This is the pathological condition, in which an intra-abdominal viscera protrudes outside the abdominal wall, ie the muscular sheath of the abdomen, through an abnormal opening.
“Although a hernia can not put the health and life of patients in immediate danger, its treatment should not be delayed for a long time as the onset of the disease is accompanied by the possibility of developing complications, potentially dangerous. The not so rare and extremely dangerous complication of hernias of the abdominal wall is called tightening “.
What happens when a hernia tightens?
An abdominal wall hernia occurs when a part of an intra-abdominal organ penetrates the abdominal wall and protrudes under the skin of the area. The contents of the hernia are usually able to return to the abdomen (to be repositioned) when the patient is lying down.
Hernia tightening, is called the clinical condition, in which there is a permanent entrapment of the organ outside the abdominal wall, without the possibility of repositioning it inside the abdomen.
The trapped viscera begins to press on the abdominal wall, with the result that its venous outflow is initially stopped and edema occurs. The edema worsens the obstruction, resulting in the cessation of arterial supply (perfusion), resulting in ischemia and necrosis of the organ.
In most cases, where the trapped viscera is a part of the intestine, its tightening causes the circulation of its contents (ileus) to stop and in the next stage ischemia and perforation of the organ, with local or generalized peritonitis, an extremely dangerous condition, even for the lives of patients.
What are the symptoms of hernia tightening?
Abdominal wall hernias do not show any symptoms, at least in the initial stage. Patients with hernias who experience severe symptoms and discomfort should seek medical attention immediately.
The symptoms, which should alarm and mobilize patients immediately are:
• Acute and persistent abdominal pain
• Motion sickness
Vomiting
Redness and local heat in the hernia area
• Decimal fever or fever
• Increased heart rate
• Inability to expel gas or feces
• Local pain in the hernia area
How to prevent hernia tightening?
The possibility of tightening is the main reason why surgeons recommend not postponing for a long time the surgical treatment of any form of abdominal wall hernia, regardless of size or duration from the moment it appeared.
The treatment of a tight hernia is immediate surgery, so patients with a hernia who experience any of the above symptoms should contact a specialist immediately.
General Surgeon to receive instructions for their next moves.
Metropolitan General Hospital has been certified as a Center of Excellence in Hernia Surgery by the International Surgical Review Corporation (SRC). The Center of Excellence in Hernia Surgery is under the direction of the certified, by the same body, Master Surgeon & Surgeon of Excellence Dr. Charalambos Spyropoulos.
Writes:
Mr. Charalambos Spyropoulos, Surgeon, Director of the Clinic of Minimally Invasive Surgery of the Digestive System / Obesity and Diabetes – DG Surgery Clinic Master Surgeon in Hernia Surgery, Co-director of the Center of Excellence in the field of surgery of the Metropolitan General
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