A bulge of soft tissue that protrudes through a weak area in the abdominal wall is known as a hernia. An incarcerated hernia occurs when a portion of the intestine or other abdominal tissue gets trapped within the sac of a hernia. The stool might not be able to travel through the gut if a portion of it gets trapped. This may result in stomach swelling, discomfort, nausea, and vomiting. If the hernia is large enough, the loop of the intestine can enlarge and become strangulated, leading to tissue death (gangrene). Surgery must be performed right away if the intestine becomes strangled.
Incarcerated Hernia Definition
A hernia is termed as incarcerated hernia if the bulge of tissue or organ protruding from the abdomen is unable to be decreased, or driven back into the abdominal wall. This can lead to major health risks if the hernia is not treated, including swelling and pain. The groin region is where incarcerated hernias most frequently arise, but they can also develop in the abdominal wall or the diaphragm.
Incarcerated Hernia Symptoms
Hernias protrude through areas of the abdominal muscles that are weak, but they can be worked to force the tissue backward through the hole. However, incarcerated hernias develop when the muscle tightens around the tissue, preventing reduction or pushing the hernia back into place. Although a blockage caused by a portion of the bowel stuck in the abdominal muscles might occur, not all incarcerated hernias are immediately symptomatic. Hernias that are stuck within the abdominal wall can cause a variety of uncomfortable symptoms.
- enlargement of a hernia that already exists
- A feeling of distress
- Soreness and puffiness around the hernia site
- Irreducible
- lump or bulge
- Impairment of Bowel Function
Incarcerated Hernia Causes
The groin or the area around the belly button is the most typical location for incarcerated hernias, but they can also develop in the abdominal wall, in the vicinity of the belly button, or even in the diaphragm. They can be caused by numerous circumstances, including obesity, pregnancy, lifting heavy objects, frequent coughing or sneezing, family predisposition, and prior abdominal surgery.
Incarcerated Hernia Treatment
Surgery to fix the hernia and relocate the trapped tissue is frequently required as part of treatment for incarcerated hernias. The sort of surgery required will depend on the patient's general health, the location and size of the hernia, and other factors.
In the majority of instances, the operation is conducted under general anesthesia and entails making an incision in the abdominal wall to gain access to the hernia. The surgeon will then reposition the trapped tissue and use sutures or mesh to restore the compromised portion of the abdominal wall.
During the procedure, it can be necessary to remove the trapped tissue if it has been necrotic or infected. To thoroughly heal the hernia, the surgeon might occasionally need to carry out further surgeries, such as emptying abscesses or removing scar tissue.
In order to enable the incision to heal after surgery, the patient will normally need to relax and avoid strenuous activity for a few days. To aid in the management of any discomfort, painkillers may be prescribed. To ensure good recovery, it is essential for the patient to adhere to the surgeon's postoperative instructions, including any activity limits or wound care suggestions.
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