Inguinal hernia in men: when the operation is assigned, recommendations and reviews

Removal of inguinal hernia today remains the only valid treatment option with minimal risk of relapse and complications.

For men, this disease is especially dangerous because it can result in infertility, since when the first symptoms need to see a surgeon to undergo diagnostics and destination planned operations.

Inguinal hernia without surgery entails a number of negative consequences, including the constant discomfort, pain, impaired potency and gastrointestinal diseases. To make the right choice of treatment options must be available for each method of removing the hernia to revise reviews, examining the advantages and possible negative aspects.

Inguinal hernia without surgery entails a number of negative consequences, including the constant discomfort, pain, impaired potency and gastrointestinal diseases.

When the operation is necessary?

Inguinal hernia occurs due to an increase of intrauterine pressure and bulging bodies in the inguinal canal. Once able to identify such a deviation in men, is appointed a planned or emergency surgery.

Immediate treatment is carried out for the following indications:

1. Jammed hernia - hernial freely flowing bodies or fix them. Fixed hernia frequently complicated by pinching when the ring of hernia closes and begins to squeeze the contents of the bag. Entrapment for several hours with fever and the appearance of internal bleeding and peritonitis symptoms require immediate surgery. In this case, handling is shown with open access for the effective removal of dead tissue and purification hernial sac;
2. Prolonged therapy is ineffective medication therapy and physiotherapy is also an indication for already planned surgery. Man passes first diagnosis, investigates the genitourinary system, the gastrointestinal tract, the heart, the condition of the circulatory system to find the causes of the progression of an inguinal hernia. When all the absolute contraindications to operating excluded patient assigned laparoscopy or open surgery, regardless of the complexity of the disease;
3. Children under 6 months: newborn boys with inguinal hernia should be operated as soon as possible to prevent possible complications. Even if you managed to stop the progression of the disease and the protrusion on the time it took a few years or in adulthood it can become a serious problem. Children performed laparoscopic surgery on an inguinal hernia.

Diagnosis of inguinal hernia include an ultrasound, delivery of blood and urine analysis, x-ray. A surgeon inspects men palpates the groin area, sets the pathological process step. Based on study data selected optimal surgical embodiment, after preparation and removal of the male passes hernia.

Training

Before the operation the man should be sure to tell the doctor about the presence of chronic diseases, allergies and intolerance to certain drugs, diseases dynamics to Visit specialist.

In the case of laparoscopic surgery is performed general anesthesia, during an open - local or combined, which may also influence the choice of operating procedure.

Before the operation the man should be sure to tell the doctor about the presence of chronic diseases, allergies and intolerance to certain drugs, diseases dynamics to Visit specialist.

Removal technique of inguinal hernia in men

Operation is selected for each patient individually, but there may be exceptions. If a man gets to the hospital by ambulance in serious condition, most likely, it will be held the traditional surgery - hernia repair with open access. When you contact a private clinic in the early stage of the disease a man has to make their own choice from the options.

Standard hernia repair consists of the following steps:

1. In the field of inguinal hernia carried cut parallel bundle;
2. The surgeon selects the hernial sac and dissects it;
3. Examining bodies, assesses their condition;
4. Healthy organs plunges into the abdominal cavity;
5. Pathological tissue excised;
6. Inguinal canal crosslinked own or synthetic fabrics.
7. Sutured and the wound treated.

If a man gets to the hospital by ambulance in serious condition, most likely, it will be held the traditional surgery - hernia repair with open access.

This operation is carried out healthy men who were not previously faced with a hernia and do not lay on the operating table.

Laparoscopic surgery

Endovideohirurgichesky correction or laparoscopy - a modern and safe way of minimally invasive treatment of inguinal hernia in both men and women. Due to the laparoscope the doctor examines the internal organs and the hernial bag without cutting the skin. Removal of the defect may not more than 3 cm through punctures (during normal operation incision 12 cm).

The technique is to remove the hernia and reduction of the opening through which penetrated the internal organs. Abdominal defect sutured seam sealing that ensures a secure fit.

Stages of laparoscopic excision of a hernia in men:

1. Abdominal surgeon makes three puncture trocar;
2. The first trocar is inserted into the navel to lower the laparoscope;
3. The remaining tubes are needed for introducing surgical instruments;
4. Trocars are input devices for fastening and clamp mesh;
5. Clip fixed implant which is attached sutures.

Endovideohirurgichesky correction or laparoscopy - a modern and safe way of minimally invasive treatment of inguinal hernia in both men and women.

Indications for laparoscopy in men stands obesity, sports activity, tolerability anesthesia. As the reviews, this minimally invasive technique does not require a long rehabilitation, the wounds heal quickly, leaving no trace, and complications are rare.

