Hernias

What is the definition of Diastasis Recti?

Thinning of the rectus abdominis.

What are the most common types of hernias across all genders?

Inguinal hernias.

What happens in an incarcerated hernia?

The protruded tissue becomes trapped and cannot be easily pushed back into place.

How is a strangulated hernia different from an incarcerated hernia?

In a strangulated hernia, the blood supply to the trapped tissue is compromised, leading to tissue necrosis if not treated promptly.

What symptoms are associated with a strangulated hernia?

Pain or discomfort in the affected area, fever, leukocytosis, a visible bulge, and in severe cases, nausea or vomiting.

What are some common causes of hernias?

Increased abdominal pressure due to heavy lifting, pregnancy, obesity; congenital defects; aging; and previous surgical incisions.

What is an umbilical hernia in babies?

It occurs when a portion of the intestine bulges through the abdominal wall near the belly button and is often painless.

What can lead to hernias due to collagen abnormalities?

Reduced strength and elasticity of the connective tissues.

What is the leading cause of incisional hernias?

Incisional infections.

How long is the optimal timeline for wound healing post-surgery?

6-8 weeks.

What is the preferred method for hernia repair?

Laparoscopy.

What is the benefit of mesh repair compared to suturing?

It provides greater strength to the repair site and reduces the risk of recurrence.

What does 'loss of domain' refer to in the context of hernias?

When a hernia sac contains a significant amount of intra-abdominal contents, complicating surgical repair.

Why is CT used in the context of hernias?

It's used for imaging in cases of strangulation.

What complications can arise if closure of the abdominal wall is too tight?

Hypertension in surrounding tissues, potentially leading to ischemia or necrosis.

What factors can influence wound healing?

Patient comorbidities, nutritional status, and smoking.