PATHOPHYSIOLOGY

INCARCERATED INDIRECT INGUINAL HERNIA

Healthy Abdominal Wall

PREDISPOSING FACTORS: PRECIPITATING FACTORS:

 Age Risk Factors of Inguinal Hernia  Heavy Lifting

 Gender  Previous Hernia Repair
 Family History  Chronic Cough
 Congenital Weakness Increased pressure exerted on  Obesity
abdominal muscles  Chronic Constipation
 Pregnancy
 Ascites
Abdominal walls (Peritoneum) weakens

Abdominal organs push through weakened

abdominal walls (Inguinal Canal)

Abdominal muscles and tissues tears apart

Abdominal organ bulges through the muscle

and under skin

Abdominal organ gets trapped inside the

bulge (groin region)

Incarcerated Inguinal Hernia

 Bowel ischemia
Signs & Symptoms:

 Swelling and Lump

Strangulated Inguinal Hernia  Pain
 Nausea and Vomiting
 Difficulty Passing Stool
 Bowel Changes
 Fever

If left untreated If treated

Treatment: Surgical Interventions

Necrosis
 Herniotomy
 Herniorrhapy
Dead tissue releases toxins and  Hernioplasty
bacteria into bloodstream

Sepsis

Death