What are the most Common Types of Hernia in Females?

Types of Hernia in Women

Hernia is kind of a protrusion or bulge that occurs when a tissues inside the body bulges through an area. The area through which the bulge occurs is typically a weaker point in groin, abdomen, near stomach etc.

There are 6 types of hernia:

  1. Femoral Hernia
  2. Inguinal Hernia
  3. Epigastric Hernia
  4. Hiatal Hernia
  5. Incisional Hernia
  6. Umbilical Hernia

Femoral Hernia

Femoral hernia occurs when tissue pushes through a weak point in the (right) groin. This may not be seen when you lie down but can be felt like a lump otherwise. Sometimes, this lump can be pushed up/inside. This lump can appear when you cough. Femoral Hernia is seen more in women than in men.

When you see a lump in your groin, you need to get to your nearest doctor because; femoral artery and veins lie very close to such lumps. As the lump grows, that can squeeze the artery and vein effectively blocking blood supply to your leg. Femoral Hernia is usually treated with a surgery.

Inguinal Hernia

When some intestines or fat from the abdomen descends into the lower abdomen/groin area through the inguinal canal, the conditions is called Inguinal Hernia. Usually after the reproductive organs descend, this canal should close but if the closure doesn’t happen properly or is weak, the odds of the fatty tissue and intestines descending increase leading to inguinal hernia.

In some cases, the fatty tissue and intestines can descend all the way into scrotum disrupting the functioning of testicles. Inguinal Hernia hurts especially when you cough, bend or try to lift weights. Our doctors in our Chennai laser gastro clinic recommend surgery to fix the inguinal canal.

Epigastric Hernia

Epigastric region is an area above the belly button and below the rib cage of a person. When fatty tissue protrudes through the area and forms a bulge, this is called Epigastric Hernia. The bump can grow and become large in few people. In most cases, the bulge will be clearly visible in normal conditions. If not, it will be seen when you cough or sneeze or laugh. Pain and tenderness in the area is common.

“High fever, difficulty urinating are commonly seen symptoms in people suffering from epigastric hernia” says Dr. Karthik Gunasekaran from Chennai Laser Gastroenterology Clinic, Chennai.

Hiatal Hernia

In our body, there exists a diaphragm (esophageal hiatus) , a division/separating tissue between the lungs and the lower parts (stomach, intestines etc) of the body. When a part of the upper stomach bulges and moves up into the lungs region through the diaphragm, this condition is called ‘Hiatal hernia’. People suffering from Hiatal Hernia will most often suffer from acidity/acid reflux.

Some people are born with this condition while many others develop as they age. Sliding Hernia and Paraesophageal Hernia are two types of Hiatal Hernia. Obesity, inflammation of oesophagus (food pipe), weak stomach muscles are some reasons why hiatal hernia occurs.

Incisional Hernia

When a person undergoes a stomach surgery where an incision had to be made right near the middle of the stomach, he/she is at risk of developing Incisional hernia. In cases when the incision doesn’t heal well, the underlying tissues can grow through the incision area resulting in bulge. Nearly 33% of the people who undergo surgery in the stomach region are at risk of developing Incisional hernia.

Incisional hernia should not be confused with Ventral Hernia. A ventral hernia also occurs in the same area but not necessarily in those who underwent a surgery. So, every ventral hernia cannot be called Incisional.  Apart from the bulge, the individual may see foul smelling drainage of pus through the area where incision is made.

Umbilical Hernia

Umbilicus refers to belly button. When a tissue inside the body bulges through the belly button area, it is termed as Umbilical Hernia. Umbilical Hernia constitutes to 10% of all those suffering from hernia. The bulge will usually be visible and can hurt when you cough or laugh or sneeze.

Treatment of hernia

Hernia doesn’t go away on their own, at least in most of the cases. Though some may be pushed inside, they don’t tend to recede without medical intervention. It is better to get treated hernia in the initial stages before it develops into a strangulated area that can possibly cut off blood supply to other parts of the body such as leg, testicles etc depending on its type.

In order to stop from hernia recurring, surgical treatment for hernia will be most preferred options wherein the weak area can be blocked with stitches or foreign material as needed.

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Top Facts About Direct and Indirect Hernia

Top Facts You Should Know About direct vs indirect hernia

A hernia is a condition where an organ or an internal part of the abdomen pushes its way through the surrounding tissues that are protecting it. A hernia can develop in various places of the abdominal cavity. The most common location of hernias are inguinal hernias that forms at the weak spot of the abdominal wall present from birth or caused secondary to other conditions such as abdominal surgery, injuries, undue strain or old age. Risk factors that may increase the chances of inguinal hernias are old age, obesity, being male, a family history of hernia, smoking, illness with chronic cough and physical strain. An inguinal hernia is termed to be “direct” or “indirect” based on how and when the hernia forms.

