Comment diagnostique-t-on une hernie ?

Le diagnostic se fait par examen physique et imageries comme l'échographie ou le scanner.

Quels tests sont utilisés pour confirmer une hernie ?

Les tests incluent l'échographie, la tomodensitométrie et parfois l'IRM.

Quels signes indiquent une hernie ?

Une bosse visible, douleur ou inconfort, surtout en position debout ou en toussant.

Peut-on confondre une hernie avec autre chose ?

Oui, elle peut être confondue avec des lipomes ou des kystes. Un examen est nécessaire.

Les examens sanguins sont-ils utiles pour une hernie ?

Non, les examens sanguins ne sont pas utiles pour diagnostiquer une hernie.

Quels sont les symptômes d'une hernie inguinale ?

Une douleur dans l'aine, une bosse visible et une sensation de lourdeur.

Une hernie peut-elle être asymptomatique ?

Oui, certaines hernies ne présentent pas de symptômes visibles ou ressentis.

Quand faut-il consulter pour une hernie ?

Consultez si vous ressentez douleur intense, nausées ou vomissements associés.

Les symptômes varient-ils selon le type de hernie ?

Oui, les symptômes peuvent varier selon qu'il s'agit d'une hernie inguinale, ombilicale, etc.

Une hernie peut-elle causer des complications ?

Oui, une hernie peut entraîner des complications comme l'étranglement ou l'incarcération.

Comment prévenir une hernie ?

Maintenez un poids santé, évitez de soulever des objets lourds et renforcez les muscles abdominaux.

L'exercice peut-il aider à prévenir une hernie ?

Oui, des exercices de renforcement abdominal peuvent réduire le risque de hernie.

Les femmes enceintes sont-elles à risque de hernie ?

Oui, la pression abdominale accrue pendant la grossesse peut augmenter le risque.

Le tabagisme influence-t-il le risque de hernie ?

Oui, le tabagisme peut affaiblir les tissus et augmenter le risque de hernie.

Les hernies peuvent-elles être héréditaires ?

Oui, certaines personnes peuvent avoir une prédisposition génétique aux hernies.

Quels sont les traitements pour une hernie ?

Le traitement principal est chirurgical, mais des méthodes non chirurgicales existent.

La chirurgie est-elle toujours nécessaire pour une hernie ?

Non, si asymptomatique, une surveillance peut suffire. La chirurgie est recommandée si symptomatique.

Quelles sont les techniques chirurgicales pour une hernie ?

Les techniques incluent la réparation ouverte et laparoscopique, selon le cas.

Y a-t-il des risques associés à la chirurgie de la hernie ?

Oui, des risques incluent infection, saignement et récidive de la hernie.

Peut-on traiter une hernie sans chirurgie ?

Des méthodes comme les ceintures de soutien peuvent soulager, mais ne guérissent pas.

Quelles sont les complications possibles d'une hernie ?

Les complications incluent l'incarcération, l'étranglement et l'infection.

Que signifie l'étranglement d'une hernie ?

L'étranglement se produit lorsque le flux sanguin vers l'organe est coupé, nécessitant une intervention urgente.

Comment reconnaître une hernie étranglée ?

Symptômes incluent douleur intense, rougeur, et incapacité à réduire la bosse.

Les complications peuvent-elles survenir après la chirurgie ?

Oui, des complications comme infection ou récidive peuvent survenir après la chirurgie.

Quel est le traitement d'une hernie étranglée ?

Le traitement nécessite une chirurgie d'urgence pour rétablir le flux sanguin et réparer la hernie.

Quels sont les facteurs de risque d'une hernie ?

Les facteurs incluent l'obésité, le tabagisme, l'âge avancé et des antécédents familiaux.

L'âge influence-t-il le risque de hernie ?

Oui, le risque augmente avec l'âge en raison de l'affaiblissement des tissus.

Les personnes sportives sont-elles à risque de hernie ?

Oui, des activités physiques intenses peuvent augmenter le risque de hernie, surtout si mal exécutées.

Les antécédents de chirurgie abdominale augmentent-ils le risque ?

Oui, les cicatrices chirurgicales peuvent affaiblir la paroi abdominale et favoriser les hernies.

Le surpoids est-il un facteur de risque pour les hernies ?

Oui, le surpoids exerce une pression supplémentaire sur la paroi abdominale, augmentant le risque.

Hernie - Informations médicales vérifiées

Quality of life in patients with a perineal hernia.

