There are many different types of hernias. The
most familiar type are those that occur in the abdomen, in which
part of the intestines protrude through the abdominal wall. This may
occur in different areas and, depending on the location, the hernia
is given a different name.
An inguinal hernia appears as a bulge in the
groin and may come and go depending on the position of the person or
their level of physical activity. It can occur with or without pain.
In men, the protrusion may descend into the scrotum. Inguinal
hernias account for 80% of all hernias and are more common in men.
Femoral hernias are similar to inguinal hernias
but appear as a bulge slightly lower. They are more common in women
due to the strain of pregnancy.
A ventral hernia is also called an incisional
hernia because it generally occurs as a bulge in the abdomen at the
site of an old surgical scar. It is caused by thinning or stretching
of the scar tissue, and occurs more frequently in people who are
obese or pregnant.
An umbilical hernia appears as a soft bulge at
the navel (umbilicus). It is caused by a weakening of the area or an
imperfect closure of the area in infants. This type of hernia is
more common in women due to pregnancy, and in Chinese and black
infants. Some umbilical hernias in infants disappear without
treatment within the first year.
A hiatal or diaphragmatic hernia is different
from abdominal hernias in that it is not visible on the outside of
the body. With a hiatal hernia, the stomach bulges upward through
the muscle that separates the chest from the abdomen (the diaphragm).
This type of hernia occurs more often in women than in men, and it
is treated differently from other types of hernias.