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Inguinal Hernia

Inguinal Hernia

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Published by Regine Sitchon

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Published by: Regine Sitchon on Jan 11, 2012
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07/09/2013

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INGUINAL HERNIA

An inguinal hernia is a condition in which intra-abdominal fat or part of the small intestine, also called the small bowel, bulges through a weak area in the lower abdominal muscles. An inguinal hernia occurs in the groin—the area between the abdomen and thigh. This type of hernia is called inguinal because fat or part of the intestine slides through a weak area at the inguinal ring, the opening to the inguinal canal. An inguinal hernia appears as a bulge on one or both sides of the groin. An inguinal hernia can occur any time from infancy to adulthood and is much more common in males than females. Inguinal hernias tend to become larger with time

in males. pulls. Symptoms of inguinal hernia include • • • • a small bulge in one or both sides of the groin that may increase in size and disappear when lying down. lifting. it can present as a swollen or enlarged scrotum discomfort or sharp pain—especially when straining. Fat or part of the small intestine slides through the weakness into the inguinal canal.The two types of inguinal hernia have different causes. causing a hernia. an indirect inguinal hernia is caused by the female organs or the small intestine sliding into the groin through a weakness in the abdominal wall. Indirect inguinal hernias are congenital hernias and are much more common in males than females because of the way males develop in the womb. leaving a weakness in the abdominal wall. Sometimes the entrance of the inguinal canal at the inguinal ring does not close as it should just after birth. In a male fetus. The hernia involves fat or the small intestine sliding through the weak muscles into the groin. Direct inguinal hernias occur only in males. A direct hernia develops gradually because of continuous stress on the muscles. or muscle strains lifting heavy objects straining on the toilet because of constipation weight gain chronic coughing Indirect and direct inguinal hernias usually slide back and forth spontaneously through the inguinal canal and can often be moved back into the abdomen with gentle massage. One or more of the following factors can cause pressure on the abdominal muscles and may worsen the hernia: • • • • • sudden twists. the spermatic cord and both testicles—starting from an intra-abdominal location —normally descend through the inguinal canal into the scrotum. Indirect hernias are the most common type of inguinal hernia. Direct inguinal hernia. or aching feeling at the bulge . the sac that holds the testicles. or exercising—that improves when resting a feeling of weakness or pressure in the groin a burning. which causes weakening of the muscles during the adult years. Indirect inguinal hernia. Premature infants are especially at risk for indirect inguinal hernias because there is less time for the inguinal canal to close. In females. gurgling. Direct inguinal hernias are caused by connective tissue degeneration of the abdominal muscles.

and these should be discussed with a physician prior to pursuing this treatment option. Hernioplasty surgery for individuals who are susceptible to recurrent hernias. hernioplasty is frequently conducted as an outpatient procedure. unless the patient is known to have specific risk factors. To reduce the risk of complications. who are taking anticoagulant medications.HERNIOPLASTY Hernioplasty is a surgical procedure used for correcting a hernia. Recommended for inguinal hernias. The patch works to decrease strain placed on the abdominal wall as well as to reduce the risk of recurrence. or who have heart or lung disease may be conducted as an inpatient procedure. Conventional hernioplasty involves the administration of a single. a mesh patch made from synthetic material is sewn over the weakened area in the abdominal wall as reinforcement. long incision over the hernia. which only requires a small opening. it can either be pushed back or its sac tied off and removed. There are risks associated with hernioplasty. When the hernia is pushed back into place. The procedure can be conducted conventionally by incision or laparoscopically. Depending on whether the hernia is bulging out or lying inward. special preparations are required for .

infection and bleeding at the incision site and damage to the femoral artery or surrounding veins. . have a history of blood clots or deep vein thrombosis. Risks associated with hernioplasty include nerve damage. Average recovery following hernioplasty surgery takes three to four weeks with limited activity and is dependent upon the individual.individuals who smoke. or who are on an aspirin regimen.

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