HERNIAS (RUPTURES)
The peritoneum is so well designed that it does not easily become ruptured, even if it is subjected to exceptional strain once in a while. The healthy body is equipped with such good reserves of strength that one really wonders how it is possible for the abdominal wall to rupture in so many different ways. Observations show that some people inherit a tendency to ruptures, while with others a post-operative scar serves to weaken the abdomen. Once a weakness exists, it only needs a degree of pressure or a violent bout of coughing for a hernia to result. Thus, a hernia is not only caused by lifting heavy weights.
When the peritoneum is torn, the intestine can protrude through the front wall of the abdominal cavity. If the intestine is not pushed back in at once, flatulence can make it impossible for it to be returned to its normal position. The result is a so-called strangulated hernia, which requires immediate surgery. However, if the hernia is not strangulated, it is possible that a well-fitting truss can retain it in place, thus giving some relief.
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