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Inguinal Hernia

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Inguinal hernia

An inguinal hernia is a
bulging of the contents of the
abdomen through a weak area
in the lower abdominal wall.
Inguinal hernias can occur at
What is it? either of two passages
through the lower abdominal
wall, one on each side of the
groin. These passages are
called inguinal canals.
Facts
An inguinal hernia can also develop over time if you increase pressure on the walls of
your abdominal muscles through activities like straining to go to the bathroom,
coughing over a long period, being overweight, or lifting heavy weights. If you have a
family history of inguinal hernia, you may be at a higher risk for one. Infants born
before their due date are also at higher risk.
Two types
Direct hernias
Indirect hernias
Indirect hernia
Indirect inguinal hernia. This is the most common type, and a type of hernia
that you may be born with. Although it can occur in men and women, it is much
more common in men. This is because the male testicle starts inside the
abdomen and has to go down through an opening in the groin area to reach the
scrotum (the sac that holds the testicles). If this opening does not close at birth, a
hernia develops. In women, this type of hernia can occur if reproductive organs
or the small intestine slides into the groin area because of a weakness in the
abdominal muscles.
Direct hernia

Direct inguinal hernia. This type of hernia is caused by weakening of your


abdominal muscles over time and is more likely to be seen in adults. Direct
inguinal hernias occur only in men.
Symptoms:
• Pain
• Redness
• Fever
• Tachycardia
• Bulge at inguinal area
• Nausea and vomiting
• Swelling
• Tenderness
Treatment

Open repair. An incision is made through the skin in the groin area.
The surgeon moves the hernia back inside the abdomen and closes
the abdominal wall with stitches. Mesh placement may be used to
strengthen the closure and reduce the risk of recurrence of the
hernia.
Laparoscopy or robotic-assisted repair. This type of surgery uses
a few small incisions and a thin scope with a tiny camera. The
surgeon works through the scope to repair the hernia, sometimes
operating from a console maneuvering robotic arms. Mesh is
typically used for these repairs. Recovery is shorter and pain is less
severe after these minimally invasive approaches than with open
repair.
Prevention
There is nothing you can do to prevent an indirect inguinal
hernia, the type you are born with. Direct hernias that occur
over time may be prevented with these precautions:
• Learn how to lift heavy objects properly.
• Avoid and, when needed, treat constipation to prevent
straining when having a bowel movement.
• Get treatment for any persistent cough.
• If you are a man with an enlarged prostate and you strain to
pass urine, get treated.
• If you are overweight, lose the extra pounds.
Thank you

Reem ayman hasan abusadeh


12/1/2024

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