Hernia and Appendix
Hernia is the defect in the abdominal wall at the level of the Groin
- Hernia can either be there since birth and abdominal
contents can protrude down a normal opening that people have in their groin. -
Hernia can develop more often in adults with a weakness in abdominal wall lining.
There is a greatest pressure in abdomen in the groin due to just gravity and the fact that the abdominal contents are dropped down into the pelvis and if you have a weakness in your abdominal wall that can cause a protrusion of the abdominal contents into your groin.
When patients have an inguinal hernia they can have a variety of symptoms they may notice nothing at all. They may notice a small bulge that is present when they caught because coughing is going to increase your intra-abdominal pressure and that may cause those contents to protrude out.
If there is this defect in abdominal wall it’s recommended that all people who’ve noticed a bulge in their groin or who are concerned that they may have hernia have an evaluation by a surgeon.
Surgical repair not only will help to alleviate the symptoms such as a bulge whether it’s tender or not bothersome or not but it can also decrease the risk of complications from the hernia.
The abdominal contents can protrude or push through the hole or the defect.
The complication is when the bowel contents can get stuck there so for example if the small intestine or the large intestine can work its way through the hole and get stuck there and not be able to push itself back in over time what can happen is this can compromise the blood supply to those intestines meaning that the intestines aren’t getting the blood supply in the oxygen that they need to be perfused.
If this happens ultimately it can jeopardize intestines and that becomes a surgical emergency and that’s what we should try to avoid by repairing these way before that happen in terms of the surgery to repair hernia
Appendicitis is a condition where the appendix is inflamed, swollen or filled with pus.
The appendix is a small tube of tissue that projects from your colon on the lower right side of your abdomen the exact roll of the appendix in the body is not clear however one study suggests is relation to abdominal immunity and infections fighting.
Appendicitis pain increases and gets intense as the inflammation worsens. Anybody can develop appendicitis, however it is more prevalent in people between the ages of 10 and 30. If left untreated inflamed appendicitis can burst or leak spilling infectious substance into the abdominal cavity this can lead to a severe inflammation of the abdominal cavity that can be very bad unless treated.
CAUSES
Appendicitis is caused by the blockage of the appendix. The blockage may be as a result of thick mucus that builds up within the appendix or may be due to the stool that comes into the appendix from the cecum. The hardening of the mucus or stool blocks the appendix. The blockage may as well be due to the swelling of the lymphatic tissue that lines the wall of the appendix
SIGNS AND SYMPTOMS
- Loss of Appetite
- Abdominal Swelling
- Constipation or Diarrhoea
- Fever
- Painful Coughing
- Painful Sneezing
- Inability to Pass Gas
- Severe Cramps
SIGNS AND SYMPTOMS
- Nausea and Vomiting at the onset of abdominal pain
- Dull Pain anywhere in the upper abdomen that becomes sharp as it moves to the lower abdomen
- Painful Urination
- Difficulty in passing urine
Dont Left Hernia or Appendix Untreated
Sule Hosptial offers General and Laproscopic Surgery
Diagnosis and Treatment of Hernia and Appendix at Sule Hospital
Tests and procedures used to diagnose appendicitis include physical examination to assess the pain Gentle pressure is applied to the painful area when the pressure is suddenly released. The pain worsens indicating an inflammation of the peritoneum.
Blood test- This allows us to check an elevated white-blood-cell count which may signal an infection Urine test -We may request for a urine analysis. The urine analysis is a microscopic test of the urine that detects white blood cells.
White blood cells and bacteria in the urine there is an abnormal range when there is an inflammation or stones in the kidney this is done to ascertain that a urinary tract infection or kidney stone isn’t the cause of the pain.
Imaging tests such as x-ray ultrasound and CT scan which are used to present a visualization of the abdomen can also be used to check for inflammation
The standard treatment for appendicitis is surgery to remove the inflamed appendix. Hernia and Appendicitis surgery can be done either open or through Laparoscope
A dose of antibiotics may be administered before surgery to prevent infections. The surgical procedure to remove the appendix is called appendectomy. During this procedure a video camera and a special surgical tool are inserted into your abdomen to remove the appendix. This surgery allows for fast recovery with less pain and scarring. If the appendix has burst and formed an abscess the pus or fluid formed by the abscess may be drained by placing a tube through your skin into the abscess after which an appendectomy is performed.
Patients are usually asked to refrain from lifting more than about 7 kgs for four to six weeks this will give them a good chance to heal well during that time. You can increase your activity as tolerated. If something is causing you discomfort you should back off that activity for a week.
