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As I told you earlier, hernia is basically a defect in the abdominal wall. It is only covered by skin, that is all. Because directly the intestines come out through the hole and they go back. This keeps happening in the initial phases, then it is the intestines very freely come out of the abdomen and go back into the abdomen. However as the hernia progresses these contents starts progressing in bigger amount. They get stuck up, outside, then this called as incarcerated or irreducible hernia. The contents if this hernia the intestines and the fats of the hernia that have come out of the abdomen these get their blood supply compromised because of their tight opening of their hernia defect. This causes the intestines or the fats which is herniated along to suffer from decreased blood supply and the tissues may ultimately die and this is what is called as strangulated intestinal hernia. This is one of the complications of hernia, the most serious complication of the hernia and to is for this teaspoon that the hernias have to be repaired and if the patient has strangulation an if the patient has excruciating pain art the site of the hernia, then the patient will be sick an emergency surgery to relieve the intestines and to get back the blood supply to the intestine has to be done. So an emergency hernia surgery will have to be done in such patients. Having said this, umbilical hernia is a defect in the naval and this too can also undergo strangulation and therefore it is wiser to consult a surgeon if this defect in the umbilicus which we call as umbilical hernia needs any surgical correction.