{"id":1648,"date":"2022-05-26T19:05:21","date_gmt":"2022-05-26T19:05:21","guid":{"rendered":"https:\/\/beverlyhillsherniacenter.com\/?page_id=1648"},"modified":"2024-01-22T18:54:33","modified_gmt":"2024-01-22T18:54:33","slug":"types-of-hernias","status":"publish","type":"page","link":"https:\/\/beverlyhillsherniacenter.com\/hernia-education\/types-of-hernias\/","title":{"rendered":"Types of Hernias"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1648\" class=\"elementor elementor-1648\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-019dc77 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"019dc77\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-151803c\" data-id=\"151803c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-100b6e8 elementor-widget elementor-widget-heading\" data-id=\"100b6e8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 25-04-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Types of Hernias<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64f5341 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"64f5341\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 25-04-2024 *\/\n.elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#0c0d0e;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider 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.elementor-tabs-wrapper,.elementor-widget-tabs.elementor-tabs-alignment-end .elementor-tabs-wrapper,.elementor-widget-tabs.elementor-tabs-alignment-stretch .elementor-tabs-wrapper{display:flex}.elementor-widget-tabs.elementor-tabs-alignment-center .elementor-tabs-wrapper{justify-content:center}.elementor-widget-tabs.elementor-tabs-alignment-end .elementor-tabs-wrapper{justify-content:flex-end}.elementor-widget-tabs.elementor-tabs-alignment-stretch.elementor-tabs-view-horizontal .elementor-tab-title{width:100%}.elementor-widget-tabs.elementor-tabs-alignment-stretch.elementor-tabs-view-vertical .elementor-tab-title{height:100%}.elementor-tabs .elementor-tab-mobile-title{display:none}}<\/style>\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-2531\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-2531\" aria-expanded=\"false\">Groin Hernias<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-2532\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-2532\" aria-expanded=\"false\">Abdominal Hernias<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-2533\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-2533\" aria-expanded=\"false\">Sports Hernias<\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-2534\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-2534\" aria-expanded=\"false\">Diastasis Recti<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-2531\" aria-expanded=\"false\">Groin Hernias<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2531\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-2531\" tabindex=\"0\" hidden=\"false\"><h5><strong>Inguinal<\/strong><\/h5><div>This type of hernia may be categorized as direct or indirect. They are the generally more common in males than females, and account for 75 percent of all abdominal-wall hernias.<\/div><p><strong>Indirect inguinal hernias\u00a0<\/strong>are the most common hernias in both men and women. They result from a widening\u00a0of a natural hole that allows for the passage of the spermatic cord (men) or the round ligament (women). There is a genetic predisposition to these hernias. They tend to open up with increases in abdominal pressure.<\/p><p>Sometimes, inguinal hernias are hard to palpate on exam, i.e., there is no visible or palpable bulge or \u201cimpulse.\u201d There may still be a hernia there. These are called <strong>occult<\/strong> or <strong>hidden<\/strong> hernias. We see them <a href=\"http:\/\/www.nytimes.com\/2011\/05\/17\/health\/17brody.html\" target=\"_blank\" rel=\"noopener noreferrer\">more often among women<\/a>.<\/p><p><strong>Direct inguinal hernias<\/strong> occur in older patients and is a result of weakening of the tissues, specifically the transversalis fascia.<br \/><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/A_af3DmmcNg?si=GNoxb6nfVRTBWpPn\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><br \/>Dr Towfigh shares tips and tricks for the perfect robotic inguinal hernia repair<\/p><h5><strong>Femoral<\/strong><\/h5><p>These are rare hernias that are more often seen among women. They tend to be small and are the most likely hernias to cause incarceration or strangulation, i.e., trapping of intestine. In fact, 1\/3 of all femoral hernias are repaired as emergencies and may include intestinal surgery.<\/p><p>We check all women for femoral hernias. Also, we recommend all known femoral hernias be repaired. Watchful waiting is discouraged.<br \/><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/INEm7uSqXN8?si=glgAnyUkfK-mrzGy\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><br \/>Watch Dr. Towfigh robotically repair a revisional femoral hernia.<\/p><h5><strong>Obturator<\/strong><\/h5><p>These are even rarer hernias. They are very hard to diagnose, too. We see these typically in thin elderly women and they are often only found incidentally on imaging. They may cause pain in the lower groin, up in the perineum, especially with internal rotation of the hip. Though rare, we have experience in diagnosis and repairing these hernias using laparoscopic or robotic-assisted techniques.<\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-2532\" aria-expanded=\"false\">Abdominal Hernias<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2532\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-2532\" tabindex=\"0\" hidden=\"hidden\"><div class=\"vc_tta-panel-body\"><div class=\"wpb_text_column wpb_content_element \"><div class=\"wpb_wrapper\"><h5><strong>Ventral<\/strong><\/h5><p>This nomenclature is a catch-all phrase for all abdominal wall hernias, but not groin hernias.<\/p><h5><strong>Umbilical<\/strong><\/h5><p>Umbilical hernias are the most common type of ventral hernia. It is a reopening of the site of the umbilical cord.