Operation of Liechtenstein must be conducted with the strengthening of the mesh implant that is fixed for the spermatic cord. This method is recognized as a classic, and it has several advantages: the risk of relapse is reduced to zero, the rapid rehabilitation, slight pain after the operation, the low rate of postoperative complications in the vital authorities.

Endoscopic hernia repair is performed under video control. Installation can be carried out grid or extraperitoneal preperitoneal manner. Advantages: two way operating zone control, smaller incisions, faster recovery with return to physical activity.

Operation of Liechtenstein must be conducted with the strengthening of the mesh implant that is fixed for the spermatic cord.

Obstructive hernia repair involves the obturation gate hernia mesh without suturing the inguinal canal. Advantages similar to endoscopic techniques, in addition, pain after surgery practically absent.

The postoperative period

Rehabilitation period lasts from several weeks to six months. All this time, a man has to follow the rules recommended by the physician, which are needed to prevent complications, improve health and quick recovery.

General recommendations in the postoperative period:

1. Daily treatment seam antiseptic solution;
2. A balanced diet, dieting;
3. Receiving painkillers;
4. Wearing inguinal brace during physical work;
5. Normalization of a psychological condition, receiving sedatives.

Late recovery period includes gymnastics. Therapeutic exercise helps to maintain the condition of the muscles of the anterior abdominal wall to prevent the reappearance of a hernia.

Possible complications:

• wound infection;
• allergic to the anesthetic;
• bleeding during vascular injury;
• festering joint sepsis.

Operation on inguinal hernia does not guarantee a complete cure. Man needs to understand that the repeated impact of negative factors can return hernia. Also, after the operation for some time troubled by pain, activities will be limited for an indefinite period, but soon the quality of life will be improved and the man will be able to return to work, sport and normal nutrition.

A source: https://progryzhu.ru/bryushnoj-polosti/paxovaya/operaciya-pri-gryzhe-u-muzhchin.html

How to make the operation of an inguinal hernia

Occurrence of an inguinal hernia is accompanied by not only a visual defect resulting protrusions internal organs, but also internal discomfort and unpleasant sensations. Increasing the pressure on the abdominal wall, the weakness of the connective tissue and the pathological changes in the body may cause the occurrence of herniation.

The disease affects both children and adults. Infants often inguinal hernia is congenital in nature, in adults is the result of poor lifestyle and physiological predisposition.

According to studies, inguinal diverticulum often diagnosed in men, in women hernia can occur during pregnancy and after childbirth.

Inguinal hernia requires surgery, conservative methods can only remove the main symptoms and temporarily improve patient well-being. In the event of a diverticulum, you must immediately consult a doctor and pass a comprehensive examination.

The first thing the patient is assigned to X-ray examination, to identify the dimensions of education and its localization.

In addition, an ultrasound of the abdominal cavity to eliminate the possibility of infringement and determine the contents of the hernia sac.

Primary palpation is carried out in standing and lying down. After seeing a hernia, the doctor will determine the possibility of its reduction and size of hernial ring. If the protrusion has reached large sizes, hernia becomes nevpravlyaemoy and there is a risk of infringement.

Preparation for surgery

Before performing elective surgery the patient must pass the general and biochemical analysis of blood and urine. The patient is doing an electrocardiogram, may need additional advice gastroenterologist. Before surgery is performed questioning of the patient, where it should specify the individual tolerance of drugs and the presence of chronic diseases.

Inguinal hernia, women must undergo examination by a gynecologist, a man - a urologist.

If the patient has a bad habit, like smoking, a few days before the operation should be possible to reduce the use of nicotine. The last meal and the water must be not less than eight hours before the operation.

Operation on inguinal hernia in men

Based on the difficulty of the operation and the size of the hernia, hernia repair patient is conducted. There are several ways of carrying out surgical manipulation:

• open (with tissue dissection);
• laparoscopy.

Operation is performed under local or general anesthesia. In the normal course of the disease and the absence of contraindications, as well as children - do local anesthesia. If the patient is in a state of shock before the upcoming surgery, manipulation is performed under general anesthesia.

During the operation open method, the surgeon makes an incision in the region of herniation parallel to the inguinal ligament.

Thereafter, the hernial sac is dissected and carried out examination of internal organs that are shifted in.

If there has been infringement, and necrosis of tissues, organs are put into place, and cut off the bag. In case of complications, the hernial sac is removed together with the contents.

During crosslinking of the inguinal canal, delayed wound own tissue or aponeurosis locked special synthetic mesh. Using the mesh implant has a number of indisputable advantages, in particular, there is no risk of recurrence of disease and differences seams.

The video shows the operation for the treatment of inguinal hernia with a mesh overlay via the camcorder.

Among the disadvantages of this method:

• long rehabilitation period;
• the presence of post-operative scar;
• the possibility of recurrence (if not using a polypropylene mesh).

