Abstract
A hernia is a protrusion of tissue or an organ through an abnormal opening. Hernia defects can be congenital or acquired. They can occur in various anatomic locations with the most common being inguinal. In general, hernias occur more frequently in men, though femoral hernias are more commonly found in women. Risk factors for hernia development include trauma, surgery, connective tissue disorders, and increased abdominal pressure. Physical exam is the mainstay for hernia detection. Minimally symptomatic, reducible inguinal hernias can be safely observed. Symptomatic inguinal, incisional, femoral and umbilical hernias in patients over age 5 should all undergo elective surgical repair. Incarcerated hernias are non-reducible and if the hernia contains bowel can lead to bowel obstruction and bowel strangulation. Urgent surgical repair is required. Open and laparoscopic repair are both acceptable repair options though outcomes of laparoscopic repair are more operator dependent. Mesh repair is generally associated with better outcomes.
| Original language | English (US) |
|---|---|
| Title of host publication | Textbook of Clinical Gastroenterology and Hepatology: Second Edition |
| Publisher | Wiley-Blackwell |
| Pages | 919-924 |
| Number of pages | 6 |
| ISBN (Print) | 1405191821, 9781405191821 |
| DOIs | |
| State | Published - Apr 16 2012 |
| Externally published | Yes |
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Keywords
- Gastroschisis
- Hernia
- Incisional
- Inguinal
- Omphalocele
ASJC Scopus subject areas
- Medicine(all)
Cite this
Hernia. / Matsen, Cindy; Neumayer, Leigh A.
Textbook of Clinical Gastroenterology and Hepatology: Second Edition. Wiley-Blackwell, 2012. p. 919-924.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Hernia
AU - Matsen, Cindy
AU - Neumayer, Leigh A
PY - 2012/4/16
Y1 - 2012/4/16
N2 - A hernia is a protrusion of tissue or an organ through an abnormal opening. Hernia defects can be congenital or acquired. They can occur in various anatomic locations with the most common being inguinal. In general, hernias occur more frequently in men, though femoral hernias are more commonly found in women. Risk factors for hernia development include trauma, surgery, connective tissue disorders, and increased abdominal pressure. Physical exam is the mainstay for hernia detection. Minimally symptomatic, reducible inguinal hernias can be safely observed. Symptomatic inguinal, incisional, femoral and umbilical hernias in patients over age 5 should all undergo elective surgical repair. Incarcerated hernias are non-reducible and if the hernia contains bowel can lead to bowel obstruction and bowel strangulation. Urgent surgical repair is required. Open and laparoscopic repair are both acceptable repair options though outcomes of laparoscopic repair are more operator dependent. Mesh repair is generally associated with better outcomes.
AB - A hernia is a protrusion of tissue or an organ through an abnormal opening. Hernia defects can be congenital or acquired. They can occur in various anatomic locations with the most common being inguinal. In general, hernias occur more frequently in men, though femoral hernias are more commonly found in women. Risk factors for hernia development include trauma, surgery, connective tissue disorders, and increased abdominal pressure. Physical exam is the mainstay for hernia detection. Minimally symptomatic, reducible inguinal hernias can be safely observed. Symptomatic inguinal, incisional, femoral and umbilical hernias in patients over age 5 should all undergo elective surgical repair. Incarcerated hernias are non-reducible and if the hernia contains bowel can lead to bowel obstruction and bowel strangulation. Urgent surgical repair is required. Open and laparoscopic repair are both acceptable repair options though outcomes of laparoscopic repair are more operator dependent. Mesh repair is generally associated with better outcomes.
KW - Gastroschisis
KW - Hernia
KW - Incisional
KW - Inguinal
KW - Omphalocele
UR - http://www.scopus.com/inward/record.url?scp=84891474567&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84891474567&partnerID=8YFLogxK
U2 - 10.1002/9781118321386.ch122
DO - 10.1002/9781118321386.ch122
M3 - Chapter
AN - SCOPUS:84891474567
SN - 1405191821
SN - 9781405191821
SP - 919
EP - 924
BT - Textbook of Clinical Gastroenterology and Hepatology: Second Edition
PB - Wiley-Blackwell
ER -