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Hernia treatment in Dnipro

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Hernia treatment in Dnipro

Hernia is a surgical type pathology. It is characterised by the protrusion of an internal organ or part of an internal organ from its conditionally normal location. In cases of complications, a life-threatening condition may occur. It is very difficult to detect a hernia at an early stage of its development. Most patients turn to a specialist only when there is a strong visual protrusion or the development of painful symptoms, indicating, as a rule, that complications have already begun.

In medicine, there is a fairly extensive classification of hernias, depending on the localisation or organ affected by the pathology:

Groin;
Femoral;
Umbilical;
Ventral (postoperative);
Transverse-lateral;
Diaphragmatic;
White line of the abdomen, and so on.

Accordingly, the type of hernia diagnosed directly determines the method of its treatment.

Intrainguinal hernias

This type of pathology is treated surgically in our Helios Family Health and Rehabilitation Centre using laparoscopic plastic surgery or open surgery.

Both plastic surgery options involve reinforcing the so-called hernia gate with a mesh implant. This herniorrhaphy technique is applicable to patients of any age except paediatric patients. This is the so-called surgical ‘gold standard’ when it is necessary to strengthen the hernia defect with a synthetic material. Composite and polymer meshes are used. That is, having the ability over time independently partially resorb.

Plasty inguinal hernia does not require from the patient does not require special preparation, all operational risks are minimised. The operation is carried out, most often with the use of spinal anaesthesia. In the most cases of laparoscopic plasty, general anaesthesia is required.

Umbilical hernias

This variety of this pathology is one of the most common. For its removal, an operation called ‘allogernioplasty of the umbilical ring’ is used. Diagnosis of umbilical hernias is quite simple. Usually a protruding umbilicus, which takes on a normal appearance when the patient is lying down, is clearly visible visually.

Immediate surgical intervention is required if painfulness occurs, especially against the background of coughing, even minor physical exertion. Painful sensations can be accompanied by vomiting, nausea, stool disorders, decreased appetite.

Allogernioplasty is performed only in adult patients. In this case, the umbilical ring is sutured. Sutures are applied in two layers - along and across. In certain cases, it may be necessary to excise the navel. After the operation, during the entire rehabilitation period, it is important to limit physical activity as much as possible.

Femoral hernias

A small bulge in the area between the thigh and the groin, which increases with physical activity and disappears when lying down, is a femoral hernia. Weakness of the femoral ring is the cause of this pathology. Outside the anterior abdominal wall can go (fall out) intestines or large omentum.

The development of femoral hernia in women can be caused by such factors as heavy pregnancy, complicated childbirth, in men - wearing or lifting weights.

Laparoscopic or open allogernioplasty is used to treat femoral hernia. In the second option, an external incision is made to open access to the contents of the hernia. The first option involves only three small punctures, through which are introduced endoscopic manipulators with a camera that transmits the image on the screen. According to the data on the monitor, the surgeon controls the manipulations taking place inside.

The choice of the optimal variant of the operation is made by the doctor on the basis of the indicators of analyses and preoperative studies.

Hernias of the white line of the abdomen and postoperative hernias

Hernia of the white line of the abdomen refers to pathologies of the abdominal wall muscles. Slits are formed by the divergence of muscle tendons along the midline. Through them there is a protrusion of internal organs. There are such hernias of three types: epigastric (supraurethral), paraumbilical (periapical), subcostal. Diagnosis and treatment in the form of surgery of this kind of pathology is carried out by a surgeon.

In some cases of surgical operations, during the rehabilitation period, may occur so-called postoperative hernias. They also require immediate intervention of a specialist.

Both abdominal white line hernias and postoperative hernias are removed by open or laparoscopic allogernioplasty. Laparoscopy in this case is a suitable option if the hernia is detected at an early stage of its development. Its recurrence is prevented by a mesh implant placed during the operation.

Diaphragmatic hernias

A hernia of the oesophageal opening of the diaphragm or diaphragmatic hernia is a prolapse of parts or fragments of peritoneal internal organs into the chest cavity. The hernia sac may contain a part of the large omentum, intestine, stomach. This type of pathology is divided into two types: traumatic and non-traumatic.