On average, the operation lasts half to two hours, depending on the complexity of protrusions and experience of the physician.

If the patient is diagnosed with bilateral hernia, surgery is done separately on each protrusion with a break of several months.

Laparoscopic surgery technique is considered more lenient to the body and the postoperative recovery period is significantly shorter.

In addition, people who have contraindications to open surgery or have already had surgery hernia repair, it is recommended laparoscopy.

Preparation for surgery includes delivery of necessary tests, consultation with specialists and diagnostic protrusion. Eight hours before surgery do not eat and drink plenty of fluids to the patient is an enema.

During the operation, the patient makes a small incision in the groin area and introduced a special device - a laparoscope. The device is attached to the camera, which allows the physician to monitor control of the operation.

To inspect the contents of the hernia sac it punctures are made and carried out diagnostics of internal organs. After all the manipulations patient sutured.

The operation is performed under general anesthesia and requires a high qualifications of the attending physician.

Contraindications

The operation has a number of contraindications:

• bleeding disorder;
• cardiovascular diseases;
• inflammatory tissues in the occurrence of herniation.

When strangulated inguinal hernia surgery is done immediately, even if there are contraindications. If time does not remove the hernial sac may occur necrosis strangulated organs, intoxication, until death.

Inguinal hernia in women

Diagnosis and treatment of inguinal hernia in women are also held, as well as men. An exception is the appearance of a hernia in pregnancy. During childbearing hernia repair surgery is not carried out. To prevent complications, and the growth of protrusions, a woman should wear a bandage and limit any physical activity.

Inguinal hernia does not bear the risk of the mother and her child, and has no effect on intrauterine fetal development. In addition, performing medical prescription during pregnancy, give birth naturally. In rare cases when the hernia is constantly growing in size and during attempts may occur infringement, the patient do a cesarean section.

The operation was carried out six months after birth when a woman's body to recover and abdominal muscles will become stronger.

Inguinal hernia in children

Inguinal hernias in children, in most cases, is innate. Diverticulum may appear immediately after birth and in the first months of life. No conservative methods are not able to completely cure the pathology, even if the hernia is small in size and does not disturb the baby, should consult a surgeon.

The operation is performed between the ages of six months to a year under general anesthesia. Surgical intervention at an early age is not desirable, since infants can not tolerate anesthesia. Duration of the operation is about half an hour and held as a laparoscopically and by direct dissection of tissue.

Babies when removing inguinal hernia mesh implant is not placed. Since the body has not yet been formed and is actively growing, the site of the establishment of the grid may appear cracks and tension.

Postoperative complications

The first time after surgery, the patient must be under the supervision of a physician and carefully follow the safety precautions to avoid postoperative complications.

If an operation carried out by highly skilled and during surgery, there were no complications, and the negative effects should not be.

However, in the presence of predisposing factors, and chronic diseases, in 1% of all patients having such complications;

• relapse;
• internal bleeding;
• mechanical damage to the contents of the hernia sac;
• ovarian dropsy, inflammation of the spermatic cord;
• suppuration seam;
• allergic reactions to anesthesia;
• prolonged pain at the site of hernia repair.

cost of operation

Diagnose inguinal hernia should not delay treatment, timely executed operation ensures a positive result and the lack of risk of recurrence. The cost of surgery to remove a hernia depends not only on the surgical technique, but also a doctor qualification and type of medical institution (private or public clinic).

Type of transaction	Price
Hernia open method	from 25 000 rubles.
Laparoscopy	from 45 000 rubles.
Laparoscopy bilateral hernia mesh with the installation	50 000 rubles.
Laparoscopy-sided hernia mesh with the installation	from 45 000 rubles.

Cost of operation may vary from the form of the mesh implant. The patient can buy the net as a domestic manufacturer, and use imported counterparts. In addition, it does not include the cost of drugs that may be needed when complications arise.

Rehabilitation after surgery

The first days after the surgery, the patient should be in the hospital so that the doctor can monitor the status of the joint and overall health of the patient. The first two weeks is strictly contraindicated in any physical activity. At the expiration of this period, the patient after consultation with the doctor can begin treatment and prophylactic complex of exercises.

In some cases, the open method of operation without the use of the grid, the patient should wear a bandage. He will prevent the divergence of the joints and relieve pressure on the abdominal wall.

The period of rehabilitation after surgery on an inguinal hernia.

Diet

Nutrition is one of the key factors that determine the favorable outcome of the operation. The patient should be carefully monitored for power, setting fractional eating five times a day.

Foods that cause excessive flatulence, constipation, or vice versa, upset stomach, should be excluded. These include beans, apples, soft drinks, alcohol, meats, flour yeast dough.

Should eat light low-fat soups, vegetable soup, liquid porridges on water, boiled chicken breast, grated cheese, dried bread. The main rule - do not overeat.

