A hernia occurs when the intestine pushes it’s way out through an opening in the wall of the abdomen. It usually appears as a swelling in the groin. This swelling becomes more prominent whenever the child strains or cries.
2007-02-13 00:11:53
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answer #1
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answered by Anonymous
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A hernia (rupture) is usually noticed as a lump, commonly in the groin or the umbilical region. It appears when a portion of the tissue which lines the abdominal cavity (peritoneum) breaks through a weakened area of the abdominal wall.
This can give rise to discomfort as the hernia enlarges and can sometimes be dangerous if a piece of intestine becomes trapped ('strangulated') inside.
There is almost no limit to how BIG a hernia could get if left untreated!
2007-02-13 08:29:54
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answer #2
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answered by Mark Uka 1
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Definition
A hernia is the protrusion of an organ through the structure or muscle that usually contains it.
Description
There are many different types of hernias in children. The most common are direct inguinal hernias, indirect inguinal hernias, and umbilical hernias. A direct inguinal hernia occurs when a small section of bowel herniates, or protrudes, through the groin muscle. Indirect inguinal hernia occurs when part of the bowel protrudes through the muscles of the groin into a sac left over from fetal development. An umbilical hernia occurs when a portion of the bowel protrudes through a small defect in the abdominal wall muscle near where the umbilical cord attaches to the baby's abdomen. More serious defects involving herniation of abdominal contents outside the infant's body are omphalocele and gastroschisis. These are not a result of an organ protruding through weakened muscle tissue but rather are a result of a much larger defect of the muscles of the abdomen that causes the internal organs to develop outside the body. Omphalocele and gastroschisis are considered abdominal wall defects and are not called hernias.
While an umbilical hernia usually resolves spontaneously as the abdominal muscles grow and requires no further treatment, in children with direct and indirect inguinal hernia, surgery is almost always required to prevent the herniated bowel from becoming incarcerated or strangulated. When an inguinal hernia is incarcerated, the bowel becomes swollen and trapped outside the body. If the hernia remains incarcerated for too long, strangulation can occur. In strangulation, the blood supply to the section of bowel that has herniated is cut off, and the tissue begins to die. When this happens, the intestines cannot function properly and are said to be obstructed. If the bowel perforates, or develops a hole in it, emergency surgery is required to repair the intestine and prevent infection.
A more severe, but less common, hernia is a diaphragmatic hernia. This occurs inside the body when the diaphragm, the large muscle that separates the abdominal cavity from the chest cavity, fails to develop fully. In children with diaphragmatic hernia, the contents of the abdomen protrude into the chest cavity. These children may have difficulty breathing. During fetal development the presence of abdominal organs in the fetal chest cavity prevents the lungs from growing normally. A diaphragmatic hernia can occur as an isolated defect or as part of a more complex syndrome. Children with diaphragmatic hernias are usually very ill and require immediate treatment after birth. Some of these children have other defects such as cardiac anomalies, chromosomal abnormalities, kidney and genital anomalies, and neural tube defects, such as spina bifida.
2007-02-13 08:17:37
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answer #3
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answered by Aryan 1
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