$Unique_ID{BRK00388} $Pretitle{} $Title{Hernia As a Result of a Fall} $Subject{hernia woman women surgery accident accidents intestine intestines organ protrudes Abdominal surgeries operation operations inguinal direct indirect femoral umbilical epigastric and spermatic cord bowel surgical groin hernias incarcerated} $Volume{O-12} $Log{ Anatomy of the Abdomen*0001501.scf Indirect Inguinal Hernia*0004301.scf Direct Inguinal Hernia*0004302.scf Femoral Hernia*0004303.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Hernia As a Result of a Fall ------------------------------------------------------------------------------ QUESTION: As a result of a fall, followed by some pain in my abdomen, I consulted my physician. I was amazed when he told me that I had suffered a hernia and needed surgery. I thought only men could have hernias and that they were caused by trying to lift a heavy object. Would you try to clear this up for me? ------------------------------------------------------------------------------ ANSWER: I can provide you with some answers, but believe that it will take a surgeon to "clear up" your physical problem. The term "hernia" is a general one and applies any time a portion of an organ or tissue protrudes through an abnormal opening in the body. Abdominal hernias are a most common situation for which major surgery is performed as a means of correcting the problem, and abdominal hernias come in many forms: inguinal, direct and indirect, femoral, umbilical, epigastric and incisional. Inguinal hernias do occur in men about 8 times more frequently than women, as the normal opening through which the spermatic cord passes becomes abnormally enlarged and permits a section of bowel to slide down into the scrotum. But umbilical (around the belly button or navel) hernias can occur in infants and are more common in women. Fortunately, they generally close by themselves in infants, and require no surgical repair. Hernias do develop as the result of repeated elevation of the pressure inside the abdomen that may be provoked by lifting or straining, but also as a result of chronic cough or constipation. In your case, the fall may have caused some enough pressure to force open a weakened portion of the muscles that make up the abdominal wall and allowed the hernia to form. Although you do not mention it in your letter, previous surgical incisions sometimes fail to heal completely, and incisional hernias develop at those sites. Femoral hernias are the least common of groin hernias, but do occur more frequently in women than in men. They frequently become incarcerated, where the bowel or tissue found in the hernia becomes trapped, and can not be pressed back into place. For this reason, surgical repair of these hernias is advised. With all this general information you may now obtain more precise details of your condition from your own surgeon. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.