Operation during inguinal hernia is the only effective way to get rid of the disease. The earlier the disease is diagnosed and underwent surgical intervention, the less traumatic the consequences. Modern medical technology can get rid of the bulge once and for all, the risk of recurrence is minimized.

A source: http://grizh.net/nogi/operazija-na-pahu.html

Surgery to remove a hernia in men

In today's medical world it is considered that an operation to remove an inguinal hernia in men - the only way to get rid of the problems with minimal health risks.

From the article, you will learn what it looks like inguinal hernia, its varieties and modern methods of surgical treatment.

The causes of inguinal hernia in men

Inguinal hernia occurs in men more often than women. This is explained by the peculiarities of the anatomical structure of the body.

Inguinal women channel has the form slit has reinforced walls, because loss of body abdomen difficult. In men, a triangle on the contrary, the inguinal canal in the section.

With the weakening of the abdominal wall tissues of the internal organs are more likely to leave the boundaries of the abdominal cavity.

It was found that the reasons for the formation of inguinal hernia are:

• weight lifting body at the wrong position;
• loading and unloading operations without the use of a reinforcing band;
• congenital or acquired weakness of tissues of the abdominal wall;
• intraperitoneal pressure increase;
• defects peritoneum-perineal aponeurosis.

The most important role is the presence of defects or degeneration of straight fibers and oblique abdominal muscles. This is where bodies located in the abdominal cavity, can go beyond the anatomical location and cause an inguinal hernia in men.

Classification of inguinal hernias

Inguinal hernias in men is classified by the location of the hernial canal and the stage. Depending on what type belongs to pathology, the surgeon selects the optimum tactics of surgery to remove a hernia in men.

Oblique inguinal hernia occurs in men of any age, including children. For typical pathology of internal organs prolapse along the blood and lymph vessels, and the spermatic cord and vas channels. Depending on the stage of development of oblique inguinal hernia can be divided into the following types:

• initial - shaping hernial sac, the beginning loss body through the hernial canal;
• channel - the intestine section or other authority takes all the hernial canal, but not beyond the hernial ring;
• formed - actually oblique inguinal hernia, having a channel and hernial hernial sac filled fallen body or part thereof.

Oblique inguinal hernia in men may be congenital and acquired character.

Direct inguinal hernia occurs most often in men over the age of 40 years. For the development of the pathology must be a weakening of muscle fibers and loss of authority is ejaculatory duct location.

Combined hernias are a combination of different pathologies are found mostly in women. As part of this article will not be considered.

Depending on the location hernias are classified into three types.

1. Right inguinal hernia - emergence of the peritoneum and internal organs on the right side. The pathological process may be involved sections of the intestine, omentum, bladder. The most common type of hernia in men.
2. Left-sided inguinal hernia - abdominal organs and peritoneum fall into the inguinal canal on the right side. Less common than right-sided hernia
3. Double-sided - in this case the loss of organs takes place from two sides. This type of hernia can be signs of a direct or oblique hernia and mixed.

The greatest danger to the life of men is incarcerated hernia. In this case, a drop-down authority may be suddenly compressed into a hernial ring, with the formation of connective tissue sections. Without prompt medical attention when pinched inguinal hernia has a risk of developing peritonitis, necrosis, and probable death.

If you need to know what it looks like inguinal hernia in men, see photo. We picked up a high-quality material that illustrates the appearance of a hernia in different people.

How to prepare for the removal of inguinal hernia

If we are not talking about the infringement, the operation is carried out in a planned manner. Given the violation of the integrity of tissues and possible risks of complications, the patient is taken to a written authorization for surgery.

A source: https://oprostatite.info/gryzha/operaciya-po-udaleniyu-paxovoj-gryzhi

Surgery for inguinal hernia in men - types of operations, preparation of forecast

Surgical intervention - the only effective method of treatment of an inguinal hernia. All other methods (bandages, medicines) only as a temporary measure can be used, or in cases where surgical treatment for any reason, is contraindicated.

The goal of surgery is hernia radical elimination and creation of conditions to prevent its re-occurrence. To do this, carry out the removal of the hernia sac and closure of the hernial ring.

For hernia repair with subsequent plasticity developed many surgical techniques - species operations inguinal hernia number more than 100. However, practical applications have received only some of them.

In Russia, the most popular are the operations Spasokukotsky method Girard, Bassini, Martynov and their variations. Preference for one or the other method gives the surgeon depending on the characteristics of a hernia in this patient, given the specificity of the topography of the inguinal canal, type of hernia, size of the hernial ring. Another important factor own practical skills (level specific procedure).

Types of surgery for inguinal hernia

hernia repair operations are divided depending on the access (open and laparoscopic) and the method strengthening of the inguinal canal walls (using the patient's own tissue or artificial transplants).

