Case history on inguinal hernia This disease is more common in children, but sometimes adults suffer. The history of the disease on the topic of inguinal hernia - this will be discussed in this article.

General information

Inguinal hernia is a disease in which the internal organs of the abdominal cavity extend beyond the front abdominal wall through the inguinal canal. These internal organs can be ovaries, intestines, a large omentum. By external signs, inguinal hernia is more like a tumor in the groin, accompanied by a so-called protrusion. In this condition, there may be pains of varying degrees, especially severe during physical exertion.

Symptoms of

Treatment of inguinal hernia can only be performed by a surgeon! Therefore, for medical help should be treated immediately, as soon as there are even minor symptoms or discomfort. Among such signs - some inconvenience in walking, discomfort and heaviness in the abdomen. In the groin area, sometimes a tumor appears immediately, which changes in size, and in the prone position it can disappear completely. In the period of physical stress or when lifting heavy objects at the point of inguinal hernia appear strong pain.

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Similar symptoms are manifested in diseases such as femoral hernia, hydrocele, varicocele, lymphadenitis. Determine the diagnosis accurately and identify the inguinal hernia can only be through a surgical examination. As part of the examination, ultrasound of the inguinal canals and scrotum, irrigoscopy, and herniography are performed. Gerniography consists of an X-ray examination, which requires the introduction of a contrast agent in the abdominal cavity before it, which determines the presence of inguinal hernia.

Sometimes the first symptoms of inguinal hernia manifest themselves absolutely unexpectedly and unpredictably. While its dimensions are insignificant, the patient in general can not experience discomfort. If the patient's medical history suggests inguinal hernia for a long period of time, then the pain will still appear. With a significant size of the inguinal hernia, as well as in the case of unstable hernia, the patient will experience constant pain in the groin or lower abdomen. Often, inguinal hernia manifests pain in the lower back or the sacral spine. Sometimes this disease is accompanied by constipation. With an increase in the size of the protrusion, inconvenience, discomfort and pain during movement, especially with stress and physical effort, increase. Conversation on the inguinal hernia always difficult - the disease severely limits the performance of a person. In the case of a recurrent bladder hernia, pain in the urethra is noted, urination is accelerated. In some cases, elderly people complain of a delay in urine. The patient may feel pain over the pubis, which disappears immediately after the correction of the hernia.

Types of inguinal hernia

There are several types of inguinal hernias. The first of these is the so-called "oblique" hernia. This is a condition in which protrusions of the internal organs of the abdominal cavity through the spermatic cord, blood vessels, vas deferens and lymphatic ducts occur. Dropped internal organs are located inside it. This pathology is usually acquired at birth.

When the internal organs from the abdominal cavity enter the inguinal canal not through the spermatic cord, then such a hernia is called a straight line. Such a disease is extremely acquired and is associated with insufficient development of muscles and ligaments.

There are also cases in which one patient in one area has several hernias, independent of each other and of different origins. That is, seemingly on the one hand, the patient has a straight and slanting hernia, and on the other - their combination. This condition is called a combined inguinal hernia.

What is the danger of inguinal hernia

Inguinal hernia of any type causes a number of serious complications. Among them, inflammation of the hernia itself is distinguished, its infringement due to a sharp contraction of the muscles of the hernial sac in the hernia gates. Inguinal hernia can result in inflammation of the testicle, lead to so-called ischemic orchitis, to coprostasis, which is a delay of feces in the large intestine.
As a result of infringement of the hernia, the patient urgently needs emergency medical care. Signal for surgical intervention can serve as a sharp, constantly increasing pain in the scrotum or groin, nausea or vomiting, admixture of blood in the stool, the retention of gases and stool. Also it is necessary to address immediately to the expert if the hernia can not be adjusted lying down with a simple push of a hand.

Inguinal hernia is much more common in men. The reason for this pattern is a weak inguinal canal, not well strengthened with the help of tendons, muscles and ligaments. The size of the female inguinal canal is much shorter and narrower. Because of excessive pressure on the abdominal cavity on the inguinal canal, hernial gates appear, which pass through the hernia. The reason may be in insufficient development of muscles and ligaments of the abdomen.

Treatment of inguinal hernia

Inguinal hernia can only be cured by surgery. It is called hernioplasty and is performed in a hospital. Different methods of hernioplasty are used. The main is the endoscopic method, which provides for the operation by small punctures in the abdominal cavity. Through them, special tools are inserted inside, with which the hernial sac is removed. Then a special mesh is reinforced in place of the hernial gates, which strengthens the abdominal wall. After such operation the patient starts to test not strong painful sensations. Mandatory inpatient treatment lasts only 2-3 days. This operation is very effective - relapses occur only in 1-5% of cases.

The second type of hernioplasty is the operation of Liechtenstein. When it is carried out an incision of 10-12 cm on the skin through which the hernial cavity is replaced by a hernial sac. Then, a reinforcement mesh covering the hernial girdle is sewed. Such an operation entails a minimum of pain, and a mandatory stay in the hospital is only 1 day. Again inguinal hernia happens extremely rarely, no more than 1% of all operations performed in this way.

There is also obstructive hernioplasty. With it, a 3-4 cm incision is made on the skin and a hernial sac emerges through it and fits into the inguinal canal or abdominal cavity. After this, a special obturation net is placed on the site of the hernia gates, so that the re-formation of the hernia is completely eliminated.