Inguinal hernia: symptoms, diagnosis, treatment

Herniated hernia is a very common disease that can be traced in more than 10-12% of all hernia patients. Very often inguinal hernia in men and less in women( 25%).This is due primarily to the fact that women have a peculiar structure of the inguinal canal with slit-like and smelled more strengthened muscles, tendons diverse, much longer and narrower than those of men.

Depending on the occurrence, hernias are congenital and acquired. In the first case a hernia sick child shortly after birth, i.e., has the tendency to form a hernial sac otherwise hernia occurs when a physical force, in which muscles lose strength and may differ or for another reason, which is muscle atrophy. Congenital inguinal hernia is a very common disease that occurs in children( more than 90% of cases) and in adults.
also there and acquired inguinal hernia oblique, which has 3 stages of development:

  • oblique hernia in the start-up stage
  • Hernia channel
  • Hernia oblique inguinal-scrotal
  • Hernia channel
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oblique hernia Direct channel are very rare and are usually characteristic for the elderly, When the muscles have already atrophied and become very weak.
Hernia of the inguinal line represents only the acquired hernia, which penetrates into the inguinal canal area, but does not involve the ropes. There are several types of direct inguinal hernia, the main:

  • Normal, begins inguinal hernia, in which the pushing off of the inguinal canal wall can occur.
  • Interstitial direct hernia. In the case of this hernia, the displacement is strong and can reach a very large size, while it is located in the external oblique muscle. Injury-scrotal hernia: hernial excision of the tissue smoothly passes from the inguinal canal into the scrotum. This hernia is located outside the seed rope. These hernias are not so common, but account for more than 10% of the total number of inguinal hernias.
  • Inguinal hernia gliding - a kind of hernia, in which the visceral peritoneum is involved. This type of hernia is only 3% of all known. The sliding hernia is very dangerous and can cause serious difficulties in the handling, which is why the number of deaths when operating sliding hernia is more than 3%.

symptoms, diagnosis and treatment of inguinal hernia

Below we describe what an inguinal hernia: symptoms, diagnosis, treatment and prevention of this unpleasant disease. Conventional inguinal hernia is typical for symptomatology. Patients constantly complain of a variety of deaf pains, both weak and strong, sharp and point to a bulge in the groin area. Still very often complain of pains that occur with a certain strain on the body. This swelling is a great inconvenience for walking and physical work, to a large extent limits the activity of a person. Very often with inguinal hernia, patients complain of constipation, which is chronic. With some types of sliding hernia, patients can complain of a problematic urination with accompanying pain in the groin area. Just as characteristic are constipation, bloating, which is often accompanied by constipation.
When diagnosing a disease, you should carefully examine the patient and pay attention to the size and shape of the formation, which can be in different places of the body of the inguinal region. Also, the hernia can have its own structural features that can be viewed differently from a vertical and horizontal position, so the examination should be carried out from different angles. Oblong form of the formation will have an oblique hernia, which is formed parallel to the inguinal canal. The direct hernia has the form of an oval, which is located in the groin.
Slipping hernia requires careful diagnosis before surgery, because it is the nature, placement, shape of this hernia that will fundamentally determine the surgeon's actions, which are very important for conducting a qualitative and correct operation. A sliding hernia is suggested if:

  • There are quite large long hernias, which in turn were characterized by large hernial gates.
  • Hernias are multiple and recurrent if, in the case of such a process, the rear wall has been destroyed.
  • If the patient complains of symptoms that suggest slipping of a particular organ.
  • Hernia is unrecoverable for a long time.
  • Urination is carried out for 2 times, in which case the first time the bladder is emptied, and in the second case urine is squeezed by directing the hernia of the bladder, thereby provoking the patient to a new urination.

In order not to confuse a hernia with other very similar diseases that have similar symptoms, first of all it is necessary to exclude lymphadenitis from the list, then consider the option with stubby abscesses. In this case, the tumors are not so large in size, do not change over time, nor are they repairable. It is worth noting that the inguinal canal in these diseases is also not expanded, a possible increase in body temperature by several degrees.
The slanting hernia differs from the dropsy of the testicle in that it has an oval shape with clearly defined boundaries, which can be determined by touch, and when dripping, this border is not probed.
To date, inguinal hernia provides a diverse, comprehensive treatment, which includes more than 100 different ways to solve the problem. All these procedures differ only in the final effect, and they are of the same type. The process in general looks as follows:

  • A skin incision is performed, with which you can manipulate the action of the spermatic cord and the inguinal ligament.
  • Isolation of the hernial sac, binding it near the cervix and cutting off, stitching up to a certain size.
  • Carrying out the plastic of the hernial canal, which is done individually for each case with hernia and depending on its kind.

To date, a hernia, with its timely detection is not particularly dangerous in most cases and is treated for a short time.