Anatomical and physiological features of the structure of the organism are often the cause of umbilical hernia in women. This formation can cause serious health problems, even death. That is why it is important to diagnose the disease in time and attend to the choice of the correct method of treatment.
What is an umbilical hernia?
A hernia (kila) in the navel is an area of the intestine that has entered the lumen of the abdominal muscles. In this case, there are two scenarios for the development of the situation. The first is that a person does not experience discomfort, the keel remains in place and may not even be detected. The second is that the muscles pinch the bulging piece of the intestines, the blood flow is disturbed, and the consequences can be most terrible if you do not lie on the operating table in time.
Women are more susceptible to the formation of umbilical hernia than men, as women have:
- less elastic muscles of the peritoneum;
- thicker fat on the abdomen;
- due to the bearing of children and childbirth may be the displacement of certain organs.
In addition, in women, a hernia is more difficult to diagnose.
Reasons for education
The most common causes of protrusion include:
- obesity (sudden drops in weight weaken the abdominal muscles);
- pregnancy (especially if the fetus is large);
- severe childbirth (which led to hemorrhoids);
- persistent cough due to smoking (provokes muscle spasms);
- hard work (negatively affects the elasticity of the muscle frame);
- accumulation of fluid in the peritoneum;
- genetic predisposition.
Signs of an umbilical hernia in women
Kila's peculiarity is such that it can be formed at a rather young age, but does not make itself felt until maturity. This is due to the fact that with age the muscles weaken and "release" the hernia into the lumen between the fibers. Then it is easy to determine the presence of an umbilical hernia in a woman, as she has pronounced symptoms.
- The navel area is swollen, puffiness has appeared. By pressing on this area, you can feel hardened.
- Keel bulges when coughing, bending at the waist, and also during the trip to the toilet. However, in a prone position, discomfort may not even be felt.
- Pain and burning in the navel. With a long stay in one position (standing, sitting), discomfort increases.
- Pigmentation of the skin near the navel (gray, red, blue).
At the advanced stages of the disease to this list may be added:
- nausea, vomiting;
Please note that only the first sign is a definite symptom of a hernia. The rest can be characteristic not only of the keel, but also of an ovarian cyst, endometriosis, etc. That is why the patient cannot be examined while lying or in a chair in the gynecologist's office: the neoplasm is hidden.
Kila will not pass itself, but it can go into a more complex form. In this case, gangrene is formed, followed by infection of the peritoneal organs, which can lead to death. Urgent measures are also necessary if the hernia has changed color or has begun to grow sharply.
Surgical intervention is the only way to get rid of the keel, since an umbilical hernia in women can be treated without surgery only at the earliest stages. If there are contraindications to the surgeon's actions (for example, 1 or 3 trimesters of pregnancy), then wear a bandage and maintain protrusion when coughing or sneezing. But this does not get rid of the problem, since it is a temporary compromise option.
What are they doing in the operating room?
Surgical intervention in the treatment of umbilical hernia in women - the most effective way to get rid of the protrusion. Usually the operation takes about 30 minutes and is performed under general anesthesia. The algorithm of action of the surgeon is as follows:
- An incision is made, the protrusion is carefully inspected.
- Content is reset, returns to the site. If the hernia was severely pinched, then, most likely, the blood flow in the intestine was disturbed, so this part of the intestine is cut out.
- The weakened walls of the peritoneum are reinforced with sutures. If the formation was very large, they can put a mesh transplant that will strengthen the muscles.
- After the operation and recovery from anesthesia, a woman can go home, there is no need to stay in the ward for a long time.
Despite a fairly simple operation, muscle recovery will take at least a month. That is why the patient is recommended to take a hospital for 2-3 weeks, for the same period to limit physical activity, including visits to the gym.
Minimally invasive laparoscopy
The essence of this operation is that the hernia is closed with a special mesh through two small punctures. Rehabilitation in this case is faster, and the options to bring the infection are practically excluded. However, for such an operation, the surgeon is required to master the technique of minimally invasive laparoscopy, and the hospital has the availability of equipment.
If the keel is found at an early stage without pinching, then it can be removed by conservative therapy:
- a special diet developed by a specialist;
- a course of massage aimed at strengthening the abdominal muscles;
- rejection of physical exertion and weight lifting.
The last two points are aimed at removing the load from the front of the abdomen.
According to statistics, complications after surgery to remove an umbilical hernia are very rare. As a rule, they are related to the fact that an infection has entered the wound. Antibiotics are prescribed for treatment. Sometimes a woman may experience numbness in the limbs, headache, and weakness. However, this is a normal state after the operation, and it passes by itself. In some cases, a hernia recurrence is possible, but this option is impossible to predict. Another consequence of the operation - changing the shape and size of the navel.
Umbilical keel during pregnancy
Future moms are at risk, because they have increased pressure on the tissue, and the umbilical ring expands. If there is no pain, then the operation is better to postpone. It should be noted that the presence of the keel does not prejudice the delivery by cesarean section. In general, the operation should refrain. But if the hernia is with pinched, then it is better to wait for the second trimester.
The protrusion of the intestinal region into the lumen of the abdominal muscles in the fair half of humanity is more common than in men. This is due to the nuances of anatomy and physiology. Mature ladies and pregnant women are at risk. An umbilical hernia in women can have very negative consequences if you do not see a doctor in time. Only a specialist can assess the seriousness of the situation and decide on the need for surgical intervention.