What is inguinal hernia?

Inguinal hernia, is the most common hernia occurring in the inguinal region. Inguinal hernia, which is approximately 3 times more common in men than in women, constitutes 80% of all hernia types. An intraabdominal defect or rupture in the abdominal wall, which means that the abdominal tissues go out abnormally and cause swelling on the skin.

Symptoms of inguinal hernia

Some hernias are detected during routine controls and do not cause any complaints. Although inguinal hernias do not show acute symptoms, they are usually characterized by swelling or swelling in the inguinal region. The person usually feels relaxation of the groin and then pain. These soft and compressible swellings appear when the intra-abdominal pressure is increased and disappear when the person is lying down. There may be burning and pain feeling on the swelling. Feeling pressure, discomfort and pain during heavy lifting. Pain may be felt after meals and in some cases may lead to constipation. In some types, hernia descends to the testicular bag and swelling is seen in this area. Most of the time, the diagnosis is made by physical examination, but in some cases the inguinal ultrasound is requested by the physician.

Causes inguinal hernia?

When the baby is in the mother’s abdomen, the testes located in the abdomen pass through two separate channels called inguinal and descend into the bags in the last two months of pregnancy. The inguinal canal on both sides closes spontaneously with the development of the baby’s muscles shortly after birth. In some cases, however, one or both channels do not close and form the weak region required for hernia formation. This is why it is more common in men than in women. Hereditary causes, decreased collagen synthesis, weakening of connective tissues, old age, overweight or weight gain, heavy lifting, constipation, straining, chronic cough, urinary difficulty, pregnancy, traumas, abdominal tumors can also cause hernia formation. Other factors that cause the formation of inguinal hernia are:

·         Chronic lung diseases

·         Chronic Constipation

·         Prostate diseases

·        Genetic factors

·         To be born premature

·         Previously had hernia surgery

·         Smoking

·         Exercise

What are the risks of inguinal hernia?

Inguinal hernia can reach life-threatening dimensions as a result of sagging and compression of internal organs that play a role in its formation. This risk is usually caused by strangulation of a hernia. In stuck hernias, the dome-like protrusion, which was initially soft, becomes tense, painful and does not shrink when lying down. Since the stuck organ cannot be fed with enough blood, it may cause gangrene formation, perforation or peritonitis known as inflammation of the abdominal membrane. Drowned hernia is a condition that must be operated urgently.

Where does inguinal hernia pain hit?

Inguinal hernia, which is felt in the groin, waist and abdomen, can also be felt in the testes in men.

Treatment of inguinal hernia

There is no medicated treatment for inguinal hernia and the only treatment is surgery. However, people with inoperable physiology and elderly patients may rarely use inguinal ligaments according to the physician’s recommendation. The groin ligament restricts the movements of the legs and forms a tampon on the hernia, preventing the hernia from escaping. However, if the groin ligament protrudes from the rim, it may become stuck, causing the hernia to suffocate. Therefore, surgery should be preferred if possible. The aim of hernia surgery is to place the hernia in the abdomen, to eliminate the sac formation, to close the cavity that causes the exit and to repair the defect in the abdominal wall in order to prevent recurrence.

Inguinal hernia surgery

The tear in the abdominal wall, the abdominal wall, tends to grow rather than shrink and heal in its natural course. Therefore, it is recommended that people who have been diagnosed with hernia should be operated immediately. If the hernia is small, general anesthesia is preferred, although it can easily be operated under local anesthesia. Inguinal hernias, which can be operated with open or laparoscopic closed surgery methods, are applied to the groin area approximately 5 to 6 cm. made with an incision in length. In laparoscopic surgery, three small incisions are made and the camera is inserted through one of these holes. In both surgeries, after the organs in the hernia area are taken into the abdomen, a patch called mesh is placed on the area between the muscle and the membrane and the formation of hernia is prevented. The mesh is easily accepted by the body and has no side effects. Although the procedure performed in both types of surgery is the same, closed surgery is more comfortable and less painful than open surgery. However, closed surgery is not performed in cases where general anesthesia is not possible, a history of prostate surgery, stuck and suffocated hernias or very large hernias. A few hours after the operation, the patient can be fed and can stand up after approximately 8 hours. Most patients are discharged the next day. There is no diet program and you can start working as soon as the person feels well. They should not lift heavy at home for one and a half months, should be interrupted for the same period of exercises, regular and balanced diet should keep the weight under control. For a healthy life, make sure to do your checks periodically.

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