Inguinal hernia

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Inguinal hernia — a condition in which the abdominal organs (intestine, large gland, ovaries) are outside the abdominal wall through the inguinal channel

An inguinal hernia is the protrusion of a tumor manifests itself in the groin and pain of varying intensity (especially on exertion).

Engaged in the treatment of inguinal hernia surgeon. Advisable to consult a doctor at the first sign of discomfort.

The symptoms of an inguinal hernia

  • a feeling of heaviness in the abdomen;
  • appearance in the groin varying in size caps, disappearing in a supine position;
  • the occurrence of pain after hernia lifting or stress;
  • discomfort when walking.

Methods of diagnosis of inguinal hernia:

  • examination by a surgeon;
  • barium enema;
  • herniography — rentenologichesky method comprising administering to the abdominal cavity of a special contrast material to study hernia;
  • U.S. scrotum and inguinal canals.

Diseases with similar symptoms:

  • hydrocele;
  • varicocele;
  • lymphadenitis;
  • femoral hernia.

The disease

The symptoms of an inguinal hernia can occur suddenly or develop gradually.

Inguinal hernia small sizes may not cause any discomfort and soreness. With long-term existence of the hernia, its large size, as well as sliding and relapsing forms of pain in the lower abdomen or groin worried constantly. Sometimes she gives to the lower back and pelvis. Subject to constipation. The more hernial protrusion, the more it causes considerable inconvenience of walking and physical activity, sharply limiting the ability to work. When a sliding hernia of the bladder join frequent urination, pains in the urethra, suprapubic pain, disappearing after reduction of hernia. Older patients often experience a delay of urine.

The following types of inguinal hernias:

1) Bias hernia — the internal organs out through the spermatic cord (vas deferens, blood and lymph vessels, surrounded by a single shell), lying inside it. Oblique hernia is congenital or acquired.

2) Direct hernia — internal organs are located in the inguinal canal is the spermatic cord. It is only acquired. The cause of inguinal hernia — the weakness of the muscles and ligaments.

3) Combination inguinal hernia characterized by the fact that the patient on one side there are two or three separate hernia sac is not communicating with each other and represent the direct and oblique hernia. Or a combination thereof.

Complications of inguinal hernia

  • impairment of inguinal hernia — hernia of the sudden compression of content in a hernial ring;
  • ischemic orchitis — inflammation of the testicles;
  • coprostasia — stagnation of feces in the colon;
  • inflammation of the hernia.

Emergency care is required when the infringement of an inguinal hernia, and the following symptoms:

  • nausea, vomiting;
  • blood in the stool, lack of bowel movements and flatus;
  • rapidly increasing pain in the groin or scrotum;
  • not reduce a hernia when lightly pressed in the supine position.

Forecast

An inguinal hernia can be successfully treated by surgery. If untreated, can form irreducible hernia.

The causes of inguinal hernia

Inguinal hernias are more common in men. This is due to the fact that the inguinal canal they have less muscle and tendon reinforced layers are shorter and wider than in women.

Under the effect of increased intra-abdominal pressure in the inguinal canal is formed defect (hernial ring), which is a hernia. This may contribute to the weakness of the muscles and ligaments of the abdomen, and the following risk factors:

  • chronic cough, such as smoker's cough;
  • overweight;
  • constipation;
  • pregnancy;
  • frequent heavy lifting;
  • frequent sneezing, for example because of allergy.

Prevention of inguinal hernia

  • wearing a brace during pregnancy;
  • proper nutrition;
  • training of the abdominal muscles;
  • smoking cessation, leading to coughing.

Treatment inguinal Hernia

Get rid of inguinal hernia can only be surgically in the hospital.

Surgery for inguinal hernia (hernia repair)

1. Endoscopic hernia repair — through small punctures in the abdomen cavity are special tools hernia sac is cut and sutured mesh for strengthening abdominal wall.

Posleoperatsiionny period:

  • slight pain;
  • stay in the hospital for 2-3 days;
  • relapses are rare (1-4%).

2. Operation Liechtenstein — after skin incision (10-12 cm) stands hernia sac, reduce a into the abdominal cavity and sutured mesh to strengthen the hernial ring.

The postoperative period:

  • minimal pain;
  • stay in the hospital one day;
  • relapses are rarely used (1%).

3. Obstructive hernia repair — a skin incision (3-4 cm) is released hernial bag, reduce a into the abdominal cavity and sutured to the inguinal canal obturation grid, which completely prevented the subsequent formation of a hernia.

The postoperative period:

  • the almost complete absence of pain:
  • You can leave the hospital a few hours after the operation;
  • unlikely to relapse (0.1%).

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