hernias occur in the groin area. It is amongst the commonest of hernia. It is seen in new born and very old patients too. Diagnosis Reducible swelling in inguinal region Painful or irreducible swelling in the same region Tests Sonography of the groin Tests for fitness for surgery Besides routine tests X ray chest ECG 2D echo stress test in suspected iHD patients Surgery options Open Hernioplasty or Herniotomy Laparoscopic Hernioplasty Advantages of Laparoscopic Hernioplasty Rapid recovery No postop groin hernia pain syndrome Cosmetically superior Both sides can be tackled thru same incision Intra abdominal surgeries can be carried out Technique Patient is under general anesthesia Bladder is Catheterized Telescope inserted under vision Additional ports are inserted under telescopic vision Hernial sac is dissected Mesh bed prepared Mesh inserted and tacked Desuflation done Ports closed Complications Injury to urinary bladder Injury to inferior epigastria vessels Infection Seroma formation Recurrence Hernia Treatment Hospital In Jalandhar Best Hernia Specialist in Jalandhar
What is Hiatus Hernia? Herniation of any organ occurs when it pushes or migrates to an area outside of the walls of the cavity confining it. Hiatus is an opening in the diaphragm, The muscular wall separating the abdomen from the chest cavity. Normally esophagus passes through the hiatus. If the stomach passes into chest then it is called hiatus hernia. Hiatus hernia is of 3 types Sliding Hernia Paraesophageal hernia Combination of both Sypmtoms of Hiatus Hernia Sliding hernia is the commonest of hiatus hernia and may present with heartburn. Though all heartburns may not have hiatus hernia Paraosephageal hernia may give rise to decreased blood supply to stomach and lead to ischaemia of the stomach and its gangrene. Complications of Hiatus Hernia? It may remain asymptomatic or give rise to Reflux Esophagitis ie. acid refluxing into esophagus. Rarely the stomach may suffer from ischemia and gangrene. Diagnosis of Hiatus Hernia? Barium swallow and meal can be used to diagnose hiatus hernia. endoscopy is also used to diagnose the hernia In large Hiatus Hernia CT scan abdomen may be done to know the details of contents of the sac of hernia. PH metry should be performed to demonstrate reflux of stomach contents into esophagus. PFT is done in patients with large Hernia and in patients with repeated chest infections due to reflux disease. What is the treatment of Hiatus Hernia? Hiatus Hernia is treated Laparoscopically. The reflux is prevented by creating an artificial valve by rolling the stomach around lower esophagus In para esophageal hernia, the sac is dissected off its attachments and reflux is prevented by creating artificial valve in lower end of the esophagus by rolling stomach around it. Cal-liberation of new hiatus and esophageal sphincter is mandatory. Cancer Specialist doctor in Jalandhar Best Cancer doctor In Jalandhar