WHAT IS INGUNIAL HERNIA?
It is the condition that the internal organs cause swelling under the skin due to the openings in the groin area or sometimes due to tearing or weakening.
The hernia-related swelling is particularly pronounced when the intra-abdominal pressure is increased (straining, coughing, heavy load carrying, prolonged standing, constipation, pregnancy). This is because the abdominal wall muscles are loosened and the trapped organ returns to the abdomen.
Often, the organ in the hernia sac are small intestines. In addition, large intestine, intra-abdominal fatty tissue, sometimes bladder and even appendicitis can be found in the hernia sac.
In the early stages of hernia formation, regardless of the organ inside, it will disappear when pushed inwardly by the patient. However, due to adhesions in the long-term hernias will not go back and the patient's complaints will increase.
WHY CAN INGUNIAL HERNIA BE?
Inguinal hernia is the most common group among all hernias and is more common in males.
As the mechanism of occurrence;
- Open the groin channel to be closed or reopen after closure (indirect hernia)
- Tears in the abdominal wall as a result of stress (direct hernia)
- Development of weakness in abdominal wall with progression of age (direct hernias)
- Due to weakness in the area of the blood vessels leading to the legs (femoral hernia) (More common in women)
HOW DO WE KNOW THE DIAGNOSIS OF INGUNIAL HERNIA?
Inspection is the gold standard. Most of the patients also refer to the physician thinking that it may be a hernia.
The complaint is usually pain and swelling in the inguinal region. The swelling becomes evident during the inpatient and inpatient examinations and the settled organ is clearly evaluated with the ultrasound done in the hernia sac.
In sporty and athletic people, there is no swelling during the examination, sometimes there is a feeling of withdrawal in the legs and a chronic chronic pain. (Spot hernia) In such cases, ultrasound may also be inadequate for evaluation may be required by MRI.
WHAT IS THE TREATMENT OF INGUNIAL HERNIA?
The treatment of hernia is absolute surgical repair. The hernia area is repaired by laparoscopic (closed) or open surgery and supported by a synthetic material (patch). The most feared and urgent cases in inguinal hernia;
- Injury of the hernia sac (bowel knotting)
- Drowning of the hernia (impaired circulation of the circulating organ) This can be vital if the blood circulation of the intestine is particularly impaired!)