Symptoms of a hernia of the white line of the abdomen
In the initial stage, a hernia of the white line of the abdomen manifests itself as discomfort in the umbilical region or in the projection of the white line of the abdomen, which are aggravated by walking, running and other physical activity. Sometimes in these stages, a hernia of the white line of the abdomen is asymptomatic and first manifests itself only in connection with infringement. A hernia of the white line of the abdomen is characterized by the appearance of a visible hernial protrusion in the projection of the white line of the abdomen. With a strangulated hernia, an acute violation of the blood supply and innervation of the organs that make up the hernial contents develops. In this case, the hernia increases in size, becomes irreducible, dense, painful on palpation. There are severe pains in the infringement area or in the entire abdomen, stool and gas retention develops. Prolonged infringement of a hernia of the white line of the abdomen can lead to organ necrosis and the development of intestinal obstruction. In this case, hiccups, nausea, repeated vomiting, cramping pains appear.
Diagnostics of the hernia of the white line of the abdomen
The absence of vivid manifestations in the initial stages of the disease complicates the early diagnosis of a hernia of the white line of the abdomen. When recognizing a hernia, typical symptoms are taken into account: the presence of a spherical protrusion in the white line of the abdomen in an upright position and disappearance in the supine position, a symptom of a cough thrust, etc. During palpation of the hernial sac, it is possible to determine the nature of its contents, clarify the size of the hernial defect and whether the hernia is repositioned. A defect in the white line of the abdomen, according to the classification of the European Society of Herniology, is small (up to 2.0 cm), medium (2.0-4.0 cm) and large (more than 4.0 cm) in size. Sometimes a hernia of the white line of the abdomen is combined with diastasis of the rectus abdominis muscles.
To determine the contents of the hernial sac, an ultrasound scan of the hernial protrusion and ultrasound of the abdominal cavity are performed.
Treatment of a hernia of the white line of the abdomen
There are no conservative approaches to the treatment of hernia of the white line of the abdomen. When a disease is detected, surgical intervention is indicated - hernia repair with plastic defect (hernioplasty). Currently, laparoscopic techniques are used to eliminate hernias of the white line of the abdomen, since this type of operation significantly reduces the percentage of relapses and complications.
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