Sunday, July 19, 2015

Inguinal hernia

Inguinal hernia - a type of abdominal wall hernias. It is the most common form. A defect occurs in the groin area, which causes outward protrusion of the internal organs, forming an oval formation. Most often it occurs in men as they have in the area of ​​the groin spermatic cord passes. It affects middle-aged people - mostly older than 40 years. Inguinal hernia is of two kinds:
  •  Acquisition;
  • congenital.

Symptoms of inguinal hernia

Among the basic symptoms of the disease is marked protrusion of oval or round shape in the groin area. It decreases with increased relaxation and stress at the time. It may be localized to the left or right of the symphysis pubis, located above the inguinal crease. The amount of such protrusions varies from a walnut to a very large bulge.

In addition, there are nagging pains that are aggravated by fiznagruzki, and strain during coughing. There is heaviness in the abdomen, difficulty urinating and a violation of the chair.

When a genetic predisposition (congenital hernia) disease is triggered by the low strength of the connective tissue. Why muscle-tendon channel is not able to withstand the pressure inside the peritoneum, forming a hernial sac.

When acquired form of hernia current impetus for its occurrence is very long, or the DC voltage of the abdominal wall. This is due, for example, with chronic and severe cough, difficulty urinating, regular constipation, excessive toil.

However, regardless of type, inguinal hernia occurs equally. After lengthy fiznagruzok and overvoltage at the bottom of the abdomen (right or left), first pulling sensation arises. Then there is a kind of swelling - the protrusion of the internal organs. So shaped oval or rounded education - hernial sac. It can be worn and uneven contours (in the case of strong protrusion).

Due to the growth in intra-abdominal pressure of adipose tissue, bowel loops and nearby organs tense and put pressure on the abdominal wall. This causes discomfort and pain. Inguinal canal widening. The internal organs are located partly outside the abdominal cavity. Further compression may occur - the so-called hernia incarceration. It is accompanied by constipation, vomiting, nausea, severe pain.


Inguinal hernia treated surgically in one of two ways:

  •     tensioning method;
  •     no tensioning procedure.

The first method applies tension hernia repair. It is literally a cut tissue of the abdomen and groin narrowing the gap in several joints. So the muscle-tendon structure is fixed in the new position. The operation is performed only under anesthesia (of any type).

The second relates to the method, and laparoscopic hernia repair endoproteznaya. Operation with the introduction of the endoprosthesis is to impose a polypropylene mesh to strengthen the abdominal wall. This surgery is performed even under local anesthesia. At times it reduces the risk of complications and repeat the disease. Distinguished by a rapid recovery.

Laparoscopic method of operating does not involve large skin incisions. All manipulations are performed through a tube and cannula. The operation is performed under spinal or general anesthesia.