Talk:Hernia/Archive 1

Perineal hernia
I changed the last edit which put perineal hernia as a type of Cooper's hernia. Cooper's hernia is a retroperitoneal hernia, while a perineal hernia is a hernia of the pelvic diaphragm, so they are quite different. --Joelmills 19:37, 14 March 2006 (UTC)

New, intense edit
I systematically revised the article, please comment. --Steven Fruitsmaak 00:02, 3 April 2006 (UTC)
 * Very nice job. By the way, I corrected a few spelling errors (what I thought were spelling errors) before I realized that they may be alternate spellings (possibly British).  So please change them back if you prefer.  If you think the article may benefit from a photo, take a look at Image:Ppdh2.JPG, which is a peritoneopericardial hernia, postmortem.  Of course, it's of a cat and a bit graphic, but let me know.  It's on the congenital diaphragmatic hernia page already.  --Joelmills 03:02, 3 April 2006 (UTC)

I'm not a native English speaker, so thanks. I think we might want a better photo, possibly of an abdominal hernia.

golly, that last was a pretty intense edit. details re "inguinal hernia" would be better added at that link, and only a lawyer would tack on the admonition about the coin application. Sfahey 16:22, 6 Sep 2004 (UTC)
 * I'm a doctor and I don't want anyone thinking that that advice is recommended by anyone in the medical field. Alex.tan 06:16, 7 Sep 2004 (UTC)

re recent thorough edit
the info and format are generally good, BUT although it is emphasized early on that hernias occur in many places besides the abdomen, only the specific types of ABDOMINAL hernias are listed.Sfahey 15:00, 4 April 2006 (UTC)

Correct! Certainly discus hernia should be addressed, I think. --Steven Fruitsmaak 18:45, 4 April 2006 (UTC)

Looking for a picture
I guess we're looking for a patient or MD with a willing patient to take a picture and release it here... --Steven Fruitsmaak 19:02, 5 April 2006 (UTC)

Robin Williams
The trivia about Robin Williams seems to be true, if you take a look at some Google results. The article on Inside the actors studio also states it. However I can find no reputable source for it right now, so if nobody finds one this may be deleted.

--Steven Fruitsmaak (Reply) 17:26, 11 October 2006 (UTC)


 * Thanks for researching this. As you say, it likely is true but as you point out, it needs to be supported by a reliable source, especially since this is a living person:
 * Reliable sources
 * Biographies of living persons
 * --A. B. 18:35, 11 October 2006 (UTC)

RE: Looking for a picture
What about this picture from this article. --Wackojane 08:27, 31 January 2007 (UTC)

Causes?
Surely some casues should be listed?

Also what a patient can expect in recovery should also be discussed. Such as pressure, trouble sitting, climbing stairs, bathing, sexual activity, etc. Also recovery times and scenarios. I am not a doctor, so I am not qualified to put that kind of information up. If anyone else has it, please share on the site.

Death Statistic
The death statistic source seems cheesy and cheap. It's a web article that is trying to show that terrorism is not much of a threat. As a ten (or maybe eleven) year statistic it leads easily to misinformation. I think it should be strengthened or deleted.Bruce7250Wilson (talk) 22:06, 12 December 2007 (UTC)

tire analogy in intro?
I don't know; I guess so. Seems fairly unencyclopedic but now that I think of it pretty graphic and informative I suppose.... —Preceding unsigned comment added by 68.219.115.173 (talk) 04:12, 3 July 2008 (UTC)

Post Surgery Expectations & Care
For somebody who is not a medical professional, this is an excellent survey article on the subject. Given that hernias are relatively common, I was really suprized to find that the semi-scholarly articles that I googled on the subject were confusing, contradictory, and actually quite incomplete.

However, the contributors could ameliorate this article with a section called, Post-operative Expectations and Care. I am just recovering from surgery right now, and I was a little shocked that two days after my surgery, my penis and testicles turned one shade below black. In general, I was quite astonished by the size of the surface area of my body that had blackened and the incision turned as hard as a rock. I am sure that the state of a patient after surgery depends on individual factors, gender, the quality/experience of the surgeon and the type of surgery, but a general list of expectations after surgery would be helpful.

Also, some advice on post-surgery care would be useful. For instance, is ice or heat okay for the incision or the penis/testicles? How long until you can take a bath/shower? What is the maximum you can lift for a couple of months after the surgery? My clinic was reasonably good with post-surgery advice, but a second opinion would be helpful.

