Hernia Advice for Health Practitioners

Hernia is an abnormal protrusion or bulging of a part of an internal organ that will push through the weakest spot in the muscle wall or through a rupture or orifice into the cavity of another body part.

For e.g. in Hiatal hernia the upper part of the stomach pushes through the Hiatal orifice in the Hiatal region called hiatus and into the cavity of the chest or diaphragm.

It is not that easy to determine Hiatal hernia and you have to send the patient for tests like upper gastrointestinal series and upper gastrointestinal endoscopy for a proper diagnosis and to rule out possibilities of GERD.

In inguinal hernia a part of the intestine or bowel will protrude through the inguinal canal in the groin region. It is fairly easy to diagnose this condition without conducting any test whatsoever. You just have to listen to your patient’s case and family history and symptoms.

At times to remove doubt, you can physically examine your patient by lightly touching the swelling with your index finger and passing the finger under the scrotum along the inguinal ring.

Handlebar hernias are the most difficult to detect because they are very rare, only 28 cases have been reported so far in surgical literature and the whole thing depends on your being able to suspect the condition.

Treatment option is mostly surgical intervention for that is how hernias are repaired. The surgical methods that you can choose are Hernioplasty, laparoscopic Hernioplasty which is minimally invasive and Herniorrhaphy.
You should inform your patient that there are chances of hernia recurring later on in life on the opposite side.

You should also educate your patient and explain to him the causes and risk factors of hernia, how to prevent hernia, alternative therapies for hernia and how to keep it under control and what sort of lifestyle modifications to undertake.