Gastrointestinal Surgery – Inguinal Hernia

In an inguinal hernia, abdominal fat or a loop of small intestine enters the inguinal canal, a tubular passage through the lower layers of the abdominal wall. A hernia occurs when part of an internal organ (usually the small intestine) protrudes through a weak point or tear in the peritoneum, the thin muscular wall holding the abdominal organs in place resulting in a bulge. In men, inguinal hernias typically develop in the groin area near the scrotum, on one or both (double hernia) sides.  

Hernia repairs are common—more than one million hernia repairs are performed each year in the U.S. Approximately 800,000 are to repair inguinal hernias and the rest are for other types of hernias. Repair of Inguinal hernias is among the most frequently performed surgeries in the U.S.

Image Credit: “Blausen 0560 InguinalHernia” by BruceBlaus

Signs and Symptoms

Symptoms of an inguinal hernia include:

• A small bulge in one or both sides of the groin that may increase in size and disappear when lying down; in males, it can present as a swollen or enlarged scrotum
• Discomfort or sharp pain-especially when straining, lifting, or exercising-that improves when resting
• A feeling of weakness or pressure in the groin
• A burning, gurgling, or aching feeling at the bulge

Incidence

An inguinal hernia may arise at any time from infancy to adulthood. However, it is far more common in males  with a lifetime risk of  27% in men and 3% in women. Some individuals are born with weak abdominal muscles and are more likely to develop a hernia. Others are caused by excessive strain on the abdominal wall from heavy lifting, weight gain, coughing, or difficulty with bowel movements and urination.

Types

Direct Inguinal Hernias

Direct inguinal hernias are caused by connective tissue degeneration of the abdominal muscles, which causes weakening of the muscles during the adult years. Direct inguinal hernias occur only in males. The hernia involves fat or the small intestine sliding through the weak muscles into the groin. A direct hernia develops gradually because of continuous stress on the muscles.

Any activity or condition which increases pressure in the intra-abdominal cavity may contribute to the formation of a hernia, including:

• Obesity
• Heavy lifting 
• Coughing 
• Straining with urination or defecation
• Chronic obstructive pulmonary disease (COPD)
• Ascites
• Peritoneal dialysis
• Ventriculoperitoneal shunt

Indirect Inguinal Hernias

Indirect inguinal hernias are congenital hernias and are much more common in males than females because of the way males develop in the womb. In a male fetus, the spermatic cord and both testicles-starting from an intra-abdominal location-normally descend through the inguinal canal into the scrotum, the sac that holds the testicles.

Sometimes the entrance of the inguinal canal at the inguinal ring does not close as it should just after birth, leaving a weakness in the abdominal wall. Fat or part of the small intestine slides through the weakness into the inguinal canal, causing a hernia. In females, an indirect inguinal hernia is caused by the female organs or the small intestine sliding into the groin through a weakness in the abdominal wall.

Indirect hernias are the most common type of inguinal hernia. Premature infants are especially at risk for indirect inguinal hernias because there is less time for the inguinal canal to close.

“Incarcerated” and “Strangulated” Inguinal Hernias

An incarcerated inguinal hernia is a hernia that becomes stuck in the groin or scrotum and cannot be massaged back into the abdomen. An incarcerated hernia is caused by swelling and can lead to a strangulated hernia, in which the blood supply to the incarcerated small intestine is jeopardized. A strangulated hernia is a serious condition and requires immediate medical attention. Symptoms of a strangulated hernia include:

• Extreme tenderness and redness in the area of the bulge
• Sudden pain that worsens in a short period of time
• Fever
• Rapid heart rate

Left untreated, nausea, vomiting, and severe infection can occur. If surgery is not performed right away, the condition can become life threatening, and the affected intestine may die. Then that portion of the intestine must be removed.

Diagnosis

To diagnose inguinal hernia, the doctor takes a thorough medical history and conducts a physical examination. The person may be asked to stand and cough so the doctor can feel the hernia as it moves into the groin or scrotum. The doctor checks to see if the hernia can be gently massaged back into its proper position in the abdomen.

Treatment

In adults, inguinal hernias that enlarge, cause symptoms, or become incarcerated are treated surgically. In infants and children, inguinal hernias are always operated on to prevent incarceration from occurring. Surgery is usually done on an outpatient basis. Recovery time varies depending on the size of the hernia, the technique used, and the age and health of the patient. The two main types of surgery for hernias are as follows:

Open Hernia Repair

In open hernia repair, also called herniorrhaphy, a person is given local anesthesia in the abdomen or spine to numb the area, general anesthesia to sedate or help the person sleep, or a combination of the two. Then the surgeon makes an incision in the groin, moves the hernia back into the abdomen, and reinforces the muscle wall with stitches. Usually the area of muscle weakness is reinforced with a synthetic mesh or screen to provide additional support-an operation called hernioplasty.

Laparoscopic Inguinal Hernia Repair

Laparoscopic surgery is performed using general anesthesia. The surgeon makes several small incisions in the lower abdomen and inserts a laparoscope-a thin tube with a tiny video camera attached to one end. The camera sends a magnified image from inside the body to a monitor, giving the surgeon a close-up view of the hernia and surrounding tissue. While viewing the monitor, the surgeon uses instruments to carefully repair the hernia using synthetic mesh.

People who undergo laparoscopic surgery generally experience a somewhat shorter recovery time. However, the doctor may determine laparoscopic surgery is not the best option if the hernia is very large or the person has had pelvic surgery.

Most adults experience discomfort after surgery and require pain medication. Vigorous activity and heavy lifting are restricted for several weeks. The doctor will discuss when a person may safely return to work. Infants and children also experience some discomfort but usually resume normal activities after several days.

Potential Complications

Surgery to repair an inguinal hernia is generally safe and complications are uncommon. Knowing possible risks allows patients to report postoperative symptoms to their doctor as soon as they occur.

• Risk of general anesthesia. Before surgery, the anesthesiologist-a doctor who administers anesthesia-reviews the risks of anesthesia with the patient and asks about medical history and allergies to medications. Complications most likely occur in older people and those with other medical conditions. Common complications include nausea, vomiting, urinary retention, sore throat, and headache. More serious problems include heart attack, stroke, pneumonia, and blood clots in the legs.

  Getting out of bed after surgery and moving as soon as the doctor allows will help reduce the risk of complications such as pneumonia and blood clots.

• Hernia recurrence. A hernia can recur up to several years after repair. Recurrence is the most common complication of inguinal hernia repair, causing patients to undergo a second operation.

• Bleeding. Bleeding inside the incision is another complication of inguinal hernia repair. It can cause severe swelling and bluish discoloration of the skin around the incision. Surgery may be necessary to open the incision and stop the bleeding. Bleeding is unusual and occurs in less than 2 percent of patients.

• Wound infection. The risk of wound infection is small-less than 2 percent-and is more likely to occur in older adults and people who undergo more complex hernia repair.² The person may experience a fever, discharge from the incision, and redness, swelling, or tenderness around the incision. Postoperative infection requires antibiotics and, occasionally, another procedure requiring local anesthesia to make a small opening in the incision and drain the infection.

• Painful scar. Sometimes people experience sharp, tingling pain in a specific area near the incision after it has healed. The pain usually resolves with time. Medicine may be injected in the area if the pain continues.

• Injury to internal organs. Although extremely rare, injury to the intestine, bladder, kidneys, nerves and blood vessels leading to the legs, internal female organs, and vas deferens-the tube that carries sperm-can occur during hernia surgery and may lead to more operations.

For More Information

Inguinal and Femoral Hernia Repair (American College of Surgeons)

Inguinal and Femoral Hernia Repair (American College of Surgeons) español

Hernia Conditions – Areas of Specialty in General Surgery for Allen Agapay, MD and Jordan Glenn, DO

A hernia is the abnormal bulging of an internal organ (usually the intestine) through an opening in the muscles of the abdominal wall. The hernia can be caused by stress on the abdominal muscles, or in some cases, is caused by a congenital flaw. Doctors Allen A. Agapay and Jordan J. Glenn specialize in the most advanced surgical techniques for repair and treatment of many different types of hernias. They provide state-of-the-art laparoscopic hernia surgery as well as the latest in open hernia repair techniques. The team also performs robotic-assisted surgery for hernias. The da Vinci robotic surgery system, equipped with tiny instruments and a 3D camera, offers surgeons better visibility inside the patient’s body and finer control while they repair the hernia. Because the incisions required are so small, most patients experience less pain after surgery and a quicker return to normal activity.

Inguinal (Groin) Hernia

Inguinal hernias are the most common type of hernia and will appear as a bulge on one or both sides of the groin. An inguinal hernia can be an emergency if the intestine becomes trapped within the hernia sac. You should seek immediate medical attention if the pain is very severe and the bulge won’t go away when you lie down or put pressure on the bulge.

Symptoms

• A visible bulge on one or both sides of the groin
• Discomfort or sharp pain while lifting, bending over or straining
• Weakness, dull ache, pressure, or burning sensation in the groin or scrotum

When part of the intestine becomes trapped (incarcerated) within the hernia sac, it is a medical emergency. Symptoms of an incarcerated inguinal hernia include:

• Severe pain and redness
• Pain that keeps getting worse
• Fever
• Rapid heart rate
• Nausea and vomiting

Seek medical treatment immediately if you experience any symptoms of an incarcerated hernia.

Diagnosis

To diagnose an inguinal hernia, your doctor will conduct a physical examination. During the exam, he will look and feel for a bulge in your groin or scrotal area.

Treatment

Inguinal hernias can be repaired with either open or laparoscopic surgery, including robotic-assisted laparoscopic surgery. Doctors Agapay and Glenn will carefully evaluate your hernia to determine the best method of repair.

Open inguinal hernia repair: is performed using local and/or general anesthesia. During this surgery, your surgeon makes a small incision in the groin, identifies the defect and returns the herniated tissue to the abdomen. The surgeon then reinforces the lower abdominal wall with mesh. This results in a very strong repair. All of the muscle and skin layers are then closed with absorbable suture.

