What is a hernia?
Depending on whether they develop in the upper abdomen or groin, hernias may be broadly divided into two main groups, and each group contains multiple types:
- Inguinal hernia: It is the bulging out of fatty tissues or a part of the bowel through a defect in the abdomen (tummy) near the groin. An inguinal hernia is the most common type of hernia.
- Femoral hernia: It occurs when fatty tissues or part of the bowel protrudes into the groin at the top of the inner thigh.
- Umbilical hernia: It occurs when fatty tissues or part of the bowel protrudes through the abdomen near the navel (belly button).
- Epigastric hernia: This type is a midline hernia that occurs when fatty tissues protrude through the abdominal area between the navel and sternum (lower part of the breastbone).
- Spigelian hernia: This rare type of hernia occurs when the bowel pushes through the abdomen at the outer side of the abdominal muscle, below the navel.
Can you heal a hernia without surgery?
A hernia usually does not go away without surgery. Non-surgical approaches such as wearing a corset, binder, or truss may exert gentle pressure on the hernia and keep it in place.
These methods may ease the pain or discomfort and may be used if you are not fit for the surgery or awaiting surgery. They can provide temporary relief, but surgery is the only definitive treatment for a hernia.
Conservative or non-surgical management should strictly be done under a doctor’s supervision because they may lead to complications such as bowel obstruction and strangulation (part of the bowel is trapped in a way that cuts off its blood supply).
How do you manually reduce an inguinal hernia?
An uncomplicated hernia (that has not been strangulated or obstructed) can be reduced manually to send its contents back to their compartment. Although manual reduction may provide relief from symptoms, surgery is essential for long-term management.
For manual reduction, hernias can be classified into three groups:
- Easily reducible hernia: They are easily reducible because the hernia contents can easily be returned to their original compartment providing symptom relief and may prevent future complications to some extent.
- Incarcerated hernia: This cannot be reduced easily because its contents are trapped (incarcerated) in the abdominal wall.
- Strangulated hernia: This is an absolute contraindication for manual reduction. A strangulated hernia is a surgical emergency in which the blood supply to the herniated tissue is compromised.
During a manual reduction of a hernia
- The patient lies on the bed in the Trendelenburg position with the legs and body slightly inclined up to reduce an inguinal hernia. Gravity pulls the hernia contents inward and facilitates reduction.
- The supine position (lying with face upward) is appropriate for an upper abdominal hernia.
- Anesthesia is generally not required for most reductions. Local anesthesia or a nerve block may be provided to reduce pain.
- Sedation may be given to a young child or an adult if a difficult reduction is expected or if initial attempts without sedation are unsuccessful. Epidural anesthesia may be given to infants.
- The doctor applies ice or a cold compress to the hernia for several minutes to reduce the swelling.
- Some hernias reduce on their own because of cold compress application, gravitational force, and muscle relaxation around the hernia from sedation and painkillers.
- The doctor slowly applies pressure to the lower part of the hernia while guiding the upper portion into the abdomen through the defect.
- Once the procedure is completed, an ultrasound may be performed to confirm whether the manual reduction was successful.
What are the complications of the manual reduction of a hernia?
The complications of manual reduction may include:
Top Can You Heal a Hernia Without Surgery Related Articles
cryoprecipitateCryoprecipitate is a blood product containing specialized insoluble blood proteins known as coagulation factors that regulate the clotting and clot-dissolving processes. Cryoprecipitate is obtained from plasma, the fluid component of blood, and is used to treat patients with blood clotting (coagulation) disorders and to control hemorrhage during major surgery or during and after childbirth. Common side effects of cryoprecipitate include transfusion-related complications, allergic reactions, and post-transfusion bruising (purpura).
Direct vs. Indirect HerniaDirect and indirect hernia are both inguinal hernias. Both types of hernias may cause a visible bulge in the groin area. Weakness in the muscle of the abdominal wall causes a direct hernia. A birth defect causes an indirect hernia. Hernias that can't be pushed in need surgery.
Hernia (Abdominal Hernia)A hernia occurs when an organ or piece of tissue protrudes from the space in which it is normally contained. Symptoms of a hernia include pain, nausea, vomiting, bowel obstruction, and fever. Hernias are diagnosed by a physical exam and imaging tests. Some hernias may be held in place with a supportive belt. Other hernias require surgical repair. The prognosis of people who undergo elective hernia repair tends to be good.
Hernia Quiz: Test Your Medical IQExactly what is a hernia and why do we get them? Take this quiz to learn causes, symptoms, treatments and home remedies for this common condition.
