Hernia
Medical Author: Jerry R. Balentine, DO, FACEP
Medical Editor: Melissa Conrad Stöppler, MD
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Questions to Ask Your Surgeon
Medical Authors Editors: William C. Shiel, Jr., MD, FACP, FACR
and Melissa Stoppler, M.D.
Before surgery, it is important to be informed about all aspects of the procedure, including an understanding of what to expect following the procedure, and the length of recovery time. The following "Questions to Ask your Surgeon" will help keep you informed as a patient, and hopefully ease any fears or concerns you may have.
- What is the recommended procedure?
Ask your surgeon for a simplified explanation of the type of
operation, technique used, and reasons it should be performed.
(Pictures and drawings can tell patients and family a great deal.)
Why was this specific procedure chosen over possible alternatives?
- What is the surgeon's experience with this procedure?
Ask the surgeon about his/her experience with this procedure, its outcome, and the hospital or setting in which the operation will be performed. Is the nursing staff accustomed to caring for patients who have had this procedure?
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What is a hernia?
A hernia is an opening or weakness in the muscular structure of the wall of the abdomen. This defect causes a bulging of the abdominal wall. This bulging is usually more noticeable when the abdominal muscles are tightened, thereby increasing the pressure in the abdomen. Any activities that increase
intra-abdominal pressure can worsen a hernia; examples of such activities are lifting, coughing, or even straining to have a bowel movement. Imagine a barrel with a hole in its side and a balloon that is blown up inside the barrel. Part of the inflated balloon would bulge out through the hole. The balloon going through the hole is like the tissues of the abdomen bulging through a hernia.
Serious complications from a hernia result from the trapping of tissues in the hernia
-- a process called incarceration. Trapped
or incarcerated tissues may have their blood supply cut off, leading to damage or death of the tissue. The treatment of an incarceration usually involves surgery.
Where are hernias located?
The most common location for hernias is the groin (or inguinal) area. There are several reasons for this tendency. First, there is a natural anatomical weakness in the groin region which results from incomplete muscle coverage. Second, the upright position of human posture results in a greater force
pushing toward the bottom of the abdomen, thereby increasing the stress on these weaker tissues. The combination of these factors over time breaks down the support tissues, enlarging any preexisting hole, or leads to a tear resulting in a new hole.
Several different types of hernia may occur, and frequently coexist, in the groin area.
These include indirect, direct, and femoral hernias, which are defined by the location of the opening of the hernia from the abdomen
to the groin. Another type of hernia, called a ventral hernia, occurs in the midline of the abdomen, usually above the navel (umbilicus).
This type of hernia is usually painless. Hernias can also occur within the navel (umbilical hernia).
What are the symptoms of a hernia?
Symptoms of a hernia include pain or discomfort and a localized swelling somewhere on the surface of the abdomen or in the groin area.
Next: What other types of hernias are there? »
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