Anatomical facts on direct Vs indirect hernia

Like most other hernias, direct inguinal hernias involve a weak space which has thinned out as a defect in the abdominal wall.  This weakening develops over a period of time, due to the strain from everyday activities and aging. Improper lifting techniques of heavy things can put extra pressure on the abdominal muscles, making them weak and allowing them to tear. Direct hernia usually occurs through the lower abdominal wall known as the groin. Thus inguinal hernias that occur directly through the inside wall of the groin are called direct hernias. This makes the hernia appear as a larger bulge initially. Direct inguinal hernias do not manifest into the scrotum as they do not descend through the inguinal canal.

Unlike direct hernia, weakened or injured abdominal muscles are not the cause for indirect hernias. When an area of abdominal muscle tissue called the inguinal ring fails to close up while the baby is still in the mother’s womb, it forms the cause for indirect hernia that may present even during later years of life. The function of the inguinal ring is to allow the testicles to drop into the scrotum after which it usually closes before birth. If the inguinal ring fails to close and remains open, a part of the intestine can also push through the open ring and descend into the scrotum.

An indirect hernia is much less common for females to develop because the round ligament of the uterus present within the inguinal canal acts as an additional barrier supporting the muscle. The inguinal canal is also structurally smaller in females, reducing the chances of the internal structures to slide down. However, if it occurs in females, the ovaries and other parts of the reproductive system can slide through the opening and cause a hernia.

Facts on symptoms of direct Vs indirect hernia

Direct or indirect hernias, if large enough in size, can appear as a bulge on either side of the groin. Groin pain, burning or aching sensation in the groin, heavy or dragging sensation in the groin that is felt at the end of a day or after prolonged activity are the other common symptoms of any type of hernia. Some hernias may not cause any pain until they get larger. If there is bowel involvement along with the hernia, the pain can be even more difficult to localize as the discomfort may be felt in the abdomen or the pelvis. Men usually feel pain if the hernia occurs with the intestine pushing down in to the region leading to the scrotum. If the hernia is not severe or large enough, symptoms may be hard to detect.

A direct hernia usually develops in adulthood and mostly presented in older age, unless it occurs as the result of a specific injury or trauma in younger years. A bulge is the first sign of most cases of direct hernia accompanied by dull ache which is seen to be more common than sharp pain. Direct inguinal hernias are usually more symptomatic after prolonged standing, walking, running or other activities that involve the core abdominal muscles. Symptoms can exacerbate even while laughing, coughing and sneezing.

An indirect hernia appear right from infancy. This is mainly because it occurs as a congenital condition present from birth. An indirect hernia is mostly noticed in infancy only when the baby is crying. Highly common in children, it is diagnosed in up to 5% of new born babies and up to 30% of premature babies. Often, it is discovered in the first year of life but can remain undetected until adulthood.

Warning signs of direct Vs indirect hernia

Signs of complications are higher with indirect inguinal hernias as they are more likely to cause bowel obstruction than direct inguinal hernias. The reason being that the tunnel described as the inguinal canal through which the indirect hernia descends is too narrow. The narrow area widens, enlarges and gets stretched as the canal travels downward. This abnormality can strangulate the tissues which are herniated down the canal causing intense pain. Another sign of bowel obstruction can be red or purple discoloration of the area of bulge. Strangulated tissues can die within few short hours of inadequate blood supply. There is need for immediate medical attention if the hernia is presented with any of these signs. Dead bowels found in the area at the time of surgery usually require a bowel resection. This dreadful complication can make it difficult to resolve the condition and may create further problems in future.

Repair options for direct VS indirect hernia

The indirect inguinal hernia is a structural defect through which the abdominal or pelvic content push through the defect and hence it will not heal without surgery. For hernia repair in infants and children prior to puberty, the accepted standard treatment is only a non-mesh repair or suture. Some older children may need a mesh repair. In adults, mesh repair is the standard solution for indirect inguinal hernias. The repair options for direct inguinal hernias are exactly the same as for indirect inguinal hernias. A small incision open repair or a Laparoscopic treatment approach of hernia may be performed as per the need of the condition.

To book your slots for the best hernia treatment in Chennai or to get your answers about Hernia, call us today!

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