Hernias: Causes, Types, and TreatmentsHernias often don't cause many symptoms, but they can lead to some serious problems. Use this WebMD slideshow to help yourself learn about what to look for and how they’re treated.
Hiatal HerniaHiatal hernia is a condition in which a thin membrane of tissue connects the esophagus with the diaphragm becoming weak, and a portion of the stomach slides up into the esophagus. Causes include obesity, pregnancy, straining during a bowel movement, aging, and ascites. There are generally no symptoms of a hiatal hernia, and it is discovered during another medical procedure to test for GERD or other swallowing problems.
How Do You Treat and Repair an Umbilical Hernia?Hernias develop when an internal part of the body pushes through a weak point of muscle or tissue. Learn what medical treatments can help your umbilical hernia and ease your symptoms.
How Long Does It Take to Recover from Laparoscopic Inguinal Hernia Surgery?A laparoscopic inguinal hernia repair is a routine surgery to repair a weakness or perforation in the muscle or tissue in the abdominal cavity. Most people can return to normal activities in two weeks, but may need to avoid heavy lifting.
Neomycin SulfateNeomycin Sulfate is an antibiotic used to reduce the risk of infection during surgery of the bowel. Neomycin is also used to reduce the symptoms of hepatic coma. Common side effects of neomycin sulfate include nausea, vomiting, or diarrhea.
How Long Does an Open Inguinal Hernia Repair Take?An inguinal hernia is the bulging fatty tissue or a part of the bowel (such as the intestine) that pushes through a weakened area or defect in the abdomen near the groin. The hernia protrudes through a weak spot in the muscle wall and goes through a passage, called an inguinal canal, near the groin.
Open inguinal surgery is generally performed by a general surgeon. The surgery may be done under regional or general anesthesia.
propofolPropofol is an intravenous anesthetic drug used for general anesthesia and sedation during surgical procedures. Common side effects of propofol include injection site burning, stinging or pain; low blood pressure (hypotension), reduced cardiac output, elevated blood pressure (hypertension), pause in breathing (apnea), lung impairment (respiratory acidosis), impaired movement, high level of emulsified fats in the blood (hyperlipidemia), and high triglyceride level in blood (hypertriglyceridemia). Abuse of propofol can cause death and other injuries.
How Long Does It Take to Recover From Incisional Hernia Surgery?An incisional hernia is a type of hernia caused by an incompletely healed surgical wound. In an incisional hernia, the intestine pushes through the abdominal wall from the site of previous abdominal surgery. Incision hernia is mostly seen in elderly or overweight people who are inactive after abdominal surgery.
What Is the Recovery Time for An Umbilical Hernia Surgery?An umbilical hernia repair is a relatively routine surgery and takes about 20 to 30 minutes. It can be performed as an open surgery or a minimally invasive laparoscopic surgery. An open surgery might require two to three days of hospitalization, but with a laparoscopic surgery a patient may be able to go home the same day or after 24 hours.
succinylcholineSuccinylcholine is a skeletal muscle relaxant used for medical procedures done under general anesthesia, including tracheal intubation, mechanical ventilation, and surgeries. Common side effects of succinylcholine include postoperative muscle pain, jaw rigidity, muscle twitch (fasciculation), respiratory depression, cessation of breathing (apnea), low or high blood pressure (hypotension or hypertension), irregular heart rhythms (cardiac arrhythmias), slow or rapid heartbeat (bradycardia or tachycardia), cardiac arrest, increase in intraocular pressure (IOP), high blood potassium levels (hyperkalemia), severe life-threatening drug reaction with excessively high temperature (malignant hyperthermia), salivary gland enlargement, excessive salivation, rash, hypersensitivity reactions, and others.
What Causes an Umbilical Hernia?What is an umbilical hernia and how are they caused? Learn more about umbilical hernias, how umbilical hernias happen, and what to expect if you or your baby has an umbilical hernia.
What Is an Umbilical Hernia Repair Surgery?A hernia is a protrusion of an internal body part, such as the intestine, through a weak spot in the muscle or the surrounding tissue wall. An umbilical hernia repair is a corrective surgery for a hernia in the navel (umbilicus) region.
What Is the Root Cause of a Hiatal Hernia?A hiatal hernia is the bulging of the stomach through the muscle separating your diaphragm and abdomen. A hiatal hernia can be present at birth, or can develop over time and it develops after constant straining to the abdominal region.