UNDERSTANDING THE MECHANISM OF HERNIA To choose the right treatment, it is of utmost importance that you understand what exactly hernia is. The abdominal wall which consists of the abdominal muscles and tendons, holds the abdominal contents in place. These abdominal contents consist of fat and various organs especially the intestines. The abdominal wall envelopes these contents like a corset. If there is any weakness or opening in this wall, the corset like effect is lost and it gives way to the abdominal contents causing them to protrude through the defect. This bulging of the fat/organs is what we call the hernia, which is usually visible as a swelling under the skin. This mechanism is similar to what happens with a bulge in a damaged tyre, where the inner tube, normally contained by the hard rubber of the tire extends out through a thin or weakened space. Best piles and hernia surgeon in Pune.