Laparoscopic inguinal hernia repair: is performed using general anesthesia using a camera which is inserted through a small incision by the navel and instruments that are inserted through small incisions on the lower abdomen. Your surgeon returns the herniated tissue to the abdomen and then reinforces the inside of the lower abdominal wall with a piece of mesh. This procedure is well-suited for patients with hernias on both sides of the groin, or with a recurrent hernia. Not everyone is a candidate for the laparoscopic approach. It is not the best option if the hernia is very large or if the patient has previously had pelvic surgery.

da Vinci Robotic Assisted Surgery: During this surgery, surgeons control a robotic-assisted surgical device that provides a 3D view inside your body and very precise instrument control while they repair your hernia. Most hernias can be repaired using this method, including some hernias that cannot be repaired with conventional laparoscopic surgery. Only very small incisions are needed so recovery is quicker and less painful than with traditional open surgery.

Femoral Hernia

A femoral hernia will appear as a bulge near the groin or thigh and occurs when a loop of intestine or abdominal tissue pushes through a tear or weak spot in the muscle layer of the abdomen.

Symptoms

Most femoral hernias do not cause symptoms. The bulge may be visible below the groin in the upper thigh. Some symptoms may include discomfort when standing, lifting heavy objects or straining.

When tissue inside the hernia becomes stuck or trapped (incarcerated) in the bulging abdominal muscle, it can lead to a potentially life-threatening condition and requires emergency surgery. Symptoms include:

• Sudden groin pain
• Sudden abdominal pain
• Severe nausea or vomiting

Seek medical treatment immediately if you experience any of these symptoms.

Diagnosis

To diagnose a femoral hernia, the doctor conducts a physical examination. If there is any doubt about the physical exam findings, an ultrasound or a CT scan may be performed.

Treatment

Femoral hernias are more likely to become incarcerated than other types of hernia. There is no treatment option other than surgery. Left untreated, most hernias will increase in size. Our doctors offer both open and laparoscopic hernia repair options, including robotic-assisted laparoscopic surgery. They will carefully evaluate your hernia before recommending a type of surgery.

Open femoral hernia repair: This is performed using general anesthesia. The surgeon makes an incision in the patient’s groin area, and locates the hernia. The surgeon may also remove extra hernia tissue. The surgeon then pushes the intestine back into place in the abdomen, reinforces the abdominal wall with a piece of mesh, then closes the weakened abdominal muscles with stitches.

Laparoscopic femoral hernia repair: Our surgeons perform laparoscopic femoral hernia repair through several small incisions using a laparoscope (thin tube with a tiny video camera attached). The camera gives them an enlarged view of the hernia and surrounding tissue while they repair the defect and reinforce the muscle wall with synthetic mesh. This surgery is performed using general anesthesia.

da Vinci Robotic Assisted Surgery: This type of surgery is performed through very small incisions while your surgeon controls a robotic surgery system, equipped with tiny instruments and a 3D camera, that provides a close-up view inside your body during the operation. Most patients experience quicker healing after this type of surgery.

Ventral, Umbilical and Incisional Hernias

A ventral hernia happens when a loop of intestine or abdominal tissue pushes through a weak spot in the abdominal wall. Common types of ventral hernias are:

Umbilical Hernia: When the hernia is at the navel or belly button. Umbilical hernias may occur in babies just after birth and may resolve themselves as the child matures. But some persist and adults can also experience umbilical hernias.

Incisional Hernia: When the hernia is at the site of a prior abdominal incision. This type of hernia can appear shortly after surgery or many years later.

Symptoms

Symptoms of a ventral hernia include:

• A bulge or lump in your abdominal area.
• Discomfort or sharp pain when straining or lifting that goes away when you rest
• An aching or burning feeling at the site of the bulge

When tissue inside the hernia becomes stuck or trapped in the bulging abdominal muscle, it can lead to a potentially life-threatening condition known as “strangulation,” which requires emergency surgery. Symptoms of hernia strangulation include:

• Abdominal pain
• Profuse sweating
• Rapid heartbeat
• Severe nausea, vomiting and high fever

Seek medical treatment immediately if you experience any symptoms of a strangulated hernia.

Diagnosis

To diagnose a ventral hernia, the doctor conducts a physical examination of your abdomen, and specifically, the area where a ventral hernia may exist. You may be asked to stand and cough so the doctor can feel the hernia. A CT scan may be performed for further diagnosis.

Treatment

Ventral hernias can be repaired with either open or laparoscopic surgery, including robotic-assisted laparoscopic surgery. Doctors Agapay and Glenn will carefully evaluate your hernia to determine which type of surgery is right for you.

Open ventral hernia repair: This is performed using general anesthesia. Your surgeon makes an incision in the abdominal wall over the hernia and pushes the herniated tissue back into place, repairs the defect in the abdominal wall, and reinforces it with a synthetic mesh to provide additional support.

Laparoscopic ventral hernia repair: During a laparoscopic ventral hernia repair, the surgeon makes several small incisions in the abdomen and inserts a laparoscope (thin tube with a tiny video camera attached). The camera projects onto a monitor. This allows the surgeon to view the hernia and surrounding tissue close-up while operating to repair the hernia and reinforce the muscle wall with synthetic mesh. This is performed using general anesthesia. The benefits of laparoscopic repair are less scarring, faster healing time and less pain. However laparoscopic surgery may not be the best option if the hernia is very large or if there is too much prior scar tissue.

da Vinci Robotic Assisted Surgery: Your surgeon operates through a few small incisions using a robotic-assisted surgical device that provides a 3D view inside your body and gives your surgeon precise control of surgical instruments during your hernia repair.

Sports Hernias, Hernias, And When To Visit A Doctor

Hernias – Types, Treatment & Recovery

Hernias are a common health issue that can be experienced by adult men and women, teenage, and even children, and they usually occur as the result of fatty tissue progressing through a spot within a nearby muscle. However, there are multiple forms of hernias, including sports hernias – which is a condition that is not officially considered to be hernia by the medical community.

Defining Sports Hernias And Hernias

If that appears to be confusing, it demonstrates the need to define the specific nature of a sports hernia and compare this condition to other forms of hernias. A sports hernia is officially referred to as an athletic pubalgia by health professionals, refers to a condition that usually emerges in the lower region of the abdomen. This is considered to be a soft tissue injury, and this issue transpires due to a sudden movement that involves twisting or a change in direction, which can often occur during sports activities such as football, hockey, soccer, and wrestling.

When this type of movement causes a tear or strain in the tendons, ligaments or muscles that can be found in the lower abdomen or groin, then the injury is considered to be a sports hernia. this remains true even though the condition is officially labeled by medical professionals as an athletic pubalgia – which was previously mentioned.

While this condition can eventually evolve into an abdominal hernia, these two issues are not identical. Instead, the most common hernia involves a protrusion of the abdominal wall by a portion of the intestine that has separated. This scenario can occur in the aftermath of weakened muscles and excessive strain in that area. This is the most frequent form of hernia that patients must contend with and is referred to as an inguinal hernia.

These hernias do not usually develop into a serious problem. However, the situation can become more concerning if the separated area that has progressed into the abdominal wall is squeezed sufficiently for the supply of blood to be blocked.

A less common form of hernia is referred to as femoral which is usually experienced by women. Coughing and straining can provide the trigger for this issue, although it remains rare. Umbilical hernias can emerge in newborns when a portion of the small intestine advances through the abdominal wall, while Hiatal hernias involve an area of the upper stomach progressing through the hiatus, which is an opening in the diaphragm.

Symptoms of Sports Hernias (Athletic Pubalgias)

These conditions stand in contrast to the primary topic of this article, which is the issue that is commonly known as a sports hernia (athletic pubalgia). This injury will often create significant pain in the groin area at the moment that it occurs. Resting can decrease discomfort, although any improvement can be temporary if you return to an activity that involves the same body movement that caused the injury.

Since a sports hernia can eventually become an inguinal hernia, the symptoms of this more common form of hernia can also emerge if you forego rest and treatment for your sports hernia.

When You Should Visit A Doctor

Since the pain of a sports hernia is usually experienced at the moment the injury occurs, it is highly possible that you will be suspicious that you have encountered this condition. If that is the case, then It is recommended that you consult with a physician. When you do, he or she will likely discuss your symptoms, your concerns, and the specifics of the activities that you have been involved with.

If your doctor determines that you probably are contending with a sports hernia, he or she will conduct a physical examination. This could include requesting that you attempt to sit up while your physician provides resistance with his or her hand as you try to lift yourself. This process will be painful if you are dealing with a sports hernia.

Your physician might also request x-rays or an MRI in order to verify the existence of a sports hernia.

Treatment For Sports Hernias
(Athletic Pubalgias)

If the diagnosis confirms that you are contending with a sports hernia, then the initial treatment could easily involve simple rest. After several weeks, you might begin physical therapy that would be designed to increase your strength and flexibility in the abdomen. It is also possible that your doctor would prescribe non-steroid all anti-inflammatory medication such as ibuprofen in order to decrease swelling and discomfort. If your symptoms linger over a protracted amount of time, then your physician might discuss a cortisone injection in order to combat these symptoms.

If surgery eventually becomes a recommended step in your treatment, It might be helpful to know that over 90% of patients who undergo surgery after the initial non-surgical treatment successfully return to normal activities.

At Orthopedic Associates, We Are Here To Help

If you have any questions or concerns about sports hernias, or if you believe that you might be contending with this condition, the experienced and knowledgeable staff at Orthopedic Associates is ready to assist you. We are dedicated to making sure that you can return to pain-free participation in the activities and lifestyle that you prefer.  

That
is why Orthopedic Associates offers a full spectrum of musculoskeletal care,
along with in-house physical sports therapy, and state-of-the-art-technology
including our digital imaging and open MRI, and an on-site surgical center for
more patient convenience.

Our board-certified doctors have been practicing medicine for a combined total of 183 years. This includes expertise in personalized care and treatment for a vast range of conditions that include sports hernias, along with a wide range of issues that can transpire with the hip.