Compare types of surgery

When the open operation is carried out one skin incision of 5 to 8 cm, in laparoscopic - three and a length of 1.5-2 cm.

In endoscopic operations in one section is inserted optical instrument (laparoscope) for visual inspection, in others - for direct manipulators of interference.

On the computer screen displays the picture of the operation, which may be to follow the surgeon and his assistants.

Further stages when both accesses are made to remove the part of the peritoneum, which served as the protrusion cause herniation, as well as the further plastic (formation strengthening or new) inguinal channel. Plastic rear wall of the channel is carried out using oblique muscle tendon plates patient's abdomen (tension techniques) or by suturing an artificial mesh (nenatyazhnye methods).

In modern surgery are used as non-absorbable (polypropylene) or partially absorbable (in combination with propylene monokrilom) transplants. The advantage of the latter is that within a few months, they dissolve to half its volume, and as a result in the patient's body is less foreign material.

Table 1 - The advantages and disadvantages of various embodiments hernia repair.

open	local anesthesia in most cases; ability to perform primary and reoperation for any type and size (up to giant) hernia; in complicated hernia (its infringement in the hernial ring, intestinal obstruction, inflammation of the hernial bag) allows not only to the strengthening of the inguinal canal, but also to eliminate the consequences complications.	longer postoperative period; cosmetic defect; probability of damage during operation plexus, blood vessels, the spermatic cord; Postoperative complications: delay urination, difficulty carminative and functioning of the intestines, postoperative wound suppuration, inflammation testis and epididymis (orchiepididymitis); higher likelihood of relapse.
laparoscopic	small scars; opportunity not only to strengthen the walls of the inguinal and femoral canal and for preventing direct and oblique inguinal and femoral hernias; simultaneous correction of inguinal hernias with the two sides; short period of rehabilitation; rare complications (2-3%).	always general anesthesia; Special expensive endoscopic equipment; experience required of a surgeon in carrying out such operations.

Laparoscopic intervention is better tolerated, less pain intensity, residence time in the hospital, and overall recovery period shorter than with open surgery (usually no more than 2 weeks).

The choice of method of operation

After diagnosis and indications for surgery and the method of access selected by the operation. Taking into account the form (direct or oblique, unilateral or bilateral), the size, whether there is a combination of a femoral hernia, the presence of complications.

General factors influencing the choice of the operation:

• age;
• the physical condition of the patient, presence of chronic diseases (especially respiratory and cardiovascular systems);
• motor activity mode (constant exercise or office work).

Anesthesiologist assessed the degree of risk during general anesthesia.

As a result of a comprehensive survey of a surgeon and the anesthesiologist together come to the conclusion that the process of surgery and anesthesia (general, local, epidural).

preoperative preparation

Surgery to remove a hernia is usually done under local anesthesia - by injecting tissue with a solution of Novocain or other anesthetic. Anesthesia is rarely used, in the presence of certain indications (excessively nervous excitable patients). In the treatment at the expense of the patient at his request also possible to carry out the operation under general anesthesia.

Preoperative preparation of the intervention on inguinal hernia is to conduct a preliminary examination of the patient for the conclusion of the surgical treatment options and to allow hospitalization:

1. Once the diagnosis of inguinal hernia, the surgeon determines the optimal timing of intervention - as a rule, surgery is recommended in the near future, without delay.
2. For planned hospitalization in the surgical department must pass a series of tests: complete blood count (including the definition of coagulation time clotting duration of bleeding and platelet count), urinalysis, blood test syphilis, hepatitis B and C, HIV, to determine the blood group and Rh factor.
3. Conclusion the absence of contraindications for surgery gives therapist after ECG and examination of the patient. In the presence of concomitant chronic diseases may require consultation with other professionals. If you plan to perform an operation under general anesthesia in a hospital is consulted Anesthetist.

Preparing the patient directly to the operation consists in the following actions:

• during the preparatory period, including the time of the survey, it is necessary to abandon the consumption of alcohol;
• for 10-12 hours before surgery is eliminated meal;
• morning before the intervention is performed enema;
• evening before surgery are assigned specific drugs for sedation (to enhance anesthetic effect in the performance of local anesthesia) - hypnotics, sedatives, antihistamines.

course of the operation

After injecting novocaine surgical field cut through the skin, subcutaneous tissue, superficial fascia and the aponeurosis of the external oblique abdominal muscles. Clamped and tied off or cauterize the bleeding vessels.

Hernial sac separated from a finger or a tool of surrounding tissue, it completely liberating. The bag is gently opened, inspect the contents sever existing adhesions and reduce a content into the abdominal cavity.

Hernial sac is sewn and cut off at the neck above the seam.

Then operate plastic inguinal canal one way, the surgeon tries to create a tight musculoaponeurotic layer which would prevent re-entry hernia.

