Inguinal Hernia

Blausen_0560_InguinalHernia

      Hernia is usually called the spill a portion of the abdominal organs with abdominal tissue through an opening in the abdominal wall. Hernias occur in certain places, where various ducts, blood vessels and nerves going out or coming through the abdominal wall.

      Such places are: among men in the groin, where the seeds of the channel along with the blood vessels coming from the abdomen and into the scrotum; among women in the groin, where ribbons round the uterus comes out and binds to the pubic bone (groin or inguinal hernia) both men and women in connection groin, where large vessels out of the belly of the leg (femoral or kruralne hernia) on the navel, where during the life of the child in the womb entered the umbilical cord from the mother in the child’s body (umbilical and umbilical hernia) the contents of the abdomen, usually the stomach, can pierce the chest cavity through the muscular partition that separates the stomach from the chest and make a hernia (Hijatus hernia).

     Clinical picture

An inguinal hernia occurs in the inguinal canal, which is a natural opening in the abdominal muscles. When a man inguinal canal contains blood vessels of the testicles, a channel for women contains a ligament that holds the uterus in a natural position. In inguinal hernia can be felt, and seen the bulge created by the prolapsed part of the intestine or tissue. Protrusions appear at the turn of the thigh to the groin. In men hernia can penetrate into the scrotum and cause pain and swelling of the scrotum.

      Hernia is most easily recognized by the fact that the cough make stronger bulge on the abdominal wall, and while lying or under slight pressure protrusion returns to the abdomen. Symptoms of inguinal hernia are discomfort and pain when bending over, coughing or lifting. Sometimes the content of hernia ingrown the hernia sac and is impossible to restore the contents of pushing your fingers into the abdominal cavity.

      There is also impacted hernia, which is an acute surgical condition because of good health and peace, part of the intestine enters the hernia sac and stuck there where he can not get back into the abdominal cavity and came to a halt blood and severe pain with the risk of peritonitis.

     Diagnosis

      The diagnosis is based on history, clinical symptoms and objective review.

      Treatment

      The most common medical treatment for a hernia is surgery. During the procedure, closing the opening in the muscle wall. It is advisable to hernia operated on time, until it became too big, and while the abdominal wall is still preserved, that it can close the opening hernia. The method of choice in the treatment of the surgical procedure in which it closes the muscular wall where there are opening to the content of hernia; also can be carried out and reposition hernia, or reposition should not be carried out in the clamped hernia.

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