• Anatomy of the Hip Joint
• Avascular Necrosis (AVN) of the Hip
• Bursitis of the Hip (Trochanteric Bursitis)
• Degenerative Joint Disease of the Hip (Osteoarthritis of the Hip)
• Femoral Fractures
• Femoral-Acetabular Impingement (FAI)
• Hamstring Muscle Injuries
• Hip Dislocation
• HipFracture/Prevention
• Iliotibial Band Syndrome (ITBS)
• Inflammatory Arthritis of the Hip
• Labral Tears of the Hip
• Loose Bodies in the Hip
• Muscle Strain Injuries of the Hip
• Osteoarthritis of the Hip
• Osteomyelitis
• Pediatric Femoral Fractures
• Perthes Disease
• Slipped Capital Femoral Epiphysis (SCFE)
• Snapping Hip Syndrome
• Sports Hernia
• Transient Osteoporosis of the Hip

At Orthopedics Associates we are also
extremely experienced in performing various treatments and surgeries for the
hip. These include:

• Absorbable Antibiotic Bead Treatment for Osteomyelitis
• Anesthesia
• Arthroscopic Surgery for Femoral-Acetabular Impingement (FAI)
• Bone Cement Injection
• Bone Density Scan (DXA or DEXA)
• Cold Laser Therapy
• Computed Tomography (CT) Scan
• Computer-Assisted Hip Replacement Surgery
• Core Decompression for Avascular Necrosis of the Hip
• Femur Fracture Fixation
• Fluoroscopic Guided Hip Injection
• Hip Arthroscopy
• Hip Fracture Treatment with Surgical Screws
• Hip Hemiarthroplasty (Bipolar/Unipolar)
• Internal Screw Fixation for Slipped Capital Femoral Epiphysis (SCFE)
• Large Bearing Metal-On-Metal Mini Total Hip
• Magnetic Resonance Imaging (MRI)
• Mini Total Hip Replacement
• Osteoporosis Screening
• Periacetabular Osteotomy
• Platelet Rich Plasma (PRP) Injection Ove
• Positron Emission Tomography (PET) Scan
• Revision Hip Surgery
• Stem Cell Therapy for Avascular Necrosis of the Hip
• Surgical Dislocation and Debridement for FAI
• Total Hip Replacement
• Total/Partial Hip Resurfacing
• Ultrasound-Guided Ilioinguinal Nerve Block

We encourage you to visit one of our Orthopedic Associates two locations or request an appointment today to be on your way to feeling better.

Phil’s experience as a writer enabled him to generate advertising and marketing material throughout his career in the television industry before he expanded his level of knowledge by creating various promotional elements for all forms of media in other industries. He has also produced articles that have been published in numerous publications and websites, including usatoday.com, and USA Today’s football magazine, where he wrote weekly columns and player profiles for multiple years. He has also worked with Photoshop, Illustrator, and Vizio, and has a BS in Broadcasting from Indiana State University.

What Kind of Surgeon or Doctor do I Need for Surgery and Operations

Many times your primary care doctor will tell you to see a surgeon. Your doctor will likely tell you what type of surgeon you need to see or you may have to find a surgeon on your own. Or, you may live in a small town that does not have the kind of surgeon that you need to see, or you want to go to another city—so you’ll want to know alternative kinds of surgeons that can also do the surgery. There are many reasons you might need to find an alternative to the kind of surgeon you have been referred to.

To find the best surgeon—ask a nurse! Below is a list of surgeries and the kinds of surgeons that perform them. We hope this list will help you find the right surgeon.

Once you know what type surgeon you need, you can search the web or a local phone book to find one. Also, call your local hospital or the hospital in the city where you want to have the surgery performed and ask for a referral for a surgeon.

A fully trained surgeon is a doctor who has finished medical school and then gone through years of training to learn the special skills of a surgeon. One way to know if a surgeon is competent is to make sure they are certified by a national surgical board approved by the American Board of Medical Specialities. All board-certified surgeons must satisfactorily complete an approved training program and pass a very thorough examination in their specialty. The letters F.A.C.S. (Fellow of the American College of Surgeons) after a surgeon’s name are a further sign of a physician’s qualifications.

More information: What Kind of Doctor Do I Need?

TIP — use your browser’s Find feature to speed your search.

Abscess Drainage – General Surgeon
Adhesions, Separate – General Surgeon
Adrenal Gland Removal – General Surgeon
Amniocentesis – OB/GYN
Amputation – General Surgeon, Orthopedic, Vascular
Anal Fissure – General Surgeon, Colorectal
Anal Fistula Repair – General Surgeon, Colorectal
Aneurysm Repair – Neurosurgeon, Vascular
Angioplasty, Coronary – Cardiologist
Aorto-iliac Bypass Graft – General Surgeon, Vascular
Appendectomy – General Surgeon
Arthroplasty, Shoulder – Orthopedic
Arthroscopy, Knee– Orthopedic

Baker’s Cyst Removal – General Surgeon,Orthopedic
Bariatric Surgery (Gastric Bypass) – General Surgeon
Bartholin’s Gland, Abscess Drainage – General Surgeon, OB/GYN
Bladder Removal (Cystectomy) – Urologist
Bone Graft – Orthopedic
Breast Abscess Drainage – General Surgeon, OB/GYN
Breast Augmentation – Plastic/Reconstructive
Breast Biopsy (Excision) – General Surgeon
Breast Biopsy (Needle Aspiration) – General Surgeon
Breast Reconstruction – General Surgeon,Plastic/Reconstructive
Breast Reduction (Reduction Mammoplasty) – Plastic/Reconstructive
Bronchoscopy – General Surgeon, Thoracic, Colo-Rectal
Bunion Removal – General Surgeon, Orthopedic, Podiatrist
Cardiac Catheterization/Angiogram – Cardiologist
Carotid Artery Endarterectomy – Cardiovascular, General Surgeon, Neurosurgeon, Vascular
Carpal Tunnel Release – General Surgeon, Orthopedic, Plastic/Reconstructive, Neurosurgeon
Cataract Extraction – Ophthalmologist
Cervical Biopsy – General Surgeon, OB/GYN
Cervix, Cryosurgery – General Surgeon, OB/GYN
Cervix, Electrocauterization – General Surgeon, OB/GYN
Cesarean (C- Section) – OB/GYN
Chalazion Removal – Ophthalmologist, Gastrostomy,
Circumcision – General Surgeon, Urologist
Gastrostomy Percutaneous Endoscopic – General Surgeon, Gastroentrologist
Cleft Lip Repair – Plastic/Reconstructive
Cochlear Implant – Otolaryngologist
Colonoscopy – General Surgeon, Colo-Rectal
Colostomy – General Surgeon, Colo-Rectal
Cornea Transplant (keratoplasty) – Ophthalmologist
Coronary Artery Bypass Graft – Cardiovascular
Craniotomy – Neurosurgeon
Culdocentesis – General Surgeon, OB/GYN
Cystoscopy – Urologist
D&C (Dilatation and Curettage) – General Surgeon, OB/GYN
Defibrillator Implant – Cardiovascular, Cardiologist
Disk Removal, Ruptured (laminectomy) – Orthopedic
Ductus Arteriosus Closure – Cardiovascular
Ectropion Repair – Ophthalmologist
Endometrial Biopsy – General Surgeon, OB/GYN
Endovascular Surgery – Cardiovascular, General Surgeon, Neurosurgeon,
Entropion Repair – Ophthalmologist,
Laparoscopy – General, OB/GYN, Gastroenterologist
Episiotomy – OB/GYN
Esophagectomy – General Surgeon, Thoracic
Face Lift & Blepharoplasty – Plastic/Reconstructive
Fibroid Tumor Removal – General Surgeon, OB/GYN
Fracture Repair (reduction) – General Surgeon, Orthopedic
Gallbladder Removal (cholecystectomy) – General Surgeon
Gastroenterostomy – General Surgeon
Gastrostomy – General Surgeon
Gastrostomy Percutaneous Endoscopic – General Surgeon
Hair Transplant – Plastic/Reconstructive
Hammertoe Correction – Orthopedic
Heart Transplant – Cardiovascular
Heart Valve Replacement – Cardiovascular
Heart-Lung Transplant – Cardiovascular, Thoracic
Heel Spur Removal – General Surgeon, Orthopedic Surgeon, Podiatrist
Hemorrhoid Banding – General Surgeon, Colo-Rectal
Rectal or Colon Polyp Removal – Colo-Rectal
Hemorroidectomy – General Surgeon, Colo-Rectal
Hernia Repair, Femoral – General Surgeon,Urologist
Hernia Repair, Hiatal – General Surgeon
Hernia Repair, Incisional – General Surgeon
Hernia Repair, Inguinal – General Surgeon, Urologist
Hernia Repair, Umbilical – General Surgeon
Hip Nailing for Hip Fracture – General Surgeon,Orthopedic
Hip Replacement, Total – Orthopedic
Hydrocelectomy – General Surgeon, Urologist
Hypospadias Repair – Urologist
Hysterectomy with Oophorectomy – General Surgeon, OB/GYN
Ileostomy – General Surgeon
Kidney Removal – General Surgeon, Urologist
Kidney Stone Removal – General Surgeon, Urologist
Kidney Transplant – General Surgeon, Urologist
Knee Arthroscopy – Orthopedic
Knee Replacement – Orthopedic
Laceration Repair – General Surgeon, Orthopedic, Plastic/Reconstructive
Laparoscopy – General Surgeon, OB/GYN
Laparotomy – General Surgeon, OB/GYN
Laryngoscopy – Otolaryngologist
Larynx Removal (Laryngectomy) – Otolaryngologist
Lipoma Removal – General Surgeon, Plastic/Reconstructive
Liposuction – Plastic/Reconstructive
Lithotripsy Urologist
Liver Resection – General Surgeon, Vascular
Liver Transplant – General Surgeon
Lumber Spinal Fusion – Orthopedic Surgeon
Lung Resection (lobectomy; pneumonectomy) – Thoracic
Lymphadenectomy – Vascular Surgeon
Mastectomy – General Surgeon
Mastectomy (Partial, lumpectomy) – General Surgeon
Melanoma Removal – General Surgeon, Plastic/Reconstructive
Meniscectomy – Orthopedic
Morton’s Neuroma Removal – Orthopedic, Podiatrist
Myringotomy – Otolaryngologist
Nail Removal – General Surgeon,Podiatrist
Nasal Polyps Removal – Otolaryngologist
Neck, Radical Disection – General Surgeon, Otolaryngologist
Nephrostomy, Percutaneous– General Surgeon, Urologist
Otoplasty – Plastic/Reconstructive, Otolaryngologist
Ovarian Cyst – General Surgeon, OB/GYN
Pacemaker Implant – Cardiovascular
Pancreas Transplant – General Surgeon
Parathyroidectomy – General Surgeon
Penectomy – Urologist
Penile Implant – Urologist
Peptic Ulcer Surgery – General Surgeon
Pericardiocentesis – Thoracic
Pilonidal Cyst Removal – General Surgeon, Colorectal
Popliteal Artery Embolectomy – General Surgeon, Vascular
Prostate Gland Removal – Urologist
Pterygium Excision – Ophthalmologist
Rectal or Colon Polyp Removal – General Surgeon
Rectovaginal Fistula Repair – General Surgeon, OB/GYN, Colorectal
Retinal Detachment Repair – Ophthalmologist
Rhinoplasty & Septoplasty – Plastic/Reconstructive, Otolaryngologist
Rotator Cuff Tear – Orthopedic
Salivary Gland Tumor Removal – General Surgeon, Otolaryngologist
Sebaceous Cyst Removal – General Surgeon
Sentinel Node Biopsy – General Surgeon
Sigmoid Colon Removal – General Surgeon
Shoulder Replacement– Orthopedic Surgeon
Skin Graft – General Surgeon, Plastic/Reconstructive
Skin Lesion Removal – General Surgeon,Plastic/Reconstructive
Small Bowel Resection – General Surgeon
Spinal Tap (lumbar puncture) – General Surgeon, Neurosurgeon
Spleen Removal – General Surgeon
Stapes Removal – Otolaryngologist
Stomach Cancer Surgery – General Surgeon
Strabismus Surgery – Ophthalmologist
Stress Incontinence Surgery – Urologist
Sympathectomy – General Surgeon, Neurosurgeon
Tear Duct Opening – Opthalmologist
Tendon Repair – General Surgeon, Orthopedic
Testicle Fixation – General Surgeon, Urologist
Testicle Removal – General Surgeon, Urologist
Thyroglossal Duct & Cyst Removal – General Surgeon, Otolaryngologist
Thyroid Gland Removal – General Surgeon
Tongue, Cheek or Gum Biopsy – General Surgeon, Otolaryngologist
Tonsil & Ademoid Removal – General Surgeon, Otolaryngologist
Tracheostomy – General Surgeon, Otolaryngologist
Tubal Ligation – General Surgeon, Colorectal
Tummy Tuck – Plastic/Reconstructive
Tympanoplasty – Otolaryngologist
Urethral Caruncle Removal – Colorectal, Urologist
Vagotomy – General Surgeon
Varicocele Removal – General Surgeon, Urologist
Varicose Vein Removal – Plastic/Reconstructive, Vascular
Varicose Vein Sclerotherapy – General Surgeon,Plastic/Reconstructive
Vasectomy – General Surgeon, Urologist
Vasectomy Reversal – Urologist
Vasicovaginal Fistula Repair – Urologist General Surgeon, Proctologist, Urologist
Vitrectomy – Ophthalmologist