In the plastics may be used, or own tissue (alloplastica) or special implants - plastic mesh.

The latter technique is preferred as it helps recovery and reduces the duration of post-operative period.

Before plastic is desirable to produce an extended closure of the deep inguinal ring to its normal size, but this stage in connection with certain difficulties it is not always satisfied. After plastic catgut strings sutured the subcutaneous tissue and the skin impose silk sutures.

The duration of the operation depends on the difficulty of access to the hernial sac and selected plastics inguinal canal procedure and averages about 1 hour.

In addition to standard surgical intervention can be performed hernia repair and plastic by gentle methods - in particular, by laparoscopic surgery with removal of the hernial sac through a small incision, using a special instrument (laparoscope). This method has many advantages for the patient (less traumatic, in the absence of external defects as scars), but is significantly more expensive and is conducted on a commercial basis.

Forecast

The operation itself is generally not a particular difficulty because it is a very common and even in small hospitals surgeons proficient method of its implementation. Allow the patient to get up to 2-3 days, the sutures are removed after 10 days.

However, after the intervention to achieve a full recovery is not always possible - about a third of patients within a year after surgery possible recurrence of the hernia.

To reduce the likelihood of relapse is necessary to adhere to certain recommendations, in particular - to wear a bandage, and avoid heavy loads.

Over 3 months after surgery physical activity is limited to a large extent, then the patient is gradually returning to normal life.

complications

Approximately 10% of operated patients (although in recent years this figure tends to decline) possible development of male infertility resulting obstructive aspermia due to damage in the course of the operation of the vas duct.

Later scar inflammatory process around the duct violates testicular function not only on the side of intervention, but also on the opposite side.

Also, a minority of patients have complaints of sexual disorders (abnormal ejaculation, impotence and the like. D.).

Among other possible complications can be noted postoperative infection and suppuration of the wound, the formation of a large hematoma (due to bleeding vessel), the difference of joints.

A source: http://MenQuestions.ru/gastroenterologiya/operatsiya-pahovoy-gryzhi-u-muzhchin.html

Inguinal hernia: symptoms and treatment with surgery

Nausea, vomiting, severe cramps, dizziness, and the presence of neoplasms, feels similar to balloon filled with air lower abdomen - the first signs that a person has formed a hernia, which can lead to tragic consequences. As an inguinal hernia is most common in men, we offer to get acquainted with disease, consider the symptoms of the disease and understand what treatments exist on present day.

Inguinal hernia - a condition in which the correct location of broken organs in the abdominal cavity: they favor the anterior abdominal wall boundaries in the inguinal canal. Easy to notice swelling, especially clearly manifested soreness in the area where it is located, and they are aggravated by physical exercise.

In addition, education stands out and can be seen in the form of "bumps" when a person lies on his back or severely straining with constipation.

At the first warning signs or suspicion is necessary to address to the surgeon, to avoid serious consequences and try to cure an inguinal hernia in the early stages without surgery.

Many men do not pay attention to the pain, hoping for a temporary glitch in the body and that over time the tumor itself will take place, and thus make a fatal mistake, which can sometimes cost life.

Medicine really are cases where an inguinal hernia, although in children, resolves itself without the need for surgery, but is fixed only in patients under 3 years old, it is worth remembering that these facts can not be called natural - rather, it is exceptions.

However, since the operation on inguinal hernia - this is an extreme measure, it is necessary to know the symptoms of the disease in time to sound the alarm and to protect themselves from unnecessary problems. Let us consider them in more detail.

How to recognize the symptoms of the disease?

As previously mentioned, the appearance of this disease is usually subject to men, but surgery to remove a hernia often do, and women. Still, the share of men accounted for nearly 90% of surgical procedures, while at the female audience of operations ratio ranges from 10%.

The reason for this - anatomical features, particularly the groin area structure. In the fabric of men in the groin area is relatively weaker than that of women, while the inguinal canal itself much more feminine. This increases the risk of a disease in men.

Thus, the process of development of inguinal hernia in men begins with a little swelling in the abdomen and a barely noticeable discomfort with temporary pain. However, if you do not start timely treatment in a matter of weeks the tumor grows to a large size. Then that will be shown tangible signs of an inguinal hernia, namely:

1. balloon effect. The first thing you need to throw in the eye - it is education that the touch will remind balloon filled with air. Especially well it can be felt during execution of gymnastic exercises, or lying down. Specific parameters in this "air" bag is not, it can be both small and medium and large size.
2. It's a dull pain. Each person, it can manifest itself in different ways: someone worried constantly, and someone appears from time to time. This factor depends on the individual characteristics of the organism, the pain threshold and the complexity of the hernia;
3. Burning sensation. This symptom is especially pronounced in the groin after strenuous exercise.
4. discomfort. Increases from day to day, if the disease does not stop at the early stages.