<\/p><h5><strong>Epigastric<\/strong><\/h5><p>Found just 1\/2 inch above the belly button\u00a0or halfway between the belly button and lower chest bone, or xiphoid. Most of these do not cause pain.<\/p><h5><strong>Spigelian<\/strong><\/h5><p>These are rare. They occur on the left or right side of the lower abdomen, about two finger breadths\u00a0below the belly button\u00a0level.\u00a0Most people do not know they have one until it causes pain or intestine is stuck in it. We often use laparoscopic or robotic-assisted technique to repair these.<\/p><h5><strong>Flank\/Back<\/strong><\/h5><p>Even rarer hernias are the flank or back hernias. These include the <strong>Petit<\/strong> or <strong>Grynfeltt<\/strong> hernias. Because of our niche in hernias, we have experience in repairing these hernias.<\/p><h5><strong>Incisional\u00a0<\/strong><\/h5><p>These<strong>\u00a0<\/strong>are hernias that occur at the site of an incision. All abdominal and flank incisions are prone to hernia development. Whether a hernia occurs is based on the surgical technique to close the incision and <a href=\"https:\/\/beverlyhillsherniacenter.com\/hernia-education\/what-is-a-hernia\/risk-factors\/\">risk factors<\/a> for hernia formation.<\/p><p>One under-appreciated risk factor for incisional hernia is a wound infection. Wound infections prevent healing and thus incisional hernias have a higher chance of occurring.<\/p><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-2533\" aria-expanded=\"false\">Sports Hernias<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2533\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-2533\" tabindex=\"0\" hidden=\"hidden\"><h5><strong>Sports Hernia, Athletic Pubalgia, Inguinal Disruption Injury<\/strong><\/h5><p>A rose by any other name\u2026 The term <strong>Sports Hernia<\/strong> is a misnomer. It is not a true hernia. This is why we prefer to use <strong>Inguinal Disruption Injury<\/strong>. These are tears of the muscle or fascia of their bony insertion in the inguinal region. Tears can be from the rectus muscle off the pubic bone, the adductor muscle off the pubic bone, or a combination. They are painful, but usually not debilitating.<\/p><p>These tears typically occur in athletes or others who have disproportionately large strong muscles of the rectus or thighs. Some have an imbalance of strong muscles, such as large quads but not as strong hamstrings. When these are engaged and overstretched, they are at risk for\u00a0tearing off their insertion sites. We see this with hockey players and soccer players.<\/p><p>It is incorrect to call a non-palpable inguinal hernia a sports hernia. These are <strong>occult<\/strong> or <strong>hidden<\/strong> hernias and they are true hernias. They are often anatomically an <strong>indirect inguinal hernia<\/strong>. We see these among women more often than with men.<\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"4\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-2534\" aria-expanded=\"false\">Diastasis Recti<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2534\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-2534\" tabindex=\"0\" hidden=\"hidden\"><p>Diastasis means separation. Diastasis recti is a separation between the left and right rectus muscles (your six-pack or abs). There may be a genetic predisposition. It is also seen after pregnancy, especially second baby or with twins\/triplets. Diastasis recti is not a true hernia. There is no hole. Thus, closure\u00a0is not considered necessary for medical reasons.<\/p><p>We recommend surgical closure\u00a0of diastasis recti if there is also a hernia within the diastasis. We notice that closing\u00a0the diastasis will improve the outcomes of the hernia repair. We provide our patients with the best cosmetic outcome for\u00a0their hernia repair. Closure\u00a0of the diastasis will help reproduce a flatter abdomen.<\/p><p>A <strong>tummy tuck<\/strong> or <strong>abdominoplasty<\/strong> is the classic closure technique\u00a0for a rectus diastasis. We offer <strong>robotic-assisted laparoscopic<\/strong> diastasis closure which is virtually scar-free. Inquire to see if you are a candidate for this procedure.<\/p><p><a href=\"https:\/\/beverlyhillsherniacenter.com\/wp-content\/uploads\/2022\/05\/HEXACORE-Diastasis-Handout.pdf\" target=\"_blank\" rel=\"noopener\">Download the Hexacore Pamphlet here.<\/a><\/p><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Types of Hernias Groin Hernias Abdominal Hernias Sports Hernias Diastasis Recti Groin Hernias Inguinal This type of hernia may be categorized as direct or indirect. They are the generally more common in males than females, and account for 75 percent of all abdominal-wall hernias. Indirect inguinal hernias\u00a0are the most common hernias in both men and [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":1687,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"disabled","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"enabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"_links":{"self":[{"href":"https:\/\/beverlyhillsherniacenter.com\/wp-json\/wp\/v2\/pages\/1648"}],"collection":[{"href":"https:\/\/beverlyhillsherniacenter.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/beverlyhillsherniacenter.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/beverlyhillsherniacenter.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/beverlyhillsherniacenter.com\/wp-json\/wp\/v2\/comments?post=1648"}],"version-history":[{"count":1,"href":"https:\/\/beverlyhillsherniacenter.com\/wp-json\/wp\/v2\/pages\/1648\/revisions"}],"predecessor-version":[{"id":4143,"href":"https:\/\/beverlyhillsherniacenter.com\/wp-json\/wp\/v2\/pages\/1648\/revisions\/4143"}],"up":[{"embeddable":true,"href":"https:\/\/beverlyhillsherniacenter.com\/wp-json\/wp\/v2\/pages\/1687"}],"wp:attachment":[{"href":"https:\/\/beverlyhillsherniacenter.com\/wp-json\/wp\/v2\/media?parent=1648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}