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Hernia – Care for Children & Women



Press Release


Hernia – Care for Children & Women


Kolkata, 31st May 2011: A Hernia is a protrusion of an organ or tissue through an abnormal opening of the body. This noticeable bulge under skin and the pressure of the tissue pushing its way through the weakened area can be a source of significant pain and discomfort. This disease can attack anyone from any age group and so children & women can also become the victim of this disease. This interactive session and public awareness programme was conducted by Senior Surgeon Dr. Sandip Chakraborti,Consultant Surgeon at AMRI Women and Children Hospital-E M Bye Pass,AMRI Hospital-Salt lake , Divine Nursing Home at Press Club.


Speaking on the occasion Dr. Sandip Chakraborty stated, Hernias are more common in men than in women but they can develop on anyone. In most cases hernias are result of a defect or weakness in the abdominal wall present at the time of birth. Hernia is caused by previous surgery, pregnancy and child birth, COPD, coughing, difficulty in passing urine, congenital due to birth defects. In case of adults inflammation emerges sporadically but in case of children symptom is less remitting. The occurrence of pain is sporadic but if the content of hernia sac find no way to bulge out and remain there stuck permanently, the pain is increased and it may become constant. If this thing happens children may start vomiting and a feeling of uneasiness can emerge. Coughing, sneezing, crying can also aggravate the symptoms of hernia.”


There are different types of hernia like Inguinal Hernia, Epigastria Hernia, Femoral Hernia, Hiatus Hernia, Incision Hernia and Umbilical Hernia. The only way to cure a hernia is with surgery. However there are different types of treatment for different hernia. Children are generally affected by two types of hernia like Inguinal Hernia and Umbilical Hernia and in case of Women by Incisional Hernia.

Inguinal Hernia - A paediatric inguinal hernia can appear or occur at any age, but the peak incidence is during infancy and early childhood with 80 to 90% occurring in boys. Inguinal hernia in children is prone to get ‘stuck ‘i.e. the lump does not go away when the child relaxes and this is called incarceration.  Since incarceration is quite common it should be repaired as soon as it is diagnosed. In an acute situation, the child or infant should be admitted to hospital.

Umbilical Hernia - Umbilical hernia is more common in premature babies and children with Down's syndrome. They appear as a bulge at the umbilicus, (the navel) which can vary in size from that of a pea up to the size of a small plum. They are not usually painful and are much more obvious when the baby or child cries or strains.This is one of the most common paediatric surgical conditions affecting, perhaps, 20%of all children. If pain persists with vomiting or constipation, possibly operation is required.

Incisional/Ventral Hernia: This type of hernia is located at the site of a previous surgical incision. These can develop weeks, months or even years after the initial surgery. This type of Hernia occurs in Women due to incision at delivery.

There are several HERNIA REPAIR techniques in use by surgeons today. The three types of repair techniques are: the tension repair, the tension-free repair and the laparoscopic repair. For tension repair method the surgeon makes an incision in the abdomen over the hernia site, pushes any protruding tissue back into correct position within the abdominal cavity and then stitches back the hernia. This technique is very commonly in children.

 For tension-free repair method after making incision the surgeon uses a patch made of flat mesh and stitches it over the tissue surrounding the hernia. For laparoscopic repair method the surgeon inserts a laparoscope, a thin instrument with magnifying lenses through a small incision in the abdomen and this helps the surgeon to examine hernia and accurately place a mesh patch on the inside of the abdominal wall, not outside as with conventional  mesh repair. LAPAROSCOPY is the best repair because it would actually hold the patch in place and thus help seal the hole/incision. Instead of costly this is the most effective method.


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