Types of Hernias We Treat

Do you have pain in your abdomen or groin? Does it hurt when you cough, strain or exercise?

Then you might be one of the millions of Americans with a hernia. And though some people live with the pain for years, unfortunately, hernias don’t go away on their own.

At Memorial Healthcare System, our specialized hernia program treats all types of hernias. We also offer abdominal wall reconstruction, which you may need if you have a large hernia removed.

What Is a Hernia?

A hernia occurs when an internal organ pushes through the muscle or other tissue that surrounds it. They’re most common in the:

• Abdominal area
• Groin
• Upper thigh

Hernia Symptoms

Hernia symptoms vary depending on what type of hernia you have. They most often include:

• A lump in the abdominal area, groin or upper thigh
• Pain, burning or pressure that gets worse during physical strain

In more severe cases when the intestines are blocked, symptoms can also include:

• Problems with digestion
• Severe or sudden pain
• Nausea and vomiting

If you’re experiencing any of these severe symptoms, please call 911 or go to your nearest emergency room.

Can a Hernia Heal Itself?

A hernia won’t go away on its own, and, as hernias progress, they can become more difficult to treat. It’s best to get hernia surgery when it’s elective — and not after it becomes an emergency.

Our team of surgeons treats you whether you’ve been living in pain for years or your symptoms have just begun.

Types of Hernias We Treat 

Our hernia program treats every type of hernia, including:

• Inguinal hernia: Part of your intestine pushes through a weak spot in your groin. These are the most common type of hernia, affecting 25% of men at some point in their lives.
• Umbilical hernia: Part of the intestine moves into the opening between your stomach muscles, near the belly button.
• Ventral hernia: Part of your intestine pushes through your abdomen. Many are “incisional hernias,” resulting from an incision made during abdominal surgery.
• Parastomal hernia: Part of your intestine bulges around a stoma (a surgically-made opening in the abdomen that collects waste).

Other Types of Hernia We Treat

We also treat:

• Sports hernia: Weaknesses in the soft tissue surrounding the lower abdomen or groin area can cause sports hernias.
• Traumatic hernia: Blunt trauma to the abdominal area causes this rare type of hernia.
• Hernia with separation of the abdominal muscles: Also called diastasis of the rectus abdominis or DRA, your abdomen can stretch either due to weight gain or pregnancy and a hernia can develop. At our hernia program, we fix both of these conditions with one minimally invasive procedure that’s covered by most health insurance plans. We’re one of the only hospitals in the country to offer this revolutionary robotic surgery.

We also welcome people who have:

• Chronic pain from hernias
• Recurrent hernias
• Mesh issues from prior hernia surgeries

Why Choose Us for Your Hernia Treatment

From your first appointment with us to your return to the activities that you enjoy, our hernia program was designed to give you the best care possible every step of the way. Even if your case is complex, our hernia doctors will use their experience and skill to uncover the best treatment for your situation. Here’s what else sets our hernia treatment apart:

• Hernia-focused treatment center: Hernias are our specialty. We treat every type of hernia, big or small, complicated or straightforward. And we take most major forms of insurance.
• Minimally invasive techniques: We specialize in minimally invasive hernia surgeries, which have faster recovery times and lower rates of recurrence. In some cases, you could leave the hospital the same day and be back to your regular self in a week. Learn more about what to expect when you undergo hernia repair.
• Abdominal wall reconstruction expertise: Our surgeons also have years of experience in abdominal wall reconstruction, which you may need if your hernia is large, or if you’ve received several prior surgeries.

Whether you’ve recently developed a hernia, have a recurrent hernia that’s caused years of pain or have been refused by other doctors, we’re here to help.

Contact Us

To schedule an appointment or learn more about our hernia and abdominal wall reconstruction program, call 954-276-0898.

Referring Physicians

If you’re a physician and would like to refer a patient to our hernia program, call 954-276-0898.

Laparoscopic Hernia Surgery New Jersey | Top NJ Hernia Specialists

Even though you may have become accustomed to dealing with the discomfort associated with a hernia, that’s no reason to suffer. You can get help by searching for experienced hernia surgeons near me. Additionally, if left untreated, you may develop serious complications that could cause an emergency medical situation. Instead, take the safe, effective route. When you look for the best hernia surgeons near me, call on the doctors at Advanced Surgical & Bariatrics of NJ, PA. They offer a minimally invasive, low-risk procedure called laparoscopic hernia surgery that can end your suffering for good. Don’t postpone relief; call today for an appointment.

Hernia surgery done laparoscopically is a minimally invasive technique for hernia repair. A hernia occurs when an organ or other structure herniates, which means it pushes through muscle or tissue that is supposed to support it, producing a bulge. Most hernias happen in the abdominal area, where they may be mildly irritating or extremely painful.

Hernias can happen to people of any age to both men and women. They can develop gradually or appear suddenly. When you need expert hernia repair surgery, the doctors at Advanced Surgical & Bariatrics of NJ, PA (ASBNJ) are among the best hernia surgeons. They serve patients in northern New Jersey, southern New York and eastern Pennsylvania.

Does Your Hernia Need Treatment?

It’s possible to be born with a hernia or with weak abdominal muscles that make it more likely that you’ll get a hernia sometime during your life. Weak muscles combined with heavy lifting or straining may contribute to the development of a hernia. A hernia may be occasionally uncomfortable or may cause pain while lifting.

You may not need treatment right away. If the hernia is no longer visible when you lie down or if you’re able to push it back in, it’s not likely to be very painful. But bear in mind that if you have a hernia, it isn’t going to go away on its own. And if you don’t get it treated, your hernia may lead to swelling or an increased bulge size over time.

Untreated hernias may also increase your risk of complications such as obstruction or strangulation, which refers to a condition where part of the intestine has become trapped. If this happens, you may face a medical emergency. If you have a hernia, seek advice from an experienced team of physicians like those at ASBNJ before serious issues arise.

Types of Laparoscopic Hernia Repair Surgery

Your hernia specialist may recommend surgery to repair your hernia. Hernia surgery is a very common procedure, as more than one million hernia repair surgeries are performed each year in the United States. Your safety and comfort are assured as well when you rely on the ASBNJ doctors for treatment.

Advances in minimally invasive technology have made it possible to perform laparoscopic hernia repair on several different types of hernias. The various types of hernia surgeries include:

• Inguinal hernia surgery. An inguinal hernia is a painful bulge in the groin region that can extend into the scrotum in men. Surgery to repair a hernia in this area may also be called groin hernia surgery.
• Umbilical hernia surgery. Also known as belly button hernia surgery, this type of surgery treats a bulge that occurs near the belly button.
• Abdominal hernia surgery. This type of surgery is done for protrusion of intestines or other tissues through the abdominal wall. It’s also called ventral hernia surgery.
• Sports hernia surgery. This surgery is done to treat pain and pressure caused by torn tendons attached to the pelvis. This type of injury is usually caused by explosive or repetitive motions from twisting the pelvis, so it’s not a true hernia.

