A hernia can be described as the protrusion of one or more of the intra-abdominal organs from an abnormal hole in the abdominal skin, completely or partially joining the abdominal membrane (peritoneum) in front of it and outwards. Bloating comes to hand in the form of puffiness. Hernias can be congenital, as well as traumatic (accidental), heavy lifting, severe coughing, strong straining, or can occur at the site of surgery after abdominal operations. It is most often seen in the groin and navel. Diaphragmatic hernia is not visible from the outside; it is defined as the passage of the stomach or intestines into the chest cavity from weak places of the membrane separating the abdominal cavity and the chest cavity and passing through the upper side of the stomach.

Turkey Medicals Co-ordinator said, “A hernia appears in the form of a swelling. This swelling may or may not be pushed into place. The swelling is acute, that is, it can develop suddenly, as well as painless, which persists for many years, sometimes it can occur spontaneously in the form of entering the abdomen or not. This swelling is also called a hernial sac. If there is no compression, crushing in the veins of the organs inside, if the nutrition is normal, the person may not have any complaints. If blood circulation stops, pain begins, if not operated, the result will worsen.”

Hernias can occur in both sexes; the incidence is higher in men than in women. Another form of inguinal hernia is a hernia called a femonal hernia, which is seen at the upper end of the bone (femur) that forms the upper part of the leg slightly below the groin. This hernia is harder than the others.

– Umbilical Hernia

It is felt between the breastbone and the navel or under the skin around the navel in the form of a nut, walnut-sized hardness. It makes pain. If it is not examined well, it is confused with stomach pain. An accidental diagnosis of ulcer-gastritis may be made.

– Postoperative Hernias (incisional hernias)

The patient’s abdomen was opened as a result of trauma or stomach, intestinal surgery. At the incision site in the surgical area, while the incision site is not yet fully closed, heavy lifting, coughing results in opening. The skin is opened or the skin is intact, the lower parts are opened. There is a puffiness under the skin.

The treatment of hernias is by surgery. However, in congenital hernias, spontaneous healing can be possible until the age of four. Those who have another disease that is so effective that it cannot be operated on can use ligaments or prostheses to hold the hernia in the abdomen, but this is not very practical.

– Diaphragmatic Hernias

The diaphragm is a membrane that separates the chest cavity and the abdominal cavity from each other. It separates the organs in the chest and abdomen from each other. There are usually transitions from the intra-abdominal organs to the chest cavity through the hole in this membrane caused by birth, trauma or inflammation. What happens at birth is usually found in newborn children. Small hernias may be noticed after the child grows up. In extensive hernias, death may occur due to respiratory and circulatory disorders after childbirth. A hernia can be treated with surgery if it is detected early.

– Traumatic Hernias

Penetrating wounds-bullet, knife wound, blunt trauma, fall from a height, hernias caused by the fraying and puncturing of the membrane due to infection. Hernia formation is more frequent on the left side because the liver partially protects the membrane above it on the right side. Pain in the upper abdomen and chest, shortness of breath, rapid pulse rate, vomiting may occur from time to time. A hernia is diagnosed by X-ray-ultrasound and treated with surgery. The most common hernia here is a gastric hernia; it occurs when part of the stomach passes into the chest cavity from the part where the esophagus crosses the diaphragm and descends into the stomach. It is more common in adults. It is also seen in newborn children. The most important reason in adults is the association of short stature-excessive obesity. Pregnancy prepares the ground for gastric hernia in women.

– Trauma

It is common in traffic accidents as a result of the driver’s stomach hitting the steering wheel violently. It can be seen in people carrying weights in both hands. With severe straining, the intra-abdominal pressure also increases, forcing the diaphragm. Sometimes there is no specific complaint. It may occur during a check-up examination or during examinations due to another illness. The complaint is usually a pain that increases when it is seen in the upper abdomen and bent down. The pain radiating from both sides increases with eating. Burning coming towards the mouth, burning behind the sternum, belching are the most common complaints. Complaints decrease when standing, increase when lying down or leaning forward. There is a constant feeling of bloating in the stomach; burping is frequent. A definitive diagnosis is made with X-ray film and ultrasound. A hernia is treated with surgery.



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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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