What is a hernia?

A hernia is a protrusion of a tissue, structure, or part of an organ through the structures by which it is normally contained.

Most people think of a hernia as being specific to the abdominal wall and groins but hernias can occur in other parts of the body. For instance, a slipped disc is a type of hernia where the inner part of the disc protrudes out of the outer part of the disc to press on the spinal cord.

  • Clinical Features
  • Causes of a Hernia
  • Types of Hernia
  • Management of a Hernia

Clinical Features

Lump over site of hernia

May be painful

May have skin ulceration over site

Causes of a Hernia

Congenital or acquired

Raised intra-abdominal pressure increases risk

Trapped contents leads to hernia becoming irreducible

Compromised blood supply leads to strangulation

Types of Hernia

  • Indirect inguinal
  • Direct inguinal
  • Umbilical
  • Paraumbilical
  • Epigastic
  • Femoral
  • Spigelian
  • Obturator
  • Lumbar
  • Gluteal
  • Sciatic
  • Incisional

Management of a Hernia

If unfit for surgery conservative management would include

  • Wearing a truss
  • Weight loss
  • Treatment of COPD

Surgical Repair

  • Open or laparoscopic repair
  • Herniotomy, Hernioplasty or Herniorrhaphy
  • Inguinal repairs – Lichtenstein mesh repair, Shouldice repair, Bassini repair