The most effective method of treatment of diaphragmatic hernia is operative. The surgeon can prescribe laparoscopic or open plasty of the oesophageal opening of the diaphragm with fundoplication.

Fundoplication is the sewing of the stomach to the oesophagus in the form of a cuff that prevents the gastric contents from being thrown into the oesophagus.

Diastasis of straight abdominal muscles

The essence of this pathology lies in the excessive stretching of the tendon aponeurosis between the rectus muscles and, as a result, their divergence from each other by 2 or more cm. Diastasis is diagnosed in most cases in women, since the causative factor is pregnancy and heavy labour. The clinical picture in women (unlike men, whose symptomatology appears gradually) is quite vivid, developing quickly, literally within a few days after childbirth.

When diastasis progresses, accompanying symptoms such as dysfunction appear

When diastasis progresses, accompanying symptoms appear in the form of GI dysfunction: heartburn, abdominal pain, belching, constipation, flatulence.

Treatment of rectus abdominis diastasis of the second and third stages (when the rectus muscles are 7-10 cm or more apart) is laparoscopic correction or open abdominoplasty. Both types of surgery involve suturing the diastasis by narrowing the white line of the abdomen and eliminating skin and fat excesses.

In our Helios Family Health and Rehabilitation Centre, hernia surgeries of various types are performed by experienced and qualified surgeons. At the first appointment, the doctor consults and prescribes a diagnostic examination, selects the best option of therapy. You can make an appointment with a specialist by phone or by using the electronic form on the clinic's website.

When should I consult a gynecologist?

Far not always a woman knows that the cause of her ailment can be the initial stage of the development of a disease of the organs of her reproductive system. Therefore, the recommendations of doctors who urge, even in the absence of certain symptoms to visit a woman's doctor at least twice a year, should be followed.

Special cases when it is necessary to seek help from a gynecologist outside the plan of visits can be the following signs and manifestations:

Changes in the menstrual cycle (irregular schedule, atypical discharge, periods lasting longer than usual);
Vaginal itching, irritation, burning, discharge with blood, pus, other atypical signs;
Pelvic pain more prolonged than during ovulation;
Bleeding outside the menstrual schedule;
Pain sensations in the lower abdomen (pain can be of different character: pulling, heavy, sharp, sharp, aching, and so on).

All these signs and symptoms may indicate the beginning of the development of very serious and dangerous diseases - chlamydia, candidiasis, inflammation of the ovaries, uterine myoma, polycystic ovaries, chronic form of endometritis, endometriosis, ovarian torsion, cyst rupture, and the like. Timely referral to a specialist will help to avoid unpleasant consequences and complications.

Also visiting a gynecologist is necessary when changing sexual partners, discomfort during menopause, if you need help in selecting contraceptive methods.

Gynecological services in Helios

In the medical center Helios in Dnipro in the department of gynecology for diagnosis and treatment is used modern high-tech equipment, new technologies are used. To identify disorders in the functioning of the organs of the female genital system is appointed:

ultrasound examination - safe, highly accurate (ovaries, rectum, uterus, fallopian tubes, bladder are checked; also ultrasound machine allows to determine pregnancy at an early stage);
videocolposcopy (examine from inside the vaginal entrance, walls, cervix; the method results in clear images of different locations, allowing you to assess the condition of the mucous membranes);
cytologic studies, biopsy;
laboratory tests: blood for estrogen, testosterone, prolactin, luteinizing and follicle-stimulating hormone, progesterone, PCR analysis.

After a thorough examination, the doctor prescribes adequate therapy, taking into account all the characteristics of the patient's body and the data obtained after the study.

Services for pregnant women

In the Helios Clinic every expectant mother can undergo all types of ultrasound screening, Doppler vascular dopplerometry, cervicometry, prenatal ultrasound. Experienced and qualified specialists of the center conduct a detailed examination, research, use additional diagnostic and preventive methods, timely detecting violations, prescribe treatment, which invariably leads to a positive result. The center also offers pregnancy management from the first week to the birth.

For more detailed information you can contact the administrator of the center by phone. On the website you can make an appointment with any specialist at a convenient time.

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