Dec 2023

DOI: 10.1016/j.ejso.2023.107114 PMID: 37839295

Patients who develop a perineal hernia after abdominoperineal resection may experience discomfort during daily activities and urogenital dysfunction, but the impact on quality of life has never been f... Patients who underwent abdominoperineal resection for rectal cancer between 2014 and 2022 in two prospective multicenter trials were included. Primary outcome was defined as median overall scores or s... Questionnaires were available in 27 patients with a perineal hernia and 62 patients without a perineal hernia. The 5-dimensional EuroQol score was significantly lower in patients with a perineal herni... A symptomatic perineal hernia can significantly worsen quality of life on several domains, indicating the severity of this complication....

Humans Quality of Life Prospective Studies Rectal Neoplasms Proctectomy +2 autres

Evaluating postoperative hernia incidence and risk factors following pelvic exenteration.

08 May 2024

DOI: 10.1007/s00384-024-04638-3 PMID: 38717479

Pelvic exenteration (PE) is a technically challenging surgical procedure. More recently, quality of life and survivorship following PEs are being increasingly acknowledged as important patient outcome... A retrospective cohort study examining hernia formation following PE for locally advanced rectal carcinoma and locally recurrent rectal carcinoma between June 2010 and August 2022 at a quaternary canc... A total of 79 patients (32.5%) were identified as having developed a hernia. Expectantly, those undergoing flap reconstruction had a lower incidence of postoperative hernias. Of the 79 patients who de... This study found over one-third of PE patients developed a hernia postoperatively. This paper highlights the importance of careful perioperative planning and optimization of patients to minimize morbi...

Humans Incidence Female Risk Factors Pelvic Exenteration +7 autres

Intercostal Lung Hernias Presenting After Minimally Invasive Cardiac Surgery.

06 Sep 2024

DOI: 10.21470/1678-9741-2023-0403 PMID: 39241201

With the introduction of minimally invasive cardiac surgery, more commonly cases of lung herniation are starting to appear. Acquired lung hernias are classified as postoperative, traumatic, pathologic... We conducted a retrospective search of all patients presenting with intercostal lung hernias secondary to minimally invasive cardiac surgery at our clinic in Medellín since the beginning of our progra... From 2010 up until 2022, 803 adult patients underwent minimally invasive cardiac surgeries through a mini-thoracotomy. At the time of data retrieval, nine patients presented with intercostal lung hern... Minimally invasive cardiac surgical approaches are becoming more routine. Proper wound closure is critical in preventing lung hernias. Additionally, timely diagnosis and opportune hernia surgery using...

Humans Retrospective Studies Male Female Middle Aged +10 autres

Thoracic kidney and diaphragmatic hernia: prenatal diagnosis and successful management. Case report and review of the literature

30 09 2023

DOI: 10.18597/rcog.4020 PMID: 37937910

To report a case of prenatal diagnosis of ectopic intrathoracic kidney with diaphragmatic hernia managed surgically after birth, and to conduct a review of the literature on prenatal diagnosis of ecto... We report the case of a 28-week fetus in which, on ultrasound imaging, a mass was observed displacing the heart and lung in the right hemithorax, which was was confirmed by magnetic resonance (MR) to ... The search identified 8 studies that met the inclusion criteria, reporting a total of 8 cases. Ultrasound diagnosis showed ectopic intrathoracic kidney associated with diaphragmatic hernia in all the ... Ectopic intrathoracic kidney is a congenital abnormality amenable to prenatal diagnosis. Survival after corrective surgery performed in the neonatal period is common. There is a paucity of publication...

Pregnancy Infant, Newborn Female Humans Prenatal Diagnosis +3 autres

Internal hernia through the foramen of Winslow: a rare cause of intestinal obstruction with imminent ischaemia of the caecum.

08 Nov 2023

DOI: 10.1136/bcr-2023-257281 PMID: 37940197

An internal hernia through the foramen of Winslow represents a rare surgical pathology. This report describes a case with incipient caecal ischaemia and discusses current diagnostic and therapeutic ap...

Humans Hernia, Abdominal Hernia Intestinal Obstruction Cecum +2 autres

Incidence and risk factors for perineal hernia after robotic abdominoperineal resection: a single-center, retrospective cohort study.

