Friday, July 29, 2016

Important Information Related To Ventral Hernias Houston Clients Need To Have

By Michael Davis


It is estimated that at least 90,000 operations are needed every year in the United States to correct ventral hernias. The types of these defects that exist include umbilical, epigastric, incisional and inguinal hernias. All of them are located in various places on the anterior wall of the abdomen and hence their collective name. If they plan on undergoing surgical correction for ventral hernias Houston patients should know a number of things.

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.

Intestinal loops tend to protrude through many of these ventral defects. On most occasions, the loops can be returned into the abdominal cavity by applying gentle pressure over the swelling using a finger. At times, they become obstructed and returning them to their position becomes difficult. This is a medical emergency that requires surgery. If the surgery is delayed, the obstructed loops may lose viability and may have to be cut off.

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 taking your medical history, the doctor will also conduct a physical examination that is aimed at evaluating the problem further. Areas of interest will include the size, the location and the reducibility of the defect among others. Some investigations may be requested for in select cases. Such will include ultrasound scans and CT scan images. If a decision to have surgery is made, some blood tests will be done as well.

The treatment chosen will depend on the findings after the history, physical examination and the imaging studies. Small defects that are not causing any discomfort may be managed conservatively through watchful waiting except in cases where the patient requests for surgery. There are two main techniques that are employed during surgery. These include the open technique and the laparoscopic 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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