PILES & HERNIA

Piles is often feared as the tumour of the anus. Actually, piles is not tumourous and not dangerous. It is a simple enlarged / engorged blood vessel(s) of the anus. It is also called haemorrhoids in medical terminology. It is the dilatation (varicosity) of the haemorrhoidal plexus (veins of anus).

Blood vessels are supposed to suffer with varicosity, when there is obstruction or resistance/ sluggish or reduced or back flow of blood / valvelessness, etc. Varicosity is often noticed in the legs of pregnant women or policemen or in persons whose job/habit is to stand continuously for a prolonged period.

Hernia

What is Hernia?

A hernia is a protrusion of a structure, through an opening in the wall. The hernia has 3 parts: the orifice through which it herniates, the hernial sac, and its contents.

Types of Hernia

Hernia can be classified in a different way:

	Congenital – by birth i.e., development disorders
	Infantile – during infant stage due to weakness
	Senile – due to weakness in elderly persons
	Traumatic – due to injury or strain

Further, it can be classified as:

	Bulging
	Sliding

It can also be classified as:

	Reducible – which get back easily to original position
	Non-reducible – which will not get reduced due to strangulation or obstruction

According to region

	Inguinal
	Femoral
	Umbilical
	Epigastric
	Hiatus

Why do Hernias occur?

Hernia can occur due to strain which can increase the abdominal pressure such as

	Weight lifting
	Gaining weight
	Chronic cough
	Passing urine with great difficulty (enlarged prostate)
	Straining at stool due to constipation, piles, fissure, etc.
	Taking full and heavy meal
	Pregnancy
	Problems ocured due to operaton of stomach
	Defect in wall since birth

PROLENE HERNIA SYSTEM

After years of research, the two layered mesh-Prolene Hernia system - popularly known as PHS, is having the shape of a button. It is inserted at the spot of the Hernia.

The advantages of the use of PROLENE HERNIA SYSTEM (PHS) are:

	The chances of repeated Hernia problems will not occur in patients operated with PROLENE Hernia system.
	It is a tissue tension free repair which provides early recovery.
	Hospitalization is only for a day for patients operated with PROLENE Hernia system.
	Patient can be operated under local anesthesia.
	Patient can resume all work after few hours of surgery.
	There are no stitches and so there is no need of dressing.

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PILES & HERNIA

Hernia