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Maydl's Hernia

MAYDL’S HERNIA

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A hernia occurs when an organ or any other part of your body pushes through the muscle and surrounding tissue that contains it. It mostly happens in the abdomen or groin areas.

Hernia may or may not be painful for most people. There are different types of hernia that are distinguished based on their location and the type of bulge.

Maydl’s hernia is one such type of hernia. In this article, let’s take a deep look at what it is and how it affects the human body.

What is Maydl’s Hernia?

Maydl’s hernia, otherwise called “hernia-in-W,” is a rare type of hernia that affects a person’s bowels. It is one type of strangulated inguinal hernia. This condition is often seen in men and on the right side of the abdomen.

Here, the hernial sac contains two bowel loops folded in the form of the letter W, with the center part of the loop being intra-abdominal. The center part that stays outside the hernial sac is called retrograde.

The hernial sac constrains the bowel loop, causing the center part outside the sac to become strangulated, either alone or with the bowel in the hernial sac. This may result in necrosis of the intra-abdominal loop.

Proper examination needs to be conducted when testing for Maydl’s hernia. Missing out on any sites of necrosis can lead to serious complications.

Is Maydl’s Hernia a Common Disease?

Is Maydl’s Hernia a Common Disease

The name Maydl’s hernia is derived from Karel Maydl, an Austrian surgeon who first described this type of hernia in 1895. This type of hernia is more prominent in Africa, where there are several cases of untreated simple hernia.

Leaving the simple hernia untreated for a prolonged period of time is one of the major factors that leads to Maydl’s hernia.

Complications of Maydl’s hernia

Maydl’s hernia is a rare type of hernia that can be quite lethal if left undiagnosed and untreated. It can lead to several complications that can affect the health and body of the affected person. So it is instructed to consult the Best Hernia surgeon as quickly as possible. Below are some complications that arise from Maydl’s hernia.

  • Necrosis or tissue death of the intra-abdominal loop. This happens when the hernial sac obstructs the blood supply to the intra-abdominal loop.
  • Acute intestinal obstruction. A blockage that blocks the food or liquid from passing through the intestine.
  • Peritonitis by intestinal perforation. Peritonitis means inflammation in the peritoneum. This is where a hole appears in the stomach or small intestine that leaks the food or other fluids into the abdomen. This can lead to serious issues like internal bleeding and blood loss.
  • Hydroelectrolytic disorders like acute dehydration, acute renal failure, etc.

Conclusion

Maydl’s hernia is a serious issue and may be lethal if left untreated for a long time. Find out Which Doctor to consult for this Hernia and undergo all the procedures and tests to understand the extent of the issue.

A laparoscopic procedure is usually needed to remove the hernia. Discuss with your surgeon and undergo the necessary procedures to rectify the situation.

FAQs

The name Maydl’s hernia is derived from Karel Maydl, an Austrian surgeon who first described this type of hernia in 1895. This type of hernia is more prominent in Africa, where there are several cases of untreated simple hernia.

Leaving the simple hernia untreated for a prolonged period of time is one of the major factors that leads to Maydl’s hernia.

 

The most frequent type of hernia is an inguinal hernia, which affects about 25 out of 100 males and 2 out of 100 women at some point in their lives. Umbilical and incisional hernias are the second most frequent types of hernias.

Here are some symptoms you can look out for if you suspect you have a hernia.

  • You can see or feel a bulge in the suspected area.
  • The area might be painful.
  • You might feel some pressure in the affected area.
  • A tugging sensation in the scrotum (for men).
  • The pain worsens when you do activities or put pressure on the area.

 

When protruding tissue can’t be forced back into place, it develops into an incarcerated hernia, which causes persistent pressure or discomfort on the body. Because the region bulging through loses blood flow, it can lead to strangulated hernia and cause necrosis, a medical emergency.

 

Dr. K. Amilthan MBBS., MS., FMAS., FALS.

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Dr. Amilthan
Dr. Amilthan

Dr. Amilthan is a renowned laparoscopic hernia surgeon based in Chennai, with over 20 years of experience in general surgery. He completed his MBBS and MS in General Surgery at Kilpauk Medical College and Government Royapettah Hospital in Chennai.

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