A hernia is defined as an abnormal protrusion of abdominal contents through the muscular wall covering it. This is primarily noticed as a lump which is usually soft and fully reducible. It can be in many different places – around the belly button (umbilical/ paraumbilical), through an old surgical wound (incisional), through the groin (inguinal), or through the abdominal side muscles (Spighelian or Lumbar hernia).
A hernia is often painless but the patient can experience a dragging sensation and a lump. This may affect their ability to function adequately. A tender lump that doesn’t reduce in the context of pain and/or vomiting is a surgical EMERGENCY and represents a strangulated hernia. If you are waiting for surgery and this happens, urgently contact me or attend A&E.