How Hernia Repair Surgery Is Done

Laparoscopic hernia repair is done while you’re under general anesthesia. The procedure then follows several primary steps, including:

1. Your hernia surgeon makes three or four small incisions so that a thin instrument known as a laparoscope can be inserted through them.
2. A tiny camera is attached to the laparoscope. The camera projects images onto a screen to allow the surgeon a clear view of the affected tissues.
3. The contents of the hernia are carefully pulled back into place during this procedure.
4. A piece of mesh is used to repair the hole and close the gap. When using hernia mesh, surgery for recurring hernias is less likely.

Contact ASBNJ for Laparoscopic Hernia Surgery

Laparoscopic hernia surgery is less likely to lead to surgical complications, such as infection, than open repair surgery. The smaller incisions used in minimally invasive surgery also lead to shorter recovery times and fewer aftercare complications. Laparoscopic surgery is less invasive and more effective.

The best hernia surgeons are those who are trained and experienced in advanced hernia repair techniques. That’s exactly what you’ll find at Advanced Surgical & Bariatrics of NJ, PA. Contact the nearest office today and make an appointment to have your hernia evaluated by a tested hernia specialist.

Common Types of Hernias | Michigan Medicine

Topic Overview

What is a hernia?

A hernia is a bulge caused by tissue pushing through the wall of muscle that’s holding it in. Most hernias are abdominal hernias. This means they happen in the belly and groin areas.

You may have a hernia if you can feel a soft lump in your belly or groin or in a scar where you had surgery in the past. The lump may go away when you press on it or lie down. It may be painful, especially when you cough, bend over, or lift something heavy.

Types of hernias include:

Inguinal Hernia

An inguinal hernia (say “IN-gwuh-nul HER-nee-uh”) occurs when tissue pushes through a weak spot in the groin muscle.

Most inguinal hernias happen because an opening in the muscle wall does not close before birth as it should. This leaves a weak area in the belly muscle. When tissue pushes through the muscle, it creates a bulge.

The main symptom of an inguinal hernia is a bulge in the groin or scrotum. It often feels like a round lump. The bulge may hurt or burn. It may form over a period of weeks or months. Or the bulge may appear all of a sudden after you lift heavy weights, cough, strain, or laugh.

If you have an inguinal hernia, it won’t heal on its own. Surgery is the only way to treat it. To learn more, see the topic Inguinal Hernia.

Femoral Hernia

A femoral hernia (say “FEH-muh-rull HER-nee-uh”) occurs when tissue bulges from the lower belly into the upper thigh, just below the groin crease. Femoral hernias occur more often in women than in men.

Pain from a femoral hernia is usually felt in the groin area. It is sometimes mistaken for an inguinal hernia.

A femoral hernia can be hard to diagnose. The hernia may be too small for your doctor to feel during a physical exam. You may need other tests. Often a femoral hernia is found when part of the intestine is trapped and blood supply to the tissue is cut off. This is called a strangulated hernia. It requires emergency surgery.

Umbilical Hernia

An umbilical hernia occurs when intestine, fat, or fluid pushes through a weak spot in the belly. This causes a bulge near the belly button, or navel.

In children

Umbilical hernias often occur in infants. Most of the time, they close on their own by the time a baby is 1 year old. But sometimes surgery is needed. To learn more about hernias in children, see the topic Umbilical Hernia in Children.

In adults

Umbilical hernias can also occur in adults. They can happen in people who have health problems that create pressure in the belly, such as being overweight, being pregnant, or having too much fluid in the belly (ascites). Other health problems can also lead to umbilical hernia. These include a chronic cough, chronic constipation, and problems urinating because of an oversized prostate gland. Most of the time, a doctor can diagnose an umbilical hernia during a physical exam.

An umbilical hernia tends to get bigger over time. You may need surgery to treat it, especially if it gets bigger or becomes painful.

Without treatment, there is a risk of a strangulated hernia, which means that part of the intestine or fat is trapped and blood supply to the tissue is cut off. This can be very painful. It requires emergency surgery. Call your doctor right away if the bulge becomes swollen, painful, tender, or discolored.

Incisional Hernia

An incisional hernia can occur after surgery in the belly. It can happen months or even years after surgery. Most of the time, it occurs along a vertical (up and down) incision. This type of hernia can occur in people who:

• Are very overweight.
• Are older.
• Have used steroid medicines.
• Have had lung problems after surgery.
• Have had a wound infection after surgery or have had more than one surgery using the same incision.

An incisional hernia can be large and painful. Talk with your doctor about your treatment choices.

Epigastric Hernia

An epigastric hernia (say “eh-pih-GAS-trik HER-nee-uh”) occurs when fat pushes through a weak part of the belly wall. It occurs in the middle of the belly between the breastbone and the belly button, or navel. Most of the time, these hernias are small. You can have more than one at a time.

Epigastric hernias often have no symptoms. But they can cause pain in the upper belly. You may need surgery to repair an epigastric hernia. Talk with your doctor about your treatment choices.

Hiatal Hernia

A hiatal hernia (say “hi-AY-tul HER-nee-uh”) is different from other types of hernias, because it involves the stomach instead of the intestine. It occurs when part of your stomach bulges up through your diaphragm and into your chest. The diaphragm is a sheet of muscle that separates your belly from your chest. You can’t feel a hiatal hernia or see a bulge.

Most people with a hiatal hernia have no symptoms. But one symptom you may have is heartburn. If you often have symptoms, or if they are very bad, you may also have gastroesophageal reflux disease (GERD). A hiatal hernia can lead to GERD. It’s common to have both problems at the same time.

If you don’t have symptoms, you don’t need treatment. But if your symptoms bother you, your doctor may suggest lifestyle changes or medicines. To learn more, see the topic Hiatal Hernia.

Credits

Current as of:
April 15, 2020

Author: Healthwise Staff
Medical Review:
Kathleen Romito MD – Family Medicine
Adam Husney MD – Family Medicine
Kenneth Bark MD – General Surgery, Colon and Rectal Surgery

Current as of: April 15, 2020

Author:
Healthwise Staff

Medical Review:Kathleen Romito MD – Family Medicine & Adam Husney MD – Family Medicine & Kenneth Bark MD – General Surgery, Colon and Rectal Surgery

Herniated disc: Causes, Symptoms, Treatment | doc.ua

Forms and stages of development of intervertebral hernia

Intervertebral hernia, depending on localization, can be of the following forms

• intervertebral hernia of the thoracic spine;
• herniated disc of the cervical spine;
• intervertebral hernia of the lumbar spine.

The intervertebral hernia is expressed can undergo the following stages

• stage, at which the size of the hernia reaches 3 millimeters, and there are complaints of back pain;
• stage, at which the size of the hernia can be from 10 to 15 millimeters, and the patient complains of severe back pain, which occurs as a result of compression of the nerve endings, and blood circulation is disturbed at the site of the hernia, at this stage there is a violation of the nerve roots, from – why the upper or lower limbs begin to grow numb;
• the last stage, at which muscle weakening occurs, and the intervertebral disc completely loses its functions, begins to dry out.

Reasons

The causes of herniated discs are varied. Under normal conditions, the intervertebral disc has a soft layer of tissue, in the center of which is a dense nucleus. This design is supported by the anterior and posterior longitudinal ligaments of the spine.

So, a herniated disc can occur under the following conditions

• as a result of age-related changes in the apparatus of the spine, which leads to weakness and fragility of the ligaments due to impaired nutrition of the connective tissue.Such changes can occur with age, as well as if there was a systematic violation of blood circulation in the tissues;
• strong physical exertion on the spine, in this case, as a rule, a lumbar intervertebral hernia develops, since it is the lumbar region that accounts for the bulk of the human body;
• as a result of severe falls, bumps or injuries;
• during sudden movements and turns, especially with heavy loads.

Symptoms

Symptoms of intervertebral hernia can be very different, in any case, they cause discomfort and painful sensations at the slightest impact on the vertebrae.

Here are some of the symptoms of herniated disc

• after physical exertion, severe back pain occurs, especially in the evening;
• Acute pain can radiate to the buttock, spread along the hind thigh;
• due to the tension of certain muscles on the back, painful sensations arise throughout the back;
• possible numbness of the lower and upper extremities;
• weakness and fatigue in the muscles is felt;
• Over time, thinning of the muscles in the arms and legs may also develop;
• frequent headaches, migraines, and increased blood pressure.

Diagnostics

If you experience discomfort and pain in the spine, you should immediately consult an orthopedic surgeon, since a herniated disc is a very serious disease that restricts working capacity.

Diagnosis of intervertebral hernia goes through several stages

• the doctor makes a detailed survey of the patient and establishes the symptoms and the causes of their occurrence. The patient talks about how long ago the first back pains began to appear, whether there is numbness in the fingers and toes, and whether household or work activities are associated with lifting weights.Perhaps the reason was long sitting at the desk or systematic physical activity. Against the background of the survey, the doctor already has a general picture, according to the results of which he can begin to examine the patient;
• at the second stage, a direct examination takes place, during which the main signs of neurological disorders associated with the appearance of pain when pressing on a certain muscle group are revealed;
• The third stage includes radiography of the entire spine.This method is characterized by a detailed study of the structure of the spine in several planes at once, it helps to detect all kinds of defects and disorders of the intervertebral discs. Radiography also allows you to determine the protrusion of the spinal canal, as well as to reveal how much the bone tissue of the spine has grown, which caused pain in the back;
• at the last stage, the patient is prescribed computed tomography and magnetic resonance imaging of all parts of the spine, which include a layer-by-layer study of the structure of the spine, and also determine the size of an intervertebral hernia and the presence of compression of the roots of the spinal cord.

Treatment

Depending on what symptoms of intervertebral hernia were identified in the patient, different treatments may be prescribed.

As a rule, the treatment of intervertebral hernia can be of two types

• non-surgical methods, which may include massage procedures, special physical exercises, exercise restrictions, and the use of pain medications;
• Surgical methods – involve an operation of an intervertebral hernia, which can be removed using a special device by means of a small puncture on the skin.

Complications

Treatment of a spinal hernia can only be prescribed by a doctor, based on the individual and physiological characteristics of the patient. The consequences of this disease can include persistent back pain, weakening of the functions of the arms and legs, and poor circulation in the spine.

