Inguinal hernia: symptoms and complications

Inguinal hernia: symptoms and complications


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THE inguinal hernia it is an intra-abdominal inflammation or part of the small intestine. There are inguinal, femoral and umbilical types. This disease is very common and can reach any age, but it is more frequent in men than in women.

  • Risk factors for inguinal hernia

  • Symptoms of inguinal hernia

  • Complications of inguinal hernia

  • How to treat inguinal hernia

  • Inguinal hernia surgery

  • Laparoscopy and inguinal hernia

  • Laparotomy and inguinal hernia

Risk factors for inguinal hernia

Constantly catching excessive weight, chronic constipation, difficulty urinating or pregnancy can favor the appearance of a hernia, as they generate greater abdominal pressure. Weight gain, some lung or prostate diseases are also among the risk factors for hernia.

Symptoms of inguinal hernia

Inguinal hernia is manifested through a water and it can affect only one side or both. This mass can be reduced with two fingers, squeezing it vigorously. Usually painless, the inguinal hernia starts to hurt when some movements are made, as in cases of cough.

Complications of inguinal hernia

Among the possible complications of an inguinal hernia are rupture of blood vessels, which can cause inflammation of the abdominal cavity. In severe cases, necrosis of the tissues that surround it occurs. Obstruction of stool or gas, pain or stitches in the abdomen and vomiting may also indicate rupture of intestinal transit. In that case, only surgery is able to solve the problem.

How to treat inguinal hernia

A simple restraint can keep the hernia in place or, in cases where the hernia becomes very bulky or if the risk of bursting is great, it is necessary reposition it on the abdomen to then repair the abdominal wall.

Inguinal hernia surgery

The purpose of this surgery is to replace the hernia contents in the abdominal cavity and strengthen the walls. This procedure has a maximum duration of 30 minutes, is usually done under general anesthesia and two surgical techniques can be used: laparoscopy and laparotomy, which are fundamentally differentiated by incision size performed on the abdomen.

Laparoscopy and inguinal hernia

Laparoscopy is performed using small incisions on the abdominal wall with the help of a microcamera, which allows you to explore the abdomen with few scars and side effects. This is the first method used in cases of hernia, as it allows for very rapid rehabilitation. Laparoscopy leaves no scars and can be done in an outpatient clinic. Complications of this type of surgery are rare, but hematomas and lesions in the iliac vein may appear, requiring a pause in the surgery for its repair.

Laparotomy and inguinal hernia

In the case of large or herniated hernias, a procedure called laparotomy is larger incision in the abdomen. This procedure reduces and replaces the hernia and then blocks the hole through which it expanded with the placing a screen that reinforces the inguinal wall. This surgery can cause permanent severe pain, as well as sensations of stiffness and you should, at least a month after the surgery, avoid physical activities and efforts in general. Even with this technique, the rate of return of an inguinal hernia after surgery is still high.

Photo: © sirastock – Shutterstock.com

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