umbilical hernia is called abnormal bulging of the abdominal cavity through the umbilical ring, which can disappear or significantly reduced in size in the horizontal position of the body.The disease in adults occurs in 6-10% of the population and is more common in women. Content
This pathology is acquired and is called the divergence of the muscle fibers of the white line of the abdomen, which can be triggered by various causes.
umbilical hernia in adults can cause a variety of factors:
Their action leads to the fact that the muscle and ligaments of the abdominal wall can no longer cope with the holding of the abdominal cavity in a normal position, they protrude through the umbilical ring.The size of the hernia may be different - from 1-3 cm to 20 cm or more.In most cases, the umbilical ring extends no more than 10 cm. Hernias small bulges therethrough gland in l
Some experts have suggested a possible genetic predisposition to the development of umbilical hernias in adults, but so far, this theory has not been proven.
severe symptoms of umbilical hernia depends on many factors:
beginning of umbilical hernia patient notes in a small protrusion of the navel.Some pregnant women even take him for a normal process of pregnancy and does not attach importance to his appearance.Flexing easily reduce a disappear in the supine position, and the patient does not feel any discomfort because of his appearance.
In some cases, the oil seal blubber can completely block the umbilical ring, and these hernias do not change in size in the future take place without any particular symptoms.If the gland begins to flow through the extended muscles, the hernia enlarges and makes itself felt more severe manifestations.
With the progression of the disease in the abdomen form adhesions that interfere with reposition of the hernia sac.Movement, physical activity, trying to push - all this leads to pain and disturbances in the functioning of the intestine.The patient begins to complain about the occasional constipation and nausea.Especially difficult is transferred progressive umbilical hernia in obesity and pregnancy, t. To. The constantly growing belly puts pressure on the muscles of the abdominal wall, and the patient's condition worsens.
Umbilical hernia in adults can lead to complications:
They can appear at any stage of disease duration.
most common hernia complicated infringement of hernia sac, in which there is a sudden compression of the contents of the hernia in the umbilical ring.Such a condition leads to disruption or even cessation of blood circulation in the tissues of the disadvantaged and can lead to gangrene them.The complication is accompanied by signs of inflammation of the affected organs.When umbilical hernia, it develops in the gland, intestine, or peritoneum.If the infringement peritoneum rapidly developing peritonitis.
most common infringement of an umbilical hernia is caused by physical exertion.Its development can be triggered by a cough or even laughter.Also infringement may contribute to constipation, causing an increase in intra-abdominal pressure.
Symptoms of such complications appear suddenly:
When these symptoms the patient should call an ambulance!Especially dangerous infringement of umbilical hernia in pregnant women, t. To. It can lead to miscarriage and premature birth.
Such conditions require immediate surgery (in the first hours after the infringement of a hernia), the amount of which is determined individually for each patient.
single treatment of umbilical hernia in adults is its surgical removal.Despite the fact that in recent years in the media and on the internet is often found information on treatment by reposition of the hernia, the risk of severe complications from such treatment remains extremely high and can lead to irreversible consequences.
Surgery at umbilical hernia may be delayed in uncomplicated forms of the disease in pregnant women or burdening the general condition of the patient concomitant diseases (acute or exacerbated chronic diseases, pulmonary or heart failure, and so forth.).In other cases, the patient may recommend several ways of surgical removal of a hernia.
Depending on the characteristics of umbilical hernia is performed:
Surgery may be performed to traditional access or use of laparoscopy.For anesthesia intervention used local or general anesthesia.
After removing the hernia patient is recommended to wear a special brace that reduces the pressure on the joint.After the operation (the same day) the patient allowed to get out of bed.In the following days, gradually increase the exercise.Duration of wearing a bandage is determined individually.After 10-14 days the patient is permitted to engage in jogging, but strength training and weight lifting are allowed only one month after the operation (even after laparoscopic).
This pathology is often observed in pregnant women, but in most cases it does not require immediate surgical treatment, t. To. The stress and used in the process of intervention products can adversely affect the health of the unborn baby.Women are advised to wear a special bandage, which is chosen individually and helps to eliminate excessive tension of the abdominal wall.Also, the doctor may advise the patient to use compression or support sheets.
pregnant with umbilical hernia constantly observed the surgeon who will help you choose the optimal time for surgery after birth.While such interference can be eliminated and other abdominal wall defects caused by pregnancy (stretching and sagging of the skin, removal of excess fatty tissue).Optimally to conduct such operations in 6-8 months after delivery, ie. A. During this time it is restored sprawling muscles of the abdominal wall, and the mother's body.
To prevent the development of umbilical hernia should observe a number of rules:
Remember that uncomplicated umbilical hernia can be easily treated by surgery and has the most favorable prognosis and the lack of timely treatment leads to severe and sometimes irreversible consequences.Listen to the advice of the doctor and do not delay the operation!Modern surgery can offer patients minimally traumatic interventions that are well-bring, do not give a recurrence of the disease and leave no trace of the patient's body and ugly scars.