Treatment of inguinal hernia abroad

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%.


inguinal hernia treatment abroad


Causes of inguinal hernia

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:

  • Atrophy (thinning) of fat tissues with a pronounced weight loss
  • Decreased strength of connective tissue in the inguinal canal area, which often develops with age, as well as against depletion of the body
  • Weakening of the anterior abdominal wall muscles particularly because of obesity


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:

  • Chronic constipation
  • Prolonged cough (chronic bronchitis, “smoker's cough”)
  • Systematic lifting of weights (heavy physical labor)
  • Frequent sneezing, which can be the result of an allergy


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.


inguinal hernia symptoms


Symptoms of inguinal hernia

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:

  • A round protrusion in the scrotal area
  • Protrusion grows in size while the increased intra-abdominal pressure is a characteristic symptom that can be noticed when sneezing, coughing, lifting weights
  • The appearance of painful sensations in the area of ​​protrusion, the intensity of which depends on the size of inguinal hernia, as well as the duration of its formation


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:

  • Sharp intensive pain in the hernia gate area
  • Skin redness and swelling which is a sign of the inflammation process because of the poor blood flow
  • Constipation, gas retention, chronic constipation


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.


inguinal hernia diagnostics


Diagnostics of inguinal hernia

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:

  • Examination of the anterior abdominal wall while patient is standing
  • Symptoms of ‘cough push’ - an increase in protrusion in size when straining
  • Palpation (palpation of tissues) in the area of ​​the hernial sac and gates


If necessary, a surgeon may indicate additional studies  like ultrasound of the abdominal cavity and scrotum.


inguinal hernia treatment abroad


Treatment of inguinal hernia abroad

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:

  • Tension hernioplasty is rarely done in the modern hospitals because of the high recurrence risk in the long-term postoperative period. They remove herniated sac, pull and stitch the hernia gate margins. Though future repeated breaks are possible after intense physical exertion in the area.
  • Tension-free obstructive hernioplasty is a way of abdominal cavity tightening due to the placement of a special propylene mesh. A patient will regain work capacity even having a severe course of pathological condition and large size of the inguinal hernia.


inguinal hernia innovative treatment


Innovative treatment of inguinal hernia

Constant work on the development of new ways of surgical treatment is ongoing. Purpose of such researchis to:

  • Shorten time of inpatient stay and rehabilitation
  • Reduce risk of complications
  • Reduce risk of recurrence
  • Improve aesthetic effect


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:

  • Minimal damage of tissues
  • Unnecesary inpatient stay
  • Minimal risk of various complications including bleeding
  • Risk of recurrence is almost absent


Inguinal hernia can be completely cured in the modern surgical medical centers thanks to the benefits of the radical treatment.


inguinal hernia prognosis


Prognosis for inguinal hernia

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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