Hernias and Abdominal Wall Pathology
A hernia is the protrusion of any organ or tissue out of the cavity in which it is normally lodged. The most common hernias develop through the abdominal wall, at weak points such as the inguinal canal (inguinal hernia), femoral orifice (femoral or crural hernia) or the umbilicus (umbilical hernia), or through the scar of a previous surgical intervention (incisional hernia or eventration).
Hernias are frequently asymptomatic, with only a bulge being noted, the size of which may vary with exertion or posture, and vague discomfort in the area. Although infrequent, hernias can incarcerate or strangle, causing intestinal obstruction, manifested by pain in the area of the hernial bulge, abdominal pain and vomiting. It requires immediate medical attention and sometimes urgent surgery.
Diagnosis and Treatment
The diagnosis is clinical. The patient is usually scanned lying down and standing up to take advantage of the effect of gravity. You are also often asked to cough to increase abdominal pressure and cause the hidden hernia to protrude.
The treatment is scheduled surgical repair, which can be performed open or laparoscopically.
Open surgery for inguinal hernia is performed by implanting a prosthetic mesh, which allows for a tension-free repair of the tissues, which reduces post-surgical pain, allowing for early recovery and a lower incidence of hernia recurrence.
Laparoscopic inguinal hernia repair has gained popularity over the years. The use of a minimally invasive technique, by an experienced surgeon, has shown advantages in terms of cosmetic results (especially in the case of bilateral hernias, since both hernias can be repaired through the same incisions), less postoperative pain, with an earlier return to normal activities, as well as a decrease in the incidence of chronic postoperative pain. Unlike the conventional open technique, laparoscopic repair requires the use of general anesthesia. Laparoscopic repair may be contraindicated in some cases (large or irreducible inguino-scrotal hernias, previous surgery on the lower abdominal floor, ascites, etc.).
Frequently Asked Questions
about Pilonidal Sinus
- Reddening of the skin
- Pain
- Presence of pus or blood in an opening of the skin.
- Unpleasant odor of oozing pus.
This pathology should be treated by a specialist in coloproctology, which is responsible for the diagnosis and treatment of diseases of the colon, rectum and anus.
As we know, the pilonidal cyst is located in the region above the intergluteal fold, an area of treatment for this specialist.
