Dr. Ertan Beyatlı

Strangulated Hernia Hazard

(Update: ) - Hernia

What is a Strangulated Hernia?

The most feared complication of abdominal wall hernias is "strangulated hernia". The more easy and problem-free simple hernia operations are for the patient and the physician, the more difficult and risky the strangulated hernia surgery.

Overwhelmed requiring urgent surgery hernia surgery The normal hernia surgeries performed under the most appropriate conditions (elective) are compared below.

Strangulated hernia surgery

  • Occurs suddenly and is done in emergency conditions
  • The patient stays in the hospital for 3-4 days
  • Cost is high and uncertain
  • High risk of complications
  • Patch repairs are often risky
  • It may be necessary to remove a section of bowel

Elective hernia surgery

  • Made at the most convenient time
  • The patient is discharged on the same day
  • Cost is clear and low
  • Very low risk of complications
  • Stress-free repair with patch
  • No need to even go into the abdomen

If the intestine, which comes out from the hole in the abdominal wall, rotates around its own axis like a coil, it may be difficult to enter the abdomen again. Previously, if a hernia entering into the abdomen when lying on the back or pushing with the hand does not disappear by reaching out or by hand, it can be referred to as "strangulated" hernia:

Strangulated Hernia Stages

  • PHASE I The first sign of a strangulated hernia is that the hernia swelling no longer disappears. After a few hours, pain begins in the hernia area. If the patient does not consult a physician, the intestinal passage will also stop, and the patient becomes unable to extract gas and feces from below. Consequently, the pain of the patient spreads to the whole abdomen in the form of cramps.
  • STAGE II If the patient persists not to go to the hospital, the intestinal blood circulation, which is stuck in a narrow hole, begins to deteriorate. This causes intestinal gangrene (Bowel Rot). At this stage, the patient's leukocyte count increases and the pain becomes more severe.
  • STAGE III If the patient is still not treated, the gangrenous area of ​​the intestine is punctured and widespread peritonitis occurs in the abdomen. The patient's fever rises, his general condition deteriorates, and death develops with a picture of sepsis.
  • PHASE IV Nowadays, stage IV patients are no longer encountered in big cities.

In order not to be faced with such a threat, it is necessary to have a hernia surgery as soon as possible.

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