The emergence of an inguinal hernia in men may contribute to several different factors. In some, this factor - the innate, ie the opening of the inguinal canal from the small nature. In other - the result of incorrectly distributed load on the organism. Often, this problem affects athletes, fans, for example, involved in weightlifting, as a result of heavy lifting.

In addition to the characteristic pain in the midst of problems, there are associated symptoms, which, in addition to the above signs help us to understand that the problem is really in the inguinal hernia. Patients plagued by regular cough and frequent constipation, which entail high intra-abdominal pressure.

In addition, men may notice the increased protrusion in the groin during a bowel movement, and feel a sense of discomfort, as if the abdomen is filled with water. In the presence of the above symptoms it is recommended immediate access to a doctor, if you run a disease, it is strongly affect the health. Begin frequent fevers, persistent nausea and heart palpitations.

It should be noted that an inguinal hernia may declare itself immediately. The tumor will grow and the pain will still be missing.

Care must be taken during visual inspection of the body, if found bulge, but no symptoms of the above - still consult a doctor.

Timely visit to the surgeon allows you to avoid these unpleasant consequences, among which the most dangerous:

• inflammation hernia or testis;
• the transition from a simple hernia to a more complex type of "strangulated" hernia, it is considered the most dangerous and often ends with a fatal outcome;
• constipation, fecal stasis in the intestines, leading to its obstruction.

Let's see what is - strangulated inguinal hernia? This is one of the most severe forms.

Its symptoms may be as follows:

1. Blood in the stool.
2. Severe pain when you press on the sore spot.
3. Persistent nausea, vomiting, in which, after not getting any easier.
4. Inability to push the hernia inside, when the patient is in the supine position, although conventional inguinal hernia is done very easily.

When strangulated hernia can not try to straighten their own education.

Consider the process of surgery to remove a hernia in men.

Methods of treating inguinal hernias

Upon confirmation of an inguinal hernia surgeon will offer the only right way - an operation to remove it. Here there are several options.

This is the standard operation, in which the skin incision with a scalpel or sparing procedure - laparoscopy, which is a piercing of the skin into the affected area.

However, if the hernia is small in size and does not cause discomfort to the man, with the operation can be postponed.

Before you decide, be sure to hold the doctor palpated to take note of the complaints of the patient, referral for ultrasound, X-ray and, if necessary, other related research. And then, on the basis of these data, you will see the picture of the disease: the size of the hernia, its location, the possible consequences of removing the possibility of progression, etc.

Let us consider in more detail the preparations for the operation itself. Without fail the patient will be discharged the direction of delivery of the analysis.

The lists of pre-surgical procedures are also listed CTG and special survey, with the help of which it is possible to understand whether the patient allergic reactions to any drugs, chronic disease, whether he accepts what that means strong at the moment disease. All this is done to the success of the operation to reposition hernia or postoperative period.

When the tests are received and the doctor will make a decision about surgical intervention, the patient can be put in the hospital. If the patient - a smoker, the operation will appoint at a later date, so that within a few days, the patient could be carried out without cigarettes. 10 hours before the operation the patient is also banned to drink and eat.

What type of operation will be offered to the patient, in many respects it depends on the medical institution in which the patient contact. So, in a public hospital is likely to be offered a conventional abdominal operation.

If the choice falls on a private institution, it is likely that there will be offered a more modern type of operation - genriorafiyu.

Do not forget that the success of such an operation depends largely on the skillful actions of the surgeon.

Any kinds of operations is carried out under general anesthesia as under local and under general. Doctors themselves give preference to local anesthesia, as it is considered to be much safer, but if the patient has a fear of the different kinds of procedures that will apply general anesthesia.

The operation is the following sequence of actions:

1. It all starts with the skin incision that is made over the inguinal ligament, parallel to it.
2. After that, he laid bare the inguinal canal, and the doctor is able to test the hernia sac. Medicine, there are cases where doctors with extensive experience simply could not find it, then the patient was asked to make an effort. This is another plus in favor of local anesthesia, because the people there can give signals to your body.
3. After finding the bag, it is cut, and the surgeon examines its contents. It should be noted that the bodies trapped in the hernia are subject to a thorough visual inspection. If the doctor determines that there is no damage to them, and they are functioning properly, he just has the right to back into the abdominal cavity. If during the inspection found damage to the organs, to remove them, the hernial sac perevyazhut and cut off.
4. Dissected muscles will be stapled back. Almost always to the muscles attach the mesh made of synthetic material. In its composition, it is tough enough, but the internal tissue easily take it in the body. They did not reject the foreign object, but on the contrary, after a short time fuse with it
5. The last stage of the operation is considered to be stitching the skin.

