Main Topical Articles Why does an inguinal hernia occur and how is it treated?

Why does an inguinal hernia occur and how is it treated?

There are a lot of reasons for visiting a surgeon, and one of them is an inguinal hernia. Such a disease is an expansion of a weakened inguinal canal, which causes a protrusion of the peritoneum in the form of a hernial sac. It is often called a male disease, as it occurs 5-6 times more often in men than in women.

For quite a long time, such a pathology causes only aesthetic discomfort, but it is impossible to wait until it causes pain, therefore, if such a situation occurs, it is recommended to consult a doctor immediately.

Causes of inguinal hernias

Depending on where the hernial sac is located, there are several types of hernias of this type – inguinal, inguinal-scrotal, cord, direct and combined. The main reason for the occurrence of such a pathology is the difference in pressure inside the abdominal cavity and the opposing wall of the abdomen. In cases where the abdominal muscles cannot withstand the load, a part of the peritoneum with several intestinal loops is pushed through their fibers. Most often, the problem arises due to the anatomical features of the muscles of the peritoneum – if they are weak, then there is a high probability of the occurrence of zones of hernia.

Other causes of this pathology include:

  • Pregnancy;
  • Constant physical exertion and overvoltage;
  • Overweight or lack of it;
  • Mechanical damage to the oblique and rectus abdominis muscles;
  • Lipoma of the spermatic cord.

Removal of inguinal hernias

The main method of treating such a pathology is only surgical intervention, since therapy, wearing bandages or corsets can only alleviate pain, but not change the general condition of the inguinal hernia. When the protrusion is small, it does not cause discomfort to the patient and there are no tangible health complaints. After some time, the hernia increases, as a result of which pain appears, complications arise, and surgery is indispensable.

There are two basic methods for removing education:

Laparoscopy is performed using endoscopic instruments inserted into the cavity through small incisions. The actions are controlled by the monitor. During the intervention, the contents of the hernial sac are placed in the abdominal cavity, and then an endoprosthesis is installed to prevent recurrence.

Open surgery – performed under anesthesia or local anesthesia. An incision is made in the groin area, the surgeon manually returns the organs from the hernial sac to their place, after which the weak areas are stitched together and additionally strengthened with a mesh endoprosthesis made of synthetic fibers.

In the first case, rehabilitation lasts – no more than two weeks, in the second – 4-6 weeks, depending on the complexity of the operation. The choice of one method or another depends on the complexity of the situation and the size of the inguinal hernial formation, since in a neglected state it is impossible to do without surgery using laparoscopy.

Inguinal hernia is a common disease, and many believe that until it causes pain, there is no need to see a doctor. As soon as a neoplasm appears, it is important to immediately make an appointment with a doctor for advice, and in some cases, surgery.

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