Invised
What in the WORLD does that word mean? Maybe an explanation would help the general reader. 64.221.15.66 (talk) 17:23, 2 January 2009 (UTC)

Intro paragraph
The intro paragraph may have to be abbreviated, as it goes into details that one may like to place lower down under causes and symptoms. JMK (talk) 08:50, 31 January 2011 (UTC)

Complication vs Actual disorder
To begin with, the first source is a broken link, and it seems logically inconsistent with the rest of the article. The first sentence refers to a protrusion of an organ as the hernia, but then talks about a complication in which an organ can become stuck in the hernia. Clearly the second is referring to the "hole" as the hernia, while the first is stating it's the protrusion. The Latin word "hernia" means "rupture".

That said, dictionary.com and other definition sites concur with the original sentence, which is why I'm not making the change but bringing it up here instead. What I've found searching that seems to best explain the discrepancy is a statement on hernia.org's website (http://www.hernia.org/whatsport.html) which implies that the hernia usually is not a problem until there is a protrusion. In my case (why I came to the article), I was told I do not have protrusion by two doctors who've looked at my CT scan, yet they called it a "hernia" and clearly stated that it was a tear and referred to the possibility of a protrusion as a complication to watch for.

I was led to this page when I searched for "strangulated hernia", yet I see nothing about it. I was looking to identify symptoms of that (specifically for wife's bellybutton hernia). I know nothing about it (hence the search) so a medically knowledgeable person would need to create that part (for all types of hernia) if Wiki decides to add it.

Treatment
This section is dreadful beyond words. It's written in something vaguely resembling English, but clearly not by a native speaker. Please can authors have their texts checked by someone who is a native speaker before posting them? Such gobbledegook is a disgrace to an encyclopaedia that takes itself seriously. — Preceding unsigned comment added by 82.68.94.86 (talk) 15:43, 24 January 2013 (UTC)

Spinal Disc Herniation
Herniated discs are also very common. Would it not be prudent to add some information regarding them?

Weedthrasher (talk) 14:41, 21 February 2013 (UTC)

173.18.104.174 (talk) 23:24, 17 May 2011 (UTC)

Reliable sources
Almost no WP:RS in here. The links to the Wayback Machine should be deleted because they're anonymous. I would recommend starting over again with the 2015 NEJM article, which has a box of "Key Clinical Points," all of which should be covered. The Lancet may have some good review articles.

I'm not sure it's a good idea to combine abdominal hernias with other hernias in the same article. The treatment of abdominal herniation and spinal herniation have nothing in common. --Nbauman (talk) 23:49, 1 March 2015 (UTC)

Brain herniation
I added the following sentence in the intro


 * Brain herniation is a potentially deadly side effect of very high intracranial pressure that occurs when a part of the brain is squeezed across structures within the skull.

But it was reverted. I don't wand to mess with you owners of WPMEDICINE, but let me point out that this article is confusion. The title is generic, but 99,99% of the text speaks about abdominal herniation, which  claims to have no idea what it means. Well, he could have used google. Since I am not in a position to write medical article to the satisfaction of a Doc, let me point out the following:
 * 1) The article hernia must speak about all kind of hernias, and I mean ALL, no matter how rare the are. BTW brain hernia is not so rare.
 * 2) The vast detail about abdominal hernias must go into Abdominal hernia article.
 * 3) This article ("Hernia"), according to Summary style must have sestions:
 * 4) Hernia
 * 5) Hernia
 * 6) etc.
 * each containing a summary of the corresponding main article. Staszek Lem (talk) 17:58, 1 June 2015 (UTC)

P.S. Doc James left me a message in my talk "A brain herniation is not called a hernia". Then [what the heck is NIH talking about? [[User:Staszek Lem|Staszek Lem]] (talk) 18:33, 1 June 2015 (UTC)
 * As you added, it is "brain herniation" which is not called a hernia without qualifications.


 * Google gives 88,000 hits for "brain herniation" and about 7000 for "brain hernia". I will add it to other hernias here


 * Will I agree we should mention it, brain herniation should not have the same weight on this page as what are generally considered hernias


 * On that last point, that is not the NIH talking, that is ADAM, which is not a particularly high quality source.
 * Doc James (talk · contribs · email) 00:05, 2 June 2015 (UTC)