Inguinal hernias can operate for several hours. The time spent depends on the professionalism of the surgeon, the type of complexity, location itself hernia, sizes and shapes. There are cases of bilateral inguinal hernias, in which case will be assigned to the two operations, but they will be carried out one by one, at intervals of several months.

Now consider the case of the operation, in which you can do without cutting the skin. He was made possible thanks to the development of medicine - a laparoscopy.

As a rule, it is offered for repeated transactions or contraindications to the traditional method of removing an inguinal hernia. Preparations for laparoscopic genriosecheniyu extends in the same mode as in the normal operation, and is also made through the incision. Operation time for inguinal hernia, in this case, ranges from one to several hours. This type of operation implies a:

1. A laparoscope - a thin device is equipped with a mini-camera that is inserted into the cannula. When it is immersed in the hernial sac, the surgeon has the opportunity to see what is stored therein. The entire process is displayed on the monitor, which greatly simplifies the work;
2. Further more punctures are made to work inside the bag;
3. Next, an operation is performed on the front wall with the establishment of a grid by means of special fasteners.

To have a general idea of ​​the course of the procedure, we invite you to watch video on the operation of an inguinal hernia presented below. Thus, you can prepare yourself mentally and clearly understand what it is you have to face when you show up an inguinal hernia.

Another important point - is the cost of surgery to remove a hernia in men. Here, too, it all depends on the choice of the type of procedure and the removal of the price of an inguinal hernia, the most established clinic.

Average hernia repair will cost about 25 thousand rubles. Prices in Moscow range from 20 000 to 35 000 rubles, a lot depends on the choice of medical institutions.

If laparoscopy is selected, then it will cost an average of 35,000 to 45,000 rubles.

Next, consider what happens after surgery to remove a hernia in the human body, as well as get acquainted with the people who have already performed surgery on an inguinal hernia.

adaptation period and former patients comments

Many patients rightly interested in the question - and what the consequences would entail the operation to remove an inguinal hernia?

The answer, after the surgery of inguinal hernia in men, as a rule, there are no problems, apart from possible infections listed in surgery, irritation of affected during surgery nerves or organs, poor fusion of the skin or in rare cases of hernia return repeatedly. But most of the operations are quickly and painlessly.

inpatient treatment regimens after surgery usually is not more than 10 days, patients often lie just 3-4 days and are issued. In private clinics practice statement on the same day after the operation. From the point of view of medicine it is fundamentally wrong, because in this period the patient is very vulnerable, and its transportation will necessarily affect accretion seams.

Discharged patients, doctor must prescribe a special diet. The patient will need to give up starchy foods, sweet, sour-milk products, carbonated drinks and fatty foods. Diet is temporary, until the body does not come to its normal state - it is about 20 days.

Doctors also advise to abstain from sex for at least 15 days so as not to cause post-operative complications.

Also during the month ban lift weights, instead of offering recreational gymnastics, which will be engaged after only a week, of course, if it is not contraindicated.

Often after surgery on an inguinal hernia, doctors recommend to buy a special bandage that will properly support the tissue grows together.

External sutures are removed in the hospital after 10 days, at the same time assess the condition of the patient and provide further guidance.

We offer you to get acquainted with the men who had first hand experience all the associated procedures and their consequences. We made a small selection of the comments posted on the official websites of clinics and medical forums.

Anna, 34 years old

My father at the time of surgery was 63 years old. We made under general anesthesia. Suffered, in principle, it is easy, but was in the hospital for over a week, all the same age, before he was not released. And from physical activities recommended to abstain as much as 3 months. There is one point: he began to complain of a burning sensation in the legs near the groin, did not exist before.

Igor, 42 years old

I had an inguinal hernia about 10 years ago.

Maybe if the medicine was weaker, so I just lay in the hospital for more than 3 months, all not getting any better, probably damaged something or brought infection.

I do not explain anything, just brushed aside. But as it was not there, after 3 months, I finally checked out, of course, complied with a bunch of medical indications, until the silence, do not bother.

Paul, 45 years old

We were also not spared the trouble, my son had jammed hernia, was taken unconscious by ambulance emergency, two hours later the son was already in intensive care, up to the last thought of the worst version. Sin that the State Hospital. But no, a week later the son returned home, and after a few months to fully engaged in sports

Ilya, 28 years old

I had an inguinal hernia, operated. And when my five-year son have appointed such an operation, then the verdict - disease was inherited, and manifested itself very early.

Very experienced, he will take - still only a child yet, and I know what a man after such an operation, he departed a week.

But apparently the children transfer easier, the next day the son went down the corridor, thank God, we have everything worked out.

Finally I want to add that surgery to remove a hernia should not be afraid, most importantly - on time and accurately perform preventive guidance of the attending physician, and all will be well.

A source: http://doctop.ru/surgery/kak-provodyat-operacii-po-udaleniyu-paxovoj-gryzhi-u-muzhchin.html