Mr Raja undertakes open surgery on most hernias. They are normally found in the abdomen. Areas of weakness in the abdominal wall where hernias are commonly found include the groin, upper abdomen, umbilicus and at previous surgical scar.
The most frequently seen types of hernia include:
Inguinal Hernias
The most common hernia seen more in men. It usually presents as a bulge with or without pain or dragging sensation. The inguinal hernia appears through inguinal canal, a narrow passage in abdominal wall for spermatic cord and blood vessels for testis in scrotum. Hernial sac may contain fat, bowel or bladder.
Femoral Hernias
This presents as a bulge in groin, with or without pain, relatively uncommon and seen more often in women. The femoral hernia occur at the defect in abdominal wall where the femoral artery and vein pass from the abdomen into leg. Hernia sac may contain fat or bowel.
Umbilical
These present as swelling at the umbilicus, with or without pain. Umbilical/ Para umbilical hernias occur at a natural weakness in the abdominal wall and hernial sac usually contains fatty tissue or a part of the bowel.
Incisional
Occurs through a scar from past abdominal surgery and present as swelling/ bulging. These are complex and require specialist care.
OPERATIONS FOR HERNIAS INVOLVE REDUCING THE CONTENTS OF HERNIAL SAC AND REPAIRING THE DEFECT USING SUTURES OR A MESH. LAPAROSCOPIC OR OPEN APPROACH MAY BE USED.
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