Prevention

In order to prevent the occurrence of such a disease, it is necessary not to overload the body with physical activity, rest more often, and also regularly do exercises, which includes a simple set of exercises.

Herniated discs: symptoms and treatment

In our clinic, experienced specialists treat a variety of diseases of the spine. Intervertebral hernia , which can be cured in the clinic, significantly spoils your life with severe pain, limited mobility, and discomfort. We will offer you innovative solutions to this problem.

What is a herniated disc?

The back muscles are the main supplier of nutrients for the disc.Their weakness leads to the appearance of osteochondrosis, and often to a herniated disc.

The intervertebral disc is the junction of the outer dense membrane (annulus fibrosus) with a jelly-like center (nucleus pulposus). Under severe loads, the discs act as shock absorbers and maintain the required distance between the vertebrae. With age, the cushioning properties of the disc deteriorate.

Since the lumbar spine experiences the most powerful load, intervertebral hernias are most often formed in it.Sometimes a hernia forms when you turn to the side and tilt at the same time, especially when you have a heavy thing in your hands: the intervertebral discs are under increased stress, the fibrous ring cannot withstand it at a certain moment, and the disc protrudes. Two options are possible: the fibrous ring is stretched, but remains intact, or the ring breaks, the nucleus flows out, and a hernia occurs.

The most frequently observed disc herniation of the lumbar spine , less often there is a hernia in the cervical segment, hernias of the thoracic spine are extremely rare.

What symptoms of a herniated disc can you see?

The most characteristic signs of intervertebral hernia of the lumbar region:

• pain arising directly on the site of the lesion, provoked by physical exertion;
• often severe pain syndrome spreads to the lower extremities, buttocks;
• due to compression of the nerve roots, sensory disturbances, weakness of some muscle groups, numbness, tingling may occur;
• in more serious cases, our patients complain of urinary and defecation disorders, men may develop erectile dysfunction.

Signs of a hernia of the cervical spine :

• pain in the neck, radiating to the arms and shoulder girdle;
• headaches, increased pressure, dizziness;
• numbness of hands, weakness.

With a hernia in the spinal thoracic region, severe pain appears, posture is disturbed .

Diagnosis in the clinic

The following methods are used to diagnose a herniated disc:

1. Computed tomography, magnetic resonance imaging (you can study the hernia in detail).
2. X-ray contrast method (allows you to examine the lumen of the spinal canal, the spinal cord itself; one of the most informative diagnostic methods).
3. Electromyogram (like an ECG, potentials from skeletal muscles are recorded: the method allows you to establish the state of the muscles, its nerve roots).

After the completed research, the doctor of our clinic will select the optimal tactics for hernia treatment for you.

Treatment

The doctors of our clinic offer you to treat hernia not only by surgery.Better to try conservative methods first. Operatively, the hernia is removed only when the structures of the spinal cord are squeezed, because such an intervention, in essence, does not cure the hernia, it eliminates the consequences of disc hernias. With surgical treatment, the likelihood of new intervertebral hernias in the future is quite high.

There are the following methods:

1. Conservative treatment :

• Drug therapy with non-steroidal anti-inflammatory drugs, as well as steroid drugs, analgesics.
• Electrical stimulation;
• Osteopathy;
• Skeletal traction;
• Massage.

2. Surgical treatment : if your pain has not been removed by conservative methods, they resort to surgery: remove the part of the disc that strongly presses on the nerve.

Due to the application of our techniques, pain syndrome is eliminated. We work with the spine, with deep muscles, release blood vessels that have been pinched, improve the blood supply to organs and tissues, improve metabolic processes in the body, and increase motor function.

If you have symptoms of a herniated disc, you better make an appointment with our clinic on time. Before prescribing an operative method for treating a hernia, our doctors will certainly consider the possibility of conservative methods, draw up an individual therapy plan. The specialists of the clinic, who are proficient in related specialties (manual therapy, physiotherapy, reflexology), use traditional and newest technologies for the treatment of herniated intervertebral discs.

See also : Consultation with a surgeon, Acupuncture, Manual therapy.

Modern treatment of abdominal hernias | Modern surgery

Yuminov Sergey Alexandrovich,
Center of medical care “Medicea” (Izhevsk)

Mammologist, surgeon
Experience: 12 years

Abdominal hernia often occurs suddenly and is frightening.”What it is? How to treat? Is it possible to avoid the operation? ” – the most frequent questions that patients ask themselves. We asked Sergei Aleksandrovich Yuminov, a surgeon, oncologist, member of the All-Russian public organization “Russian Society of Surgeons”, to answer these questions.

Sergey Alexandrovich, you have been an active practicing surgeon for over 15 years. How often do abdominal hernias occur in your practice? Who is at risk and how to cure a hernia?

Abdominal hernias are one of the most common surgical diseases and occur in 2-4% of the population.The risk group includes people over 40 years old. Hard physical labor, previous abdominal surgery, a tendency to constipation, prolonged cough, overweight, pregnancy, connective tissue dysplasia syndrome – asthenic physique, prolapse of internal organs, deformities of the spine and joints, as well as burdened heredity – the presence of hernias can lead to the formation of a hernia from relatives. Today, hernias can be treated quickly, safely and effectively, but only by surgery. Endoscopic hernia repair and hernioplasty “without tension” (using “meshes”) are recognized as the “gold standard” in the treatment of hernias.

Can a person independently identify a hernia? Do I need to immediately “run” to the doctor or the hernia can correct itself?

Is it possible to self-identify a hernia? As a rule, yes. This is the presence of a bulge on the abdominal wall in the form of a “ball” or “roller”, less often there are unpleasant or painful sensations. You can correct the hernia yourself, but get rid of it – of course not! For a hernia to reappear, just sneeze or go to the toilet. So if you suspect a hernia, you need to contact a surgeon as soon as possible.

What happens if the hernia is not operated on? Can I get by with taking medication or wearing special bandages and corsets?

Despite the fact that hernias differ in their size, they are all treated only surgically. Firstly, any medicine or bandage does not lead to getting rid of the hernia, but only eliminates unpleasant symptoms. Secondly, with a prolonged presence of a hernia, serious complications develop – its irreducibility, infringement, inflammation, stool retention. All this requires urgent surgery, carries a high risk of postoperative complications and even death.

What types of hernia surgery exist in modern medicine? Which one is the safest and most effective?

Clinic “Medicea” performs various types of operations for hernias of the anterior abdominal wall. The first is hernioplasty with local tissues. Usually it is used in young people in the presence of uncomplicated small hernias: hernias of the white line of the abdomen, umbilical and colo-umbilical hernias. The second is allohernioplasty or plastic hernia orifice using biological or synthetic materials.Simply put, a “patch” is installed on the defect. Combined methods of hernioplasty take into account the possibilities of the first two. Separately, we can single out laparoscopic hernioplasty – with the use of endoscopic equipment. Such operations are performed through small punctures, which leads to minimal trauma to the abdominal wall, a decrease in postoperative discomfort and pain, a shorter rehabilitation period and a faster recovery. There is no universal hernia surgery.It depends on the size of the hernia, the age of the patient, the presence of concomitant diseases, the condition of the tissues, the experience of the operating surgeon and the urgency of taking action. The principle of any abdominal hernia surgery is impeccable technical performance and an individual approach to each patient.

Many women are concerned about the “cosmetic effect” after surgery. Is it possible to carry out the operation “without incisions”?

In our practice, we adhere to the principles of aesthetic surgery. Even in open operations, “cosmetic” sutures are always applied.And if we are talking about laparoscopic hernioplasty, then the very technique of the operation (through small incisions) implies a “cosmetic” effect.

Many people with abdominal hernias are of working age. Taking a long sick leave is a problem for them. How many days does the surgical treatment take and how soon can you return to your normal lifestyle, go to work?

For people of working age, preference is given to allohernioplasty and laparoscopic hernioplasty.With such operations, the hospital stay is 1-2 days, and the sick leave is closed for 10-14 days. The advantages of this technique are: cosmetic effect, a decrease in the frequency of complications and relapses (less than 1%), a low probability of developing adhesions, the ability to perform several operations on different organs at the same time (simultaneous operations). After 1-2 months, the patient can completely return to his normal lifestyle, go in for sports.

Sergey Alexandrovich, what advice would you give to people who have already undergone surgery? How to make sure that the “hernia” does not come back?

Assessment of the quality of life after operations is carried out according to the presence of pain in the postoperative period, the likelihood of hernia recurrence, the need to change the usual rhythm of life.Therefore, the choice of a medical organization, taking into account modern technical capabilities, highly qualified experienced surgeons and adherence to all recommendations in the postoperative period will be the key to a good and stable long-term result.

Spine surgery – search for specialists and doctors

What is Spinal Surgery?

Spinal surgery is a branch of medicine that deals with diseases, injuries and surgical as well as traditional treatments for the spine.

The most common conditions treated by spinal surgery specialists are:

• herniated disc
• spinal stenosis
• spinal fractures
• scoliosis
• spinal cord tumors
• degenerative diseases of the spine

When does a spine specialist recommend surgery?

Surgical measures are applied for a variety of back ailments.When conservative treatment options are ineffective and symptoms such as pain or dysfunction persist, surgery may be required.

Spinal surgery for herniated disc

With a herniated disc, a complete or partial rupture of the annulus fibrosus occurs, as a result of which tension is released and the disc shifts forward (“prolapse”), the disc tissue also partially enters the spinal canal, which can lead to severe pain, since many nerves pass here.The pain usually radiates to different areas and limbs of the body, depending on the segment in which the hernia is located. It can also lead to discomfort or sensation and loss of sensation, as some nerve fibers can be compressed, in extreme cases it causes paralysis.

The diagnosis of a herniated disc is usually confirmed with an imaging procedure such as CT or MRI. Intervertebral disc surgery is not always necessary. In particular, if neurological disorders are present, it is better to limit yourself to conservative therapies.Anti-inflammatory drugs, infusions, or periradicular infiltration with CT support may be potential conservative treatment options.

