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Inguinal hernia

If a rounded tubercle is found in the groin area, it is necessary to seek medical help as soon as possible. This symptom most often indicates the appearance of an inguinal hernia formation, which can lead to the development of serious complications, including life-threatening infringement of the hernia. In the Medical Center “Slav-Med” not only consultations are carried out on suspicion of this pathology, but also operations to remove inguinal hernias are performed.

What is an inguinal hernia?

The inguinal canal is the gap between the abdominal muscles. Nerve fibers are located there, as well as the rounded ligament of the uterus in women and the spermatic cord in men. A hernia is a prolapse of the peritoneal organs into the inguinal canal. With this disorder, a bulge forms under the skin.

An inguinal hernia is more common in men (the risk is 27%), but sometimes it occurs in women (the risk is 3%). Unfortunately, when a hernial protrusion is detected, patients do not immediately seek help. There is no conservative treatment for this pathology. The patient needs to receive high-quality surgical treatment in order to prevent hernia infringement or the development of other complications.


Dull, Nagging Constant Pain

Causes of inguinal hernias

Inguinal hernias can be congenital or acquired.

Congenital inguinal hernia occurs when there is a weak spot in the inguinal canal in the anterior abdominal wall. This canal runs diagonally from the femur to the pubic bone, connecting the abdomen to the groin area. It is formed after the testicles descend into the scrotum in boys (normally this canal gradually closes) and contains nerves, blood and lymphatic vessels. In males, it also contains the spermatic cord.
Acquired inguinal hernias occur when part of the peritoneum, intestines, or fatty tissue protrudes through a gap in the groin. The peritoneum is the membrane that lines the abdominal cavity and (in whole or in part) covers most of the abdominal organs. This type of hernia is more common in men because they have a wider inguinal canal than women. Weak connective tissue can also increase the likelihood of an acquired inguinal hernia. Contrary to popular belief, there is no proven link between lifting or carrying heavy loads and getting an inguinal hernia.


What are the complications of an inguinal hernia when treatment is postponed?

infringement of the contents of the hernial sac (loop of the small intestine, strand of the greater omentum, bladder) with further necrotization;
inflammation and phlegmon of the hernial sac with a further transition of inflammation to the anterior abdominal wall or genitals;
intestinal obstruction – due to kinking and partial / complete compression of the intestine, there is a violation of the passage of food through the intestinal tube.

What methods are used to treat an inguinal hernia?

There are three main types of groin hernia surgery:

Open surgery with the closure of the hernial defect with one’s own tissues: the surgery is performed outside the body through a rather long incision, and the gap is sutured to the adjacent connective tissue.
Open surgery using a mesh endoprosthesis: the area of ​​the hernial defect is covered with a synthetic mesh to strengthen the anterior abdominal wall.

3. Laparoscopic surgery. Usually, three small incisions (0.5 cm to 1 cm) are made in the skin, and then a camera and surgical instruments are inserted through these incisions into the abdominal cavity or preperitoneal tissue. In minimally invasive surgery, the area where the hernia opening used to be is always covered with a synthetic mesh.

The options for surgery will depend on factors such as the size and exact location of the inguinal hernia. General health, age, and other medical conditions can also play a role. All three surgical approaches have their own advantages and disadvantages.

You can get a comprehensive consultation with a surgeon and surgical treatment for an inguinal hernia in the surgery of the Slav-Med Medical Center in Sumy.

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