04 Jul 2024

DOI: 10.1007/s10151-024-02961-z PMID: 38965146

Perineal hernia (PH) is a late complication of abdominoperineal resection (APR) that may compromise a patient's quality of life. The frequency and risk factors for PH after robotic APR adopting recent... Patients who underwent robotic APR for rectal cancer between December 2011 and June 2022 were retrospectively examined. From July 2020, pelvic reinforcement procedures, such as robotic closure of the ... We evaluated 142 patients, including 53 PH+ (37.3%) and 89 PH- (62.6%). PH+ had a significantly higher rate of preoperative chemoradiotherapy (26.4% versus 10.1%, p = 0.017) and a significantly lower ... PH after robotic APR for rectal cancer is not a rare complication under the recent treatment strategies for rectal cancer, and performing prophylactic procedures for PH should be considered....

Humans Retrospective Studies Robotic Surgical Procedures Male Female +10 autres

Laparoscopic parastomal hernia repair: keyhole, Sugarbaker, sandwich, or hybrid technique with 3D mesh? An updated systematic review and meta-analysis.

29 Nov 2023

DOI: 10.1007/s00423-023-03177-9 PMID: 38017096

Parastomal hernia is the most common complication after stoma formation with an incidence that approaches 50% at 2 years postoperatively. In the last decade, different approaches of minimally invasive... A systematic literature search of three databases (Medline, Scopus, Google Scholar) was undertaken for articles published from January 2015 to November 2022. Fifteen studies from a previous meta-analy... Thirty-three studies incorporating 1289 total patients were deemed eligible for inclusion in the final analysis. The keyhole technique was associated with the highest incidence of postoperative compli... Each technique demonstrates a unique profile of effectiveness offset by the propensity towards developing postoperative complications. While no conclusive evidence on the optimal technique exist to da...

Humans Herniorrhaphy Surgical Mesh Incisional Hernia Surgical Stomas +4 autres

Intramuscular Venous Malformation Associated with Muscle Herniation of the Left Masseter Muscle in a 12-Year-Old Boy.

10 Sep 2024

DOI: 10.12659/AJCR.944519 PMID: 39252412

BACKGROUND Muscle hernias are an uncommon condition typically found in the extremities; masseter muscle hernia is even rarer. However, it is important for clinicians and radiologists to be aware of th...

Humans Male Child Masseter Muscle Hernia +3 autres

Spinal cord ischemia revealed by a Brown-Sequard syndrome and caused by a calcified thoracic disc extrusion with spontaneous regression: a case report and review of the literature.

29 Nov 2023

DOI: 10.1186/s13256-023-04208-1 PMID: 38017566

Thoracic disc herniation is relatively uncommon, accounting for less than 1% of all spinal herniations. Although most often asymptomatic, they may represent a rare cause of spinal cord ischemia.... We report the case of a healthy 43-year-old North African male who presented with a Brown-Sequard syndrome revealing a spinal cord ischemia caused by a thoracic disc extrusion. The initial MRI reveale... Our case highlights the challenge in diagnosing and managing this uncommon condition. We propose a literature review showing the different therapeutic strategies and their corresponding clinical outco...

Humans Male Adult Brown-Sequard Syndrome Hernia +4 autres

The clinical evolution of patients with idiopathic spinal cord herniation: a case series.

09 Oct 2024

DOI: 10.1038/s41394-024-00684-9 PMID: 39384758

Retrospective case series of 48 patients.... This study's primary objective was to provide a clinical description of a group of individuals with a working diagnosis of idiopathic spinal cord herniation (ISCH). The secondary objectives were to ap... The study was carried out at l'Hôpital de l'Enfant-Jésus, CHU de Québec (Québec, Canada), a tertiary care university hospital.... This case series study is based on routinely collected data. Forty-eight (48) cases were identified as having an ISCH on MR imaging, between 2009 and 2019. Their medical files have been searched retro... The mean age of patients at the time of diagnosis was 52.5 years. Most of the patients identified were asymptomatic (69%) and followed clinically. The main neurologic presentation for the symptomatic ... Our study shows that ISCH and its variants are not always symptomatic and may be a fortuitous finding. As the natural history may be non-progressive, it is probably appropriate to treat some cases exp...

Humans Middle Aged Male Female Adult +7 autres

Hernie : Questions médicales fréquentes

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Sous-catégories

Encéphalocèle

Hernie abdominale

Hernie obturatrice

Déplacement de disque intervertébral

Hernie interne

Méningocèle

Rectocèle

Laparoschisis

Hernie crurale

Hernie inguinale

Hernie ventrale

Hernie diaphragmatique

Hernie paraduodénale

Hernie ombilicale

Hernies diaphragmatiques congénitales

Hernie hiatale

Auteurs principaux

Sources (1439 au total)