Intervertebral disc surgery can be associated with very serious complications, so surgery is considered only after all possible conservative methods have been tried. The standard operation today is the so-called microsurgical dissectomy. During general anesthesia and in the prone position of the patient, the displaced intervertebral disc is completely or partially removed from the spinal canal through a small skin incision.This reduces the pressure in the spinal canal and the pain goes away. Although this method is very safe, some complications are likely, for example, the spine can be damaged, resulting in the temporary or permanent destruction of some nerve fibers. There is also a risk of infection, bleeding, hematoma, and new hernia. In addition, there is endoscopic discectomy, in which under local anesthesia a small skin incision is made using a microscope and the protruding part of the disc is carefully removed through the endoscope.

Spinal surgery for spinal stenosis

With age and with excessive stress, the so-called wear of the spine can occur, which can lead to the appearance of bony outgrowths in the spinal canal, and then its stenosis, i.e. narrowing. As a result, the vessels and nerves have less space, which can cause typical symptoms: pain and discomfort, arising at or below the stenosis of the spinal canal. If spinal stenosis is asymptomatic, it does not need to be treated.Therapy consists of physiotherapy, medication, or surgery, with only about two percent of patients requiring surgery.

Surgery is only necessary in case of functional impairment or if the patient can walk a very short distance without pain, and also has a significantly reduced quality of life. When stenosis is operated on, the part that is pressed into the spinal canal and compresses the structures is surgically removed. The goal here is decompression and pressure reduction.There are many different surgical procedures that can be used for spinal stenosis. These include:

• Anterior nucleotomy with corporodesis
• Anterior foraminotomy with corporodesis
• Decompression with corporodesis
• Intradiscal electrothermal therapy
• Spinal fusion with corporodesis
• Corpectomy with fusion
• Decompression followed by implantation of a disc prosthesis

Spinal surgery for scoliosis

Scoliosis is a degenerative disease of the spine in which it shifts laterally or bends.The cause is not yet known, so there is talk of idiopathic scoliosis. Only about ten percent of all patients with scoliosis have hereditary characteristics. There may also be minor scoliosis that causes almost no symptoms, however, it can progress and distort other bone structures such as the breast.

In more than 90 percent of scoliosis cases, surgery can be dispensed with; here the treatment is physiotherapy with spinal stabilization. However, in some cases, the deformity can compress or displace important organs, such as the heart or lungs, so that surgery is necessary.Scoliosis surgery requires the following rules: correction of the curvature, elimination of the rotation of the vertebrae, strengthening of the spine and constant maintenance of the correction, for example, with the help of an implant. The operation can be performed from the front or back, as well as both sides. In all cases, the curvature is corrected by placing screws and hooks in the spine, thus stabilizing its position.

Spinal surgery for spinal fractures

A fracture can occur anywhere in the vertebral body and cause different symptoms depending on the location and severity of the injury.The most common causes of spinal fractures are accidents, physical abuse, or falls in old age. Torn vertebral bodies also often crush and move bone fragments into the spinal canal, with the risk of partial or complete paralysis, so each vertebral fracture should be taken seriously and treated appropriately. In addition to these unstable fractures, there are also stable fractures that usually do not require surgery.They can be treated conservatively with physical therapy and pain relief can be achieved.

Symptoms that can occur with a spinal fracture include:

• Unnatural reflexes
• Sudden, severe back pain
• Paralysis
• Discomfort and numbness in the affected area
• Restrictions on movement
• In extreme cases: paraplegia

In the foreground of the surgical treatment of a spinal fracture is the stabilization of the back.In this case, the static and dynamic bodies of the vertebrae are connected to each other in order to achieve immobility, thus unloading the narrowed structures, which prevents further damage to the nerves and blood vessels. For this, two safe methods are used:

• Spinal fusion (blockage of the vertebral bodies):

The doctor strengthens and connects at least two vertebral bodies with bolts and plates to achieve maximum stability.

• Kyphoplasty:

This is a minimally invasive procedure.In this case, a balloon is placed in the damaged vertebra, and then filled with bone cement, or the vertebral fracture is stabilized directly with bone cement.

Which doctors and hospitals specialize in spine surgery in Germany or Switzerland?

Naturally, a patient who is looking for a doctor wants to receive the best medical care. Thus, the patient is wondering where to find a specialist or clinic in the field of spine surgery in Germany or Switzerland?

Since this question is difficult to answer objectively, and a real doctor will never claim that he is the best, you can only rely on the experience of a specialist.The more spinal surgeries a doctor has performed, the more experience he has in his specialty.

We will help you find a specialist for your condition. All of these doctors and clinics have been reviewed by us for their excellence in the field of spine surgery. They are waiting for your questions or requests regarding treatment.

Sources:

https://www.dwg.org/startseite/
90,027 90,000 operations, the price of treatment – “MedicaMente”

Surgery to remove an inguinal hernia at MedicaMenta

It should be noted right away that the treatment of an inguinal hernia is impossible without surgery.An operation of an inguinal hernia in both men and women (regardless of its size) should always be performed, except in rare cases of contraindications. All other methods of treating a hernia without surgery: physiotherapy exercises, wearing a bandage, folk remedies are only auxiliary and do not help to get rid of a hernia.

Why is an inguinal hernia dangerous? If untreated, an irreducible hernia may develop. A strangulated inguinal hernia is a dangerous condition that requires emergency surgery “by ambulance”.

If you intend to have a hernia repair, do not postpone the operation. With planned treatment, surgery for an inguinal hernia is much easier to transfer.

Which doctor treats an inguinal hernia? A surgeon should be consulted with the problem of treating an inguinal hernia. To diagnose an inguinal hernia, the doctor will take a history and conduct a physical examination. At the MedicaMente clinic, the appointment is conducted by a surgeon who has specialized in abdominal surgery for more than 10 years and performs daily operations on inguinal hernia in men and women.At the consultation after examination and confirmation of the diagnosis, the surgeon of the medical center will give you the necessary recommendations for further examination and treatment, agree with you and plan the date of the operation that is most convenient for you.

Inguinal hernia in men: correct treatment – operation

Inguinal hernia is a fairly common disease among men and must be treated. In the center “MedicaMente”, thanks to modern technical equipment and the work of highly qualified specialists, the treatment of inguinal hernia in men is carried out very successfully, with a minimum percentage of relapses (less than 1%).

What causes a male inguinal hernia?

Most inguinal hernias in men are acquired in nature and are caused by weakening or thinning of the muscles and ligaments that support the organs. There are many reasons for the weakening of the abdominal muscles:

• heavy physical activity
• obesity
• sharp weight loss
• chronic constipation
• prolonged hacking cough
• age-related muscle weakening in the elderly
• previous trauma or abdominal surgery

All this can gradually lead to the formation of a defect – a hernial gate in the inguinal canal and the formation of an inguinal hernia.

Inguinal hernia surgery for men in “Medicament”

Surgery is the main method for treating inguinal hernia in both men and women. Traditionally, hernioplasty refers to operations of medium complexity, and its successful performance largely depends on the professionalism of the surgeon.

We use modern methods of surgical treatment of hernias, which reduce the percentage of recurrences to almost zero. We carry out operations for inguinal hernias using an imported mesh endoprosthesis (tension-free hernia repair with a mesh made of a special durable, hypoallergenic material that has proven its reliability and quality).

To perform the operation, the methods of minimally invasive access to the inguinal canal are used: through an external small incision (open operation) or 3 punctures (laparoscopy).

In most cases, the MedicaMente surgeon applies cosmetic intradermal sutures. The result is a short rehabilitation period and a good cosmetic effect. As a rule, small, subtle scars remain after surgery to remove an inguinal hernia.

Operation to remove inguinal hernia in women

The MedicaMente medical center in Korolyov treats inguinal hernia in women.The tactics of treating female hernias are not much different from the treatment of this disease in men, therefore, an operation for an inguinal hernia in women is carried out using the same methods and techniques listed above.

Treatment of inguinal hernia (removal, operation)

WHAT WE ARE READY TO OFFER

In our clinic, groin hernia surgery for women and men is usually performed under general anesthesia. Depending on the size of the hernia, the method of surgical treatment used, as well as the age and state of health of the patient, the hospitalization period is 1-3 days.

High-quality anesthesia

Special attention is paid to anesthesia in our clinic. The high professionalism of the medical staff and the equipment of the clinic with the most modern equipment allow us to provide high-quality and comfortable anesthesia to patients of all age groups. In-house anesthesiologists-resuscitators provide an inconspicuous and “gentle” introduction to anesthesia, patient safety during surgery, as well as a comfortable exit from anesthesia without side effects.

Cosmetic seams

For open access to the inguinal canal, the surgeon at the MedicaMente clinic makes a small incision (up to 5 cm) so that it passes along the skin fold. At the end of the operation, a cosmetic intradermal suture is applied to the incision with special cosmetic threads, which ensures a good aesthetic appearance of the scar. Within a year, the scar is usually hardly noticeable. After laparoscopic surgery for an inguinal hernia, three small scars (no more than 1 cm) remain, which eventually disappear altogether.

Operation safety

Clinic “MedicaMente” has its own resuscitation unit and properly qualified resuscitation specialists who closely monitor the well-being of patients during and after surgery. Regardless of the complexity of the operation, the resuscitation equipment is always ready for use.

Individual approach

“MedicaMente” is equal to Western standards not only in treatment, but also in terms of staff, combining high professionalism, impeccable courtesy and attention to their patients.After you are discharged, you will be monitored by the surgeon who operated on you. If necessary, the patient has the opportunity to contact the attending physician and get advice.

Tests for inguinal hernia surgery

Before a planned operation for an inguinal hernia, it is necessary to pass examinations and tests (in the state polyclinic at the place of residence, in our center or in any diagnostic laboratory). The minimum list of analyzes and studies (panel “For surgery”) includes:

• General urine analysis (shelf life – 2 weeks)
• Complete blood count (shelf life – 2 weeks)
• Biochemical blood test (total.protein, urea, creatinine, bilirubin, ALT, AST) (shelf life – 2 weeks)
• Coagulogram (shelf life – 2 weeks)
• RW, HBs-Ag, Anti-HCV, HIV (shelf life – 1 month)
• Blood group and Rh factor (shelf life – 1 month)
• CT or Rg of chest organs (shelf life – 6 months)
• ECG with interpretation or conclusion of a cardiologist (shelf life – 2 weeks)
• Conclusion of the therapist on the possibility of surgical treatment

90,000 which diseases are treated and how the examination is carried out – articles about health

Contents

Neurologists are engaged in diagnostics, prevention and treatment of a wide range of diseases of the central and peripheral nervous system, treat some pathologies of the musculoskeletal system.Most of the calls to these specialists are associated with pathologies such as neuritis, osteochondrosis and sciatica. In their practice, doctors are always guided by modern methods of examination and treatment, they use special tools and effective drugs. If necessary, neurologists can refer their patients to surgery. As a rule, surgical treatment is carried out at advanced stages of the disease, when conservative therapy does not give the desired effect.

