The stomach bulges when planking

Abdominal Wall Fracture: First Signs, Symptoms, and Treatment

The first signs of a hernia in the abdominal wall appear only veiled, which is why many sufferers do not initially notice the clinical picture. Nonspecific symptoms such as abdominal pain and a feeling of pressure can initially indicate a classic gastrointestinal disease. In many cases, the abdominal wall hernia is only recognized when the symptoms increase in an advanced stage. In the following we explain how the first signs of an abdominal wall hernia can be correctly interpreted, how the clinical picture develops and what treatment options are available.

Development of an abdominal wall hernia

The abdominal wall or abdominal wall is a very complex and flexible part of the body. It consists of different layers, such as the upper and lower skin layers, the abdominal muscle and the peritoneum. Muscles and muscular membranes allow the abdomen to move, for example to expand while breathing or pressing. In addition, these protect the internal organs from external influences and ensure stability in the abdomen.

An abdominal wall rupture occurs when a weak point arises in tissue. This can be a congenital disorder or the weakness can be traced back to an injury.

If a person has a weak point in the abdominal wall and exerts pressure on it, for example when lifting or pressing, organs and abdominal fat can get out of the abdominal cavity through a small hole and turn inside out.

The abdominal wall hernia is also known as an abdominal wall hernia.

Causes of an abdominal wall hernia

There are different causes of an abdominal wall rupture. In principle, the clinical picture can occur in people of any age and gender. In men, for example, an inguinal hernia can be observed more often, as the tissue around the abdominal wall around the groin is weak from birth. Women, on the other hand, are at a very high risk during pregnancy. The increased internal pressure also acts on the already stretched tissue and thus supports the development of a hernia. Other causes of an abdominal wall hernia include:

A weak connective tissue is usually noticeable on the stomach through the so-called stretch marks. What is considered unaesthetic for women and is often treated in the area of ​​body contouring can, however, also favor a brook wall hernia. Due to the weakened connective tissue, the abdominal wall does not have a solid hold and is more prone to pressure.

Injuries from stabbing weapons damage the structure of the abdominal wall. Injuries caused by surgical instruments during interventions, for example if the umbilical cord was severed incorrectly, can trigger an abdominal wall hernia. There is a very high risk in the area of ​​scars that occur after an operation. This weak point can lead to a hernia.

Natural development processes can promote an abdominal wall hernia. Sometimes there can be a weak connective tissue from birth, which repeatedly causes hernias. An umbilical hernia, which is considered to be the form of the abdominal wall hernia, can also result from an incorrect development of the organs.

The importance of correct lifting and carrying is made clear again and again. Incorrect loading can cause herniated discs, severe back problems and, last but not least, an abdominal wall fracture. Because lifting heavy loads creates enormous pressure on the abdominal wall.

However, pressure loads are not only created externally, but can also develop from the inside. Obesity, swollen organs, or the development of a child in the womb stretch the abdominal wall, which can lead to an abdominal wall fracture.

Symptoms and first signs of an abdominal wall hernia

Those affected hardly take the first signs of an abdominal wall hernia seriously. You suffer from abdominal pain and feel a feeling of pressure, which can be interpreted as a digestive problem. Only in the further course do additional symptoms arise that indicate an abdominal wall hernia:

  • Pain when moving
  • Visible skin bulge
  • Palpable hole in the tissue
  • Malaise and nausea
  • Disturbance of various organ functions

Treatment and aftercare

Surgical intervention is necessary to treat an abdominal wall hernia. Depending on the part of the body and the severity, however, various therapy options can be used:

Suturing the hernia with body tissue

If the hernia has not damaged the abdominal wall too much, doctors sew it up with the body's own tissue. For this purpose, parts of the abdominal wall structure and muscles are fixed in front of the hernial opening in order to close it. This method is designed to strengthen the abdominal wall and protect it from further hernias.

Sewing up the hernia with artificial materials

Instead of the body's own tissue, the doctor can use a plastic net or a truss to sew the gate. The plastic net is fixed in front of the affected area and prevents further organs from escaping. It can remain in the body and thus ensures increased abdominal wall stability over the long term. A hernia ligament initially alleviates the abdominal wall fracture and fixes the organs inward, but is not a permanent solution. It is placed around the patient's abdomen on the outside, similar to a corset, to support the tissue.

After an abdominal wall fracture

After the operation, the patient has to take it easy. Otherwise there is a risk that the wounds will tear open again under physical exertion. Basically, the scars created during the operation represent a further risk of an abdominal wall rupture, which is why in many cases a hernia occurs again.

In order to prevent further breakage of the abdominal wall, pressure loads should be avoided as far as possible. Obesity and constipation can also contribute to a hernia. For this reason, it is very important for those affected and for those at increased risk to watch their diet.