Reducible and non-reducible hernia

The medical explanation of a hernia is the escape of, most commonly, the intestines through a vulnerable or less strong section of the wall of the abdomen. If the lump can be gently reversed through the aperture this is termed, a reducible hernia but if it remains a protuberance and cannot be re-situated in its point of origin then it is named a non-reducible hernia. Although it is probably better to be diagnosed with the former rather than the latter, both types will require surgical treatment to generate long-lasting and permanent repair.

Why do hernias develop?

For many, the weakness in the abdominal wall is a congenital defect when the lining of the abdomen, the peritoneum, does not wholly close to form a continuous barrier. However, hernias can emerge later in life for example, following abdominal surgery for a quite distinct and different reason or just due to the deterioration of muscle tone.

This can be attributable to increasing age, repeated strain such as manual work or heavy lifting and even continuous coughing.

Where do hernias appear on the human body?

Normally, hernias manifest in the groin region – known as inguinal hernias. They are referenced after the inguinal canal which is a noted and identifiable weak area in the abdominal wall adjacent to the groin. The navel is the other favoured location for hernias titled umbilical hernia. The umbilical cord or umbilicus which connects the baby to mother is attached via a small opening in the muscle wall of the developing foetus. The hole is designed to seal up after birth when the cord is cut separating mother and child. If this process does not occur in a timely fashion, internal tissue can push through in the area around the belly button.

Umbilical hernias are fairly routine in newborns, the vast majority closing without intervention. If still present at school age then generally, a surgical repair is carried out. There is no statistical distinction in terms of incidence between male and female babies, not the scenario however with inguinal hernias which are far more frequent in men. Umbilical hernias are most prevalent in infants but do arise in mature adults. Premature babies or those with low weight at birth are more prone to developing them than full-term babies of a healthy size.

Suspect you may have a reducible hernia?

This classification of hernia produces a bulge which may appear and disappear causing some uncertainty or confusion as to the exact nature of the problem. The first symptoms encountered are discomfort, not continuously but on occasion when bending over or coughing or perhaps when indulging in strenuous exercise such as running or playing sport. There may be a perceptible but intermittent lump beside the pubic bone and an ache without an attributable or obvious cause. A doctor can determine upon medical examination whether you have a reducible hernia.

What are the symptoms of a non-reducible hernia?

Also given the moniker, an irreducible hernia, this is merely a synonym for a non-reducible hernia. Sudden in onset or alternatively, developing from a previously chronic reducible hernia, a non-reducible hernia is a permanent feature. Not all sufferers experience pain. Non-reducible hernia dictates fairly prompt medical treatment because of the prospect of complications such as strangulation – literally, the bowel’s blood supply is interfered with or cut off due to pressure – leading to a ruptured hernia. This situation can rapidly deteriorate into a major clinical emergency.

How is a hernia repaired?

Surgery is the remedy for hernia and there is a choice of procedures. For decades, a simple repair to the weak or torn tissue was the only possible operation. However, this did not always endure resulting in recurrent hernias. The Lichtenstein repair named after the doctor who perfected the process in the 1960s uses mesh to close the hole. There is a lower failure rate and it can be performed under local or spinal anaesthesia. Certainly, it is the technique of choice for ultimate repair of recurrent hernias. Finally, there is the possibility of laparoscopic surgery with the advantage of a much smaller incision compared to conventional surgery. A tiny device fitted with a camera, the laparoscope, conducts the reconstruction. A general anaesthetic is necessary.

Learn how to reduce a hernia naturally

For a reducible hernia, home remedies can reduce the hernia naturally without any initial medical involvement. Ice packs offer immediate topical relief from swelling and inflammation.

Ginger root either steeped as an infusion or tea in hot water or taken raw is celebrated for its protective and anti-inflammatory constituents. Hernia can cause a pool of gastric juices in the stomach and oesophagus. Over the counter, non-prescription drugs are employed by some people. Ultimately, however, most hernia will need repair.

How best to reduce testicular swelling after surgery for hernia

Inguinal hernia surgical process will cause localised swelling and tenderness for some days post operatively. The area will be tender and sore and can turn dark blue or black. This is perfectly normal. Rest and pain relief are prescribed with light exercise to promote circulation and reduce testicular swelling after hernia surgery. Lightly supportive briefs rather than boxer shorts will help stabilise the area and make it feel more comfortable.



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