Inguinal hernia is a pathological condition peculiar with the formation of a peritoneumprotrusion into the inguinal canal cavity. Such protrusion (hernial sac) may contain abdominal organs or fat tissues.
Males get it more often than females. Incidence of male inguinal hernia reaches 27% in some countries while female hernia doesn’t go over 3%.
The main predisposing factor is the congenital weakening of the peritoneal wall and ligaments of the inguinal canal area, which is the result of the Nuck's diverticulum non-involution during intrauterine development.
There is a number of provoking factors contributing to the hernia formation:
There is also group of predisposing forces that trigger the increased intra-abdominal pressure and harder stress onto the peritoneal wall around the inguinal canal area:
Pregnancy triggers inguinal hernia in most of women who suffer from it. Pregnancy may lead to the elongation of the inguinal canal and weakening of its walls.
Clinical signs of inguinal hernia may either develop gradually or be acute as a consequence of herniainfringement. Gradual process of hernia formation is peculiar with the next signs:
Inguinal hernia infringement is alike acute abdomen (surgical abdomen) and is characteristic with the compression of hernial sac contents in the gate area. Symptoms are:
Infringed hernia causes intoxication syndrome. A patient has fever, general weakness, aching muscles and joints. This says about death (necrosis) of tissues in the hernia sac. Syndrome progression is an indication forthe surgical intervention.
Small hernia can be dormant for a while and can be detected by chance during person’s exam.
Diagnostics of inguinal hernia is done by surgeon. Its aim is to determine a formation, its exact location and type (oblique, direct or combined inguinal hernia).
Doctor indicates several ways of examination including:
If necessary, a surgeon may indicate additional studies like ultrasound of the abdominal cavity and scrotum.
Only radical treatment can be effective here. Hence, different ways of surgical intervention are applied to achieve the goal. Operation is chosen individually for each patient relying on the diagnostics results and also on the anatomical features of the inguinal canal.
Leading European medical centers apply followingtechniques for the radical treatment of inguinal hernia:
Constant work on the development of new ways of surgical treatment is ongoing. Purpose of such researchis to:
German hospitals implement mainly laparoscopy to get rid of inguinal hernia and tissues are almost not damaged.
Laparoscopic tension-free obstructive hernioplasty is a less invasive surgery. A surgeon uses a special tube with a camera, light and micro instruments. Access is gained through the small incisions big enough to insert laparoscope.
Laparoscopic surgery done with hernioplasty or without it by German specialists has several benefits such as:
Inguinal hernia can be completely cured in the modern surgical medical centers thanks to the benefits of the radical treatment.
Inguinal hernia may result in a number of various complications if not treated with a surgery. Infringement of inguinal hernia with tissue necrosis is the worst complication. As a consequence, person may have peritonitis and die.
Meanwhile, if a person goes for a timely medical help and undergoes a surgery, prognosis is favourable for life and work. Risk of recurrence will not go over 0,01% at the same spot after a quality treatment.
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