Thursday 18 August 2016

Weight Loss Management For Hernia Patient



WEIGHT LOSS MANAGEMENT FOR HERNIA PATIENT
ATIN'S WEIGHT LOSS MANAGEMENT FOR HERNIA PATIENT

ABDOMINAL HERNIA
CONCLUSION :-
ATIN'S HERNIA MANAGEMENT UNDER MEDICAL SUPERVISION:-
01. WEIGHT LOSS.
02. REDUCE TUMMY CIRCUMFERENCES IMMEDIATELY. (PASSIVE SOFT TISSUE MANIPULATION OR MFR TREATMENT).
03. NO STRENUOUS TUMMY EXERCISE. ONLY ISOMETRIC EXERCISE RECOMMENDED.
04. IMMEDIATE TAKE ABDOMINAL HERNIA BELT.
05. IF REQUIRE SURGERY THAN GO.
06. BALANCE DIET.
What Is a Hernia?
A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place. For example, the intestines may break through a weakened area in the abdominal wall.
Hernias are most common in the abdomen, but they can also appear in the upper thigh, belly button, and groin areas. Most hernias are not immediately life threatening, but they don’t go away on their own and can require surgery to prevent potentially dangerous complications.

Common Hernia Types:
Inguinal Hernia
INGUINAL HERNIA MEN
Inguinal hernias are the most common type of hernia. They make up about 70 percent of all hernias, according to the British Hernia Centre (BHC). These hernias occur when the intestines push through a weak spot or tear in the lower abdominal wall, often in the inguinal canal.
The inguinal canal is found in your groin. In men, it is the area where the spermatic cord passes from the abdomen to the scrotum. This cord holds up the testicles. In women, the inguinal canal contains a ligament that helps hold the uterus in place.
This type of hernia is more common in men than in women. This is because a man’s testicles descend through the inguinal canal shortly after birth, and the canal is supposed to close almost completely behind them. Sometimes, the canal does not close properly and leaves a weakened area prone to hernias.

Hiatal Hernia
HIATAL HERNIA


A hiatal hernia occurs when part of your stomach protrudes up through the diaphragm into your chest. The diaphragm is a sheet of muscle that helps you breathe by contracting and drawing air into the lungs. It separates the organs in your abdomen from those in your chest.
This type of hernia is most common in patients over 50 years old. If a child has the condition, it’s typically caused by a congenital (birth) defect. Hiatal hernias almost always cause gastroesophageal reflux, which is when the stomach contents leak backward into the esophagus, causing a burning sensation.

Umbilical Hernia
UMBILICAL HERNIA

Umbilical hernias can occur in children and babies under 6 months old. This happens when their intestines bulge through their abdominal wall near their bellybutton. You may notice a bulge in or near your child’s bellybutton, especially when they’re crying.
An umbilical hernia is the only kind that often goes away on its own, typically by the time the child is 1 year old. If the hernia has not gone away by this point, surgery may be used to correct it.



Incisional Hernia


INCISIONAL HERNIA




Obese people have a higher risk for developing a blood clot or clots after surgery. This condition is called a
General SurgeryWeight Loss before Hernia Repair Surgery; deep venous thrombosis (DVT). The clots usually form in the legs, but they may travel to the lungs and become life threatening. A blood clot in the lungs is called a pulmonary

embolism (PE). Additional factors such as diabetes, lung disease, and smoking can further delay and impair wound healing and add to complications.



What are the risks of hernia surgery in people who are current smokers?


Smoking significantly increases your risk for infection after surgery.  It may lead to an infection of the mesh and require treatment by IV antibiotics, drainage, and an additional surgery to remove the mesh.
Smoking can also lead to breathing problems during and after surgery.  Patients who have very large hernias and a history of smoking or emphysema have an increased risk for lung complications. During surgery, manipulation of the
intestines back into the abdominal wall may cause additional pressure on the
diaphragm and lungs, making breathing difficult. People who smoke also have an increased risk for pneumonia.





Smoking also increases the risk for developinga blood clot.


How can I reduce my risk for complications and increase my chances for a successful surgery?
You can greatly reduce your risk for complications and improve your outcome after hernia surgery by losing weight and reducing your BMI prior to surgery. Weight loss alone may decrease your pain and reduce the size of the bulge from
your hernia to the point where surgery will no longer be needed, or may be delayed for many years. We recommend reaching a BMI of less than 35 prior to hernia repair

Typically, after adequate weight loss is achieved, either through weight loss surgery or diet and exercise, repair of the hernia can be performed. This is the ideal order because:-
General Surgery Weight Loss before Hernia Repair Surgery :-
it will be easier to do the hernia repair.
the risk for complications will be lower
the wound will heal faster and better 
the surgery will result in better mobility and well being.

Another advantage for losing weight months to years prior to hernia repair is that it may be possible to do a surgery to remove excess skin (abdominoplasty) at the same time as the hernia repair.
Combining both weight loss surgery and hernia repair at the same time is not recommended
.A recent study has shown that doing bariatric surgery and hernia repair at the same time greatly increases the risks for infection of the mesh and hernia recurrence. Patients who had hernia repair 1.3 years following weight loss surgery had much better outcomes.Their BMI decreased and there were no recurrences even 20 months after the hernia repair.

What is the likelihood that my hernia would reoccur?Based on studies from the past 10 years in patients that had hernia repair with mesh, there were 41 recurrences per 1000 surgeries. Among patients that had open surgery and repair without mesh, there were 430 recurrences per 1000
surgeries. These results demonstrate that repair with mesh reduces the risk that your hernia will reoccur. Mesh can be tacked, stapled, or sutured and all techniques have the same recurrence rate. Recurrence is much higher for a
complex or infected hernia and for those who have had previous hernia repair or repairs, or abdominal surgery.

What are the best methods for losing weight ? Diet and exercise ?
The key elements to losing weight are diet and exercise.

 ATIN'S PERMANENT WEIGHT LOSS & SHAPING.


It is important toeat fewer calories than the amount of calories your body uses for energy. Adjusting the amount and type of food you eat to be less than the amount of calories your body uses is the only way to reduce body fat.  Exercise is helpful because being more active means that you usemore calories for energy and your body stores less calories as fat.Here are some resources to get you started:Your primary care healthcare providercan help you choosea healthy weight loss program that fits your personal needs and preferences.Registered dietitians are food and nutrition experts who develop personalized nutrition plans for weight loss.


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