Introduction
#Cesarean #Hernia
Only in complicated situations, the gynecologist might perform a cesarean delivery. The advancements in medicine have made it possible to reduce the number of complications, maternal and infant mortality rates associated with childbirth. One such possible but very rare complication of C-section is Hernia.
There are several factors that can cause or increase the risk of getting an incisional hernia after a cesarean. Some of these factors may also be linked to the physical characteristics of a woman. They are (1) Muscle in the abdomen may lose its strength (2) Infection in the surgical incision site (3) Women with gestational diabetes during pregnancy can have an increased risk of getting a hernia. This risk primarily happens due to the infection at the surgical site. (4) Not following doctor’s advice on strenuous physical activities after a c-section surgery (5) Hormones can make the muscles thinner which can cause the hernia (6) wearing tight dresses
Usually, surgery is the only available treatment option for incisional hernias. As mentioned earlier, there are no medications to treat any type of hernia and they do not go away on their own without surgery. The surgery can be an open surgical approach or a minimally invasive laparoscopic approach based on the complexity of the problem.
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Content
Hello, the topic today we are going to talk about, is uh hernia after c-section or ccr insection and most of the women come to us saying uh.
I did a ccr intention long back many years back now I got you know some swelling pain or usually they go to the gynecologist and they get examined by the gynecologist.
Then they'll say: okay, you have a name for the surgeon, so we are uh.
Today we are talking about uh hernia after ccl insection, usually uh ccri section is mainly for uh.
You know when uh the life of the baby or uh the mother is in danger.
It's a uh, unknown, inevitable surgery, uh, where you know they cut over the abdomen wall, and you know uterus and deliver the baby and they'll re-suture everything back and most of the time it's done as a vertical incision, but nowadays the better things stop mostly the horizontal incision that is above below the dress line so most of the women they don't even notice.
They have some.
You know uh hernia, uh or you know swelling anything so after many years, most of the time, the histories after many years or even few months, they you know they find some swelling pain or you know constipation, and you know there are some discomfort and you go to the gynecologist.
You know the eddy doctor, they examine they find out, it could be hernia and then they'll refer the patient to the surgeon and like, like any other here, mia uh.
It has some reasons.
The previous videos we have.
We have talked about what is here causes you know how to diagnose and the treatment options here the causes for happens.
It's called incision hernia and it's treated as an insulin hernia.
So, like any other hernia, it has certain reasons most of the time uh you know when they get pregnant.
The abdomen is, you know, discharged so the muscles everything is stretched.
So the muscles lose their tone.
They lose their strength.
The fascia loses its mainly.
The fascia loses his strength.
So when they cut and reach switch this you know it's a very weakest area.
So always, there is a chance for hernia to come one second, most of the time uh infection you should they give the history after the sincere injection I had a you know, pus coming or fluid coming, the the stitches are given way.
So you know I have to antibody for a long time.
The doctor has to resuture it second time also.
So this is the history they always say.
So, it's all mainly because of infection.
The third one is suppose somebody is having a diabetes or gestation like the temporary gestational pregnant diabetes during pregnancy alone or naturally, if you are diabetic so chances of infection is very high.
So and very importantly, the other reason is not following the doctor's instructions.
Uh, usually they say you know, don't do any heavy work or bending or wide bending weight, lifting don't avoid constipation these things they would have given instructions, but after the pregnancy they may not.
You know have the time to think about it and they start doing all the things they will be.
Bending they'll be doing all the heavy work you know.
So usually the switches can give way and the other reasons is because of the hormones.
The hormones makes the muscles facial very thin and big.
So this can uh.
You know, cause uh institutional area and other reasons, if you say uh most of the time they you know uh, they wear constant or even uh.
You know they are very tight dress because they they don't want the abdomen to distance.
You know they think you know if you leave it just like that, they'll have a pot belly, so they put up some dress or you know some material to tightly.
You know you know uneven and you will so that can you know uh give pressure a week, can cause weakness of the muscles and cause thermia.
So we always say: don't do anything like that, but instead you can have a concept that also little firm, not tight.
Always in the body.
Nothing should be tight or you know very.
You should not give attention to anything.
So you can have a concept uniform, it should be uniform and you should be firm, not a type.
So once the surgeons looks at the patient, you know you'll be clinically examining all the law that tests is, can all those things and it depends upon the site and you know the size.
So you decide the treatment options, whether it's a surgical emergency.
Sometimes they are nearly compressed only with obstruction.
So it's an emergency.
You know it's a different way: emergency, usually the abdominal obstruction usually is a open surgery.
If they come in a relative surgery, then you know they will plan mostly or done by keyhole approach.
Laparoscopically with the mesh repair.
The mesh is mainly it's a tension.
Free repair tension means you should not pull everything as a tight one and suture.
That's why I told you abdominal posture should be, you know, formed the same way.
You know we keep the mesh.
Simply we always say hernia, your shirt is torn and the inner things are coming out.
The same way the muscles are torn and the internal structure is interesting fat.
You know everything comes up, so you put everything inside.
You know close it with a patch of cloth.
The same way put a mesh and repair it and follow the instructions or advice given with a surgeon for the next three to six months depends upon.
The age depends upon your body weight.
You will give some instruction, but mostly three months like you should wear other than corset should have white, constipation or white cough and cold sitting on the floor or worldwide avoid doing any heavy work.
You know these things should be avoided and don't do anything that increases in trouble and pressure, pushing and pulling all these things heavy work.
We should avoid so that you know the hernia doesn't come back again.
So hernia after c-section of ccrn is nothing but a hernia, especially it's called incisional apnea and it's a surgical condition.
There is no medicine or no exercise or no yoga can cure that, and only the good option is before getting complication, consult a doctor and get the proper treatment.
Thank you.
