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Common types of hernias are listed to the right
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Inguinal
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Umbilical
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Femoral
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Incisional
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Ventral
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Spigellian
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A hernia is due to a "hole" in the abdominal wall. The abdominal wall is likened to a tire and the abdominal contents thought of as the inner tube. A "blowout" in the tire wall will cause the inner tube to bulge out of the tire hole. A hernia is very much the same thing. Patients may notice a bulge on one side of the groin or perhaps a protrusion from the bellybutton. These may feel "squishy". They may or may not be painful. You may have a hernia.
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An inguinal hernia is the most common hernia I see. It is named by its location in the groin. Symptoms are pain, a dull ache, or a "dragging" sensation. Signs are that of a bulge in the groin. It is usually soft and feels like a "bubble." It can usually be placed back or "reduced" and will often disappear. Coughing or straining will bring the hernia back out. If the buge is painful seek medical care immediately. This indicates that the abdominal contents are "stuck" and may necessitate immediate surgery. Inguinal hernias can sometimes occur on both sides at the same time. This is termed "bilateral inguinal hernias"
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The other types of hernias are similar in composition but are in different locations. An incisional hernia results from a previous surgical incision. All have similar signs and symptoms. Again an "incarcerated" hernia or a hernia that is extremely painful and will not flatten back into the abdomen is a surgical emergency. If this is the case go to the emergency room or conatact your doctor immediately.
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A hernia can be repaired "open" or "laparoscopic." Each has its pros and cons. An open procedure is through a traditional incision. Laparoscopic procedures are done through small incisions and essentially look at the "hole" and perform the repair from the "inside" of the abdomen. I look at each patient's repair individually, and both repairs have been shown to have excellent results. Recovery can be as quick as a few days depending on the repair. Pain is usually minimal.
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