Hernia Is Like Ice- Cream



A hernia is an abnormal protrusion of abdominal organs from an opening in the abdominal wall. It is a common problem and often neglected by patients, not because of ignorance but merely because most hernias do not cause pain unless complicated.




Most of the time, patients feel or can even see swelling in a certain part of their abdomen, which is pain-free most of the time. The swelling appears on standing, coughing, or straining but disappears when lying down. But in some cases, it suddenly appears with severe pain and hard swelling. The later presentation is dangerous, and if neglected, can turn into a fatal event.


Which Areas Are Prone To Hernia Formation?


Certain areas of our abdomen are relatively weaker areas. It is this weak area that is prone to hernia formation. The most common sites are an inguinal region which is the place near the junction of the abdomen with thighs, umbilicus (belly button), and at the previous surgery site. There are a few other rare sites of hernia formation as well.


Why Hernia Forms


Pressures inside our abdomen are high, which push organs inside the abdomen to outside. The relatively weaker areas give way early and lead to protrusion of intestines etc., leading to hernia formation.


Factors Predisposing To Hernia Formation


Chronic cough, straining, heavy weight lifting, smoking, high intra-abdominal pressure because of fluid inside the abdomen. For example – in ascites because of cirrhosis, any abdominal surgery.


What To Do If U Suspect Hernia Formation


One should immediately consult a surgeon, preferably a hernia surgeon. In many cases, clinical examination is enough to arrive at a diagnosis. Radiological tests are done to look for predisposing factors, other incidental diseases, and many times just for patient satisfaction.




Surgery is the only treatment. There is no alternative to surgery. How to get the surgery done? Open surgery, laparoscopic surgery, or robotic surgery is a different issue.


Timing For Surgery


It is an important question that comes into the patient’s mind. And the answer is: as soon as possible and immediately if the pain is there.


One should remember: hernia is like ice cream and not a fruit. Just like we quickly eat ice cream before melting it, we do not wait for it to melt. Similarly, a hernia operation should be done immediately, and one should not wait for complications to happen. We wait for a fruit to ripe, and then once ripened, we eat the fruit. It is not the case with a hernia.



Hernia signifies mechanical defect/ failure in the abdominal wall, and like any other such defect, repairing and reinforcement is the only answer. Act before it is too late. Eat the ice cream before it melts.


Dr. Digant Pathak is the best hernia surgeon in Jabalpur. He offers a wide array of options for hernia patients, from simple open repair to state-of-the-art laparoscopic surgeries to complicated abdominal wall reconstruction/component separation techniques.  

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