What does a neurologist treat?

Neurologists deal with the treatment of headaches, osteochondrosis (cervical and other parts), spinal hernias, inflammation of the trigeminal nerve, etc.

Specialists are contacted at:

• Osteochondrosis of various parts of the spine
• Strokes
• Epilepsy
• Alzheimer’s and Parkinson’s disease
• Insomnia and other sleep disorders
• High and low blood pressure

Professionals deal with disorders associated with genetic disorders provoked by fetal hypoxia and other complications during pregnancy and childbirth, trauma, inflammatory diseases (including meningitis), degenerative disorders in the spine, articular cartilage, etc.

Neurologists pay special attention to complications of the perinatal period. Pediatric specialists carry out complex diagnostics and therapy of infantile cerebral palsy and other lesions of the nervous system. Some pathologies (for example, headaches) are eliminated by neurologists together with other doctors. In especially severe cases, consultations of doctors are gathered, who decide on conservative therapy or surgery. Specialists will develop a methodology for managing the patient, which will ensure the preservation of his health.

When to see a neurologist?

An appointment with a specialist should be made at:

• Headaches. It is especially important to get an appointment as soon as possible if the pains are sudden and sharp, gradually increase and are not relieved by standard medications
• Frequent dizziness, lightheadedness and fainting
• Pain in the face, neck, back, limbs, all over the body
• Muscle weakness
• Sleep, speech, memory, concentration disorders
• Unsteadiness of gait and general impairment of coordination of movements
• Uncontrolled limb movements (including tics)

With a child, you should see a doctor as soon as possible if the baby:

• Curls the toes when standing or walking
• Has difficulty falling asleep, wakes up often
• Scattered and unable to concentrate
• Tires quickly
• Suffers from memory impairment
• Poor school performance
• Has difficulty communicating with peers

Important! Don’t put off your doctor’s appointment until later.Some of the diseases that are within the purview of neurologists are rapidly progressive and irreversible. Their effective therapy is possible only in the early stages. At this stage, you can stop the progression of the pathological process and remove some of the symptoms.

How is the appointment going?

An appointment with a neurologist always begins with a conversation with the patient. It is important for a specialist to collect an anamnesis.

To do this, the patient should inform the doctor about:

• Genetic predisposition to certain diseases
• Disturbing symptoms, their severity and frequency of manifestation
• Accepted drugs

It is advisable to bring all the results of the examinations (if any), extracts and other medical documentation to the neurologist’s appointment.This will allow the doctor to make the most accurate diagnosis as soon as possible and begin treatment.

Important! If the patient is unable to clearly express his thoughts on his own, a relative or other representative must come with him to the appointment. It is he who will have to answer all the questions. You should prepare in advance for the consultation.

After the conversation, the doctor conducts an examination.

Neurologist necessarily evaluates:

• Locomotor activity
• Symmetry of limbs and shoulders
• Features of posture
• Degree of shaking hands and body in general

The specialist checks reflexes and muscle strength, temperature and pain sensitivity of the skin.Also, coordination of movements, the ability to correctly assess the spatial position of the body, stability in various poses are determined. Neurologists today have a number of basic tests in their arsenal. They give a general idea of ​​the state of the nervous system.

In some cases, the doctor can immediately diagnose and start treating the identified pathology. If this is not possible, a comprehensive examination is carried out.

Diagnosis by a neurologist

Comprehensive examination includes both laboratory and instrumental methods.

Laboratory analyzes

Research:

• Blood (general and biochemical)
• Urine

Instrumental methods

• Vascular ultrasound (Doppler scanning). The study is carried out to assess the blood flow of blood vessels, assess the width of their lumen, identify stenoses
• Radiography. Such a study makes it possible to assess the state of musculoskeletal and other structures, identify injuries, detect their consequences, etc.
• CT. Computed tomography is performed to detect atrophy of the cerebral cortex, compression of its structures, hydrocephalus, etc.
• MRI. Magnetic resonance imaging allows you to obtain detailed images of all nerve structures and determine their functionality in order to identify a number of diseases
• Echoencephalography. This study replaces CT and MRI when examining children under 2 years of age and diagnosing hemorrhages in bedridden patients
• PET. This study is especially informative for strokes, epilepsy, brain tumors

If necessary, other examinations are also carried out. Based on their results, the neurologist determines which treatment to prescribe to a particular patient.

Advantages of contacting a neurologist MEDSI

• Experienced professionals. Our neurologists are constantly improving their qualifications, undergoing training in leading Russian and foreign centers. Experts successfully adopt international experience and put their own authoring developments into practice
• Traditional and modern diagnostic methods. A comprehensive survey can be completed in just one day. Thanks to this, treatment by a neurologist of any pathology – from headache to intervertebral hernia – will be started in the near future
• Effective therapy for a wide range of diseases. Only modern methods and drugs are always used for treatment. The therapy is carried out using international protocols and does not cause complications
• Opportunities for consultations of neurologists, traumatologists and neurosurgeons. If necessary, a consultation of doctors is convened
• A wide range of techniques used for therapy. The clinic provides physiotherapy, massage, reflexology methods
• Availability of modern equipment. We have installations for electromassage and other procedures

If you want to make an appointment with a neurologist and undergo treatment for osteochondrosis of the spine (cervical and other parts), intervertebral hernia, inflammation of the trigeminal nerve, tension headache, migraine and other pathologies, call +7 (812) 336-33-33.

90,000 Clinical manifestations and drug treatment of intervertebral hernia

Symptoms of intervertebral hernia of the lumbar spine

Intervertebral hernia is a degenerative disease characterized by inflammation and deformation of the spinal disc (displacement, destruction of the annulus fibrosus).In most cases, a hernia provokes serious disorders in the functioning of the spine, accompanied by severe pain syndrome. Treatment of herniated discs can be both conservative (when diagnosed at an early stage of the development of the disease) and operative (with late diagnosis and progression of the disease).

Main causes of pathology:

• spinal injuries;
• metabolic disorders and overweight;
• curvature of the spine;
• infectious diseases;
• excessive physical activity;
• constant stress;

The predisposing factors for the development of a herniated disc of the cervical spine are osteochondrosis and spondylosis.

Stages of development of the disease

Before starting the treatment of pathology, the doctor needs to find out at what stage of development the disease was diagnosed. The appointments will depend on this.

Stages of herniated disc development: initial, prolapse, extrusion, sequestration.

Initial (protrusion) is characterized by rupture of the annulus fibrosus. There are no external manifestations and structural deformations at this stage.

Prolapse. Significant disc displacement with impaired blood supply.

Extrusion. The nucleus extends beyond the disc in the lateral or posterolateral direction. The patient complains of pain and numbness. If a disease is detected at this stage, an operation to remove the intervertebral hernia is not yet needed.

Sequestration. It is characterized by constant pain, impaired mobility of the spine and pinched nerve endings.

Symptoms of intervertebral hernia of the lumbar spine

Clinical manifestations depend on the location of the hernia.But still, the main symptoms of the disease can be distinguished:

• pronounced pain syndrome;
• increased muscle tension;
• limitation of mobility of the spine;
• decreased sensitivity in the affected area;
• paresthesias, numbness, tingling.

The main symptom of a disc herniation of the lumbar spine will be aching pain radiating to the buttock and thigh, and gait disturbance.

Diagnostic measures

After taking the history and examining the patient, the doctor will conduct special tests and check the tendon reflexes.

Hardware examinations: magnetic resonance imaging (MRI), computed tomography (CT), radiography, which will help to exclude infections, tumors and fractures. Based on the results of the examination, the doctor will prescribe the correct treatment and monitor its implementation.

On our website https://www.dobrobut.com/ you can sign up for a consultation with the specialist you need and undergo diagnostics.The doctor will decipher the data obtained and tell you how to treat an intervertebral hernia without surgery. Recall that conservative treatment is possible only with early detection of pathology.

Treatment of intervertebral hernia, complications

Conservative treatment consists of analgesic and anti-inflammatory nonsteroidal drugs. In some cases, topical application of corticosteroids is indicated. For the period of treatment, the patient is assigned a strict bed rest. At the initial stage, massage and exercise therapy are prohibited.As an additional therapy, you can use finalgon ointment and alcohol tincture of pepper.

Therapeutic exercises for intervertebral hernia of the thoracic region and massage are prescribed after relieving pain. A rehabilitologist will help you to choose a set of exercises aimed at improving the blood supply to the disc and its stretching.

Surgical treatment for patients with hernia is prescribed in the presence of neurological disorders and in the absence of a result after conservative therapy.

Methods of surgical therapy:

• laminectomy;
• endoscopic removal;
• microdiscectomy.

The operation is performed under general anesthesia. The postoperative period is from 10 to 14 days.

Complications of the disease. The main danger of the disease is damage to the spinal cord and nerve endings. Herniated discs in the third and fourth stages can impair the sensitivity of the skin and the physiological mobility of the limbs, as well as provoke paralysis.Timely diagnosis and proper treatment will help to avoid this.

Prevention

According to doctors, in this case, all preventive measures are relevant to prevent osteochondrosis. An active lifestyle, regular exercise, swimming, balanced nutrition and timely treatment of diseases will help maintain the health of the spine. Also, keep an eye on your own weight and avoid stress.

You can learn more about the prevention and treatment of the disease with folk remedies at a personal appointment.The doctor will answer the questions and tell you how you can relieve pain in intervertebral hernia of the sacral spine at the initial stage of the disease. In addition, in the center you can undergo diagnostics and a course of rehabilitation (therapeutic exercises, massage, physiotherapy).

Related services:
Physiotherapy (exercise therapy)
Massage

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