How to Treat Inguinal and Femoral Hernia With Laparoscopy
An inguinal hernia is a bulging of the contents of the abdomen through a weak area in the lower abdominal wall. Inguinal hernias can occur at either of two passages through the lower abdominal wall, one on each side of the groin. These passages are called inguinal canals. Inguinal hernias can also occur through two deeper passages in the groin called the femoral canals. Hernias through these passages are also known as femoral hernias. Hernia repair at ebnesina hospital is performed by a team of expert and experienced doctors using minimally invasive laparoscopic methods.
What is an inguinal hernia?
Inguinal hernias most often contain fat or part of the small intestine. Inguinal hernias typically develop on one side of the groin and form on the right side more often than on the left. Some people who have an inguinal hernia on one side will have or will develop a hernia on the other side.In girls or women,inguinal hernias may contain part of the female reproductive system, such as an ovary.
How common are inguinal hernias?
Inguinal hernias are more common in certain age groups.
- Among adults, the chance of having an inguinal hernia increases with age, and inguinal hernias are most common in people ages of 75 to 80.2
- Among children, inguinal hernias are most common in those between the ages of 0 and 5 years.2
- Among infants, inguinal hernias are more common in premature infants external link.3
Inguinal hernias are also more common in 4 :
- males, who are 8 to 10 times more likely than women to develop inguinal hernias
- males who have had prostatectomy
- people with a family history of inguinal hernias
- people who have a lower body mass index (BMI)
- people who have connective tissue disorders external link
What are the symptoms of an inguinal hernia?
- The protrusion on both sides of the pubic bone becomes more obvious, especially in case of coughing or straining.
- Burning sensation or pain in the area of the bump
- Pain or discomfort in the groin, especially when bending, coughing, or lifting objects
- Feeling of heaviness or stretching in the groin
- Weakness or pressure in the groin
- Sometimes when the intestine protrudes near the scrotum, pain and swelling around the testicles develop.
- Your symptoms may worsen when you exercise, stand, cough, or stand for long periods of time, and may improve when you rest or lie down.
Other factors that may contribute to inguinal hernias are currently being studied. These factors include the following:
- Presence of connective tissue that is weaker than normal.
- Genes that increase the risk of inguinal hernia.
- Diseases that increase intra-abdominal pressure, such as chronic cough or chronic constipation.
- A weak area in the abdominal wall
- pregnancy
- intense activity
Different types of inguinal hernia :
Inguinal hernia can be direct, indirect and Strangulated hernia, which we will explain below:
This is one of the most common types of inguinal hernia. This is mostly seen in premature births; because at that time the Maghbani channel is still open. However, it can show up anywhere in your life. It occurs mostly in men.
This type of inguinal hernia usually occurs in older men. This disease occurs due to the weakening of the abdomen in old age.
A strangulated inguinal hernia is a more serious medical condition. This happens when the hernia becomes trapped and the blood flow to it is cut off.
Signs and symptoms of strangulated hernia :
- Fever
- Sudden pain that rapidly worsens in the area of the hernia
- Hernia bulge that has suddenly become larger than before.
- Hernia bulge that is red, purple or dark.
- Sudden or severe pain or tenderness in the hernia area
- Symptoms of intestinal obstruction such as abdominal pain, bloating, nausea and vomiting
How do doctors diagnose inguinal hernias?
To diagnose inguinal hernia, the doctor first performs a physical examination. He may ask you to stand, cough, or strain while he examines the bulge from the hernia.
If the diagnosis is unclear after a physical exam, your doctor may use imaging tests to check for an inguinal hernia and also to check for hernia complications.
Imaging tests may include
- ultrasound external link, which uses sound waves to create an image of your organs
- computed tomography (CT) external link, which uses a combination of x-rays external link and computer technology to create images
- magnetic resonance imaging (MRI) external link,which takes pictures of your body’s internal organs and soft tissues without using x-rays
How do doctors treat inguinal hernias?
There are several different types of open and laparoscopic hernia surgery. The type of surgery your doctor recommends may depend on factors such as the size of the hernia and the person’s age, health, and medical history.
Do Hernias Always Need to Be Fixed?
Most people with inguinal hernias need surgery to repair the hernia, inguinal hernias do not go away on their own.
If you are diagnosed with an inguinal hernia, your doctor will likely recommend surgery. Inguinal hernia surgery is also called herniorrhaphy or hernioplasty.
There are 2 types of inguinal hernia repair :
In this type of surgery, an incision is made in the groin to observe the hernia, then the surgeon returns the hernia to the abdomen and reinforces the abdominal wall with mesh and stitches.
نوعی جراحی که در آن یک برش در کشاله ران ایجاد میشود. سپس جراح فتق را دوباره به داخل شکم برگردانده و دیواره شکم را با مش و بخیه تقویت میکند. این جراحی ممکن است تحت بی حسی موضعی یا بیهوشی انجام شود.
Recovery time after laparoscopic surgery is usually shorter than open hernia surgery, a less invasive type of surgery in which small incisions are made in the lower abdomen and a laparoscope (a thin tube with a tiny video camera) is inserted. The laparoscope transmits images to a video monitor so that the surgeon can repair the hernia through small incisions.
Some surgeries at ebnesina hospital are performed by a staff of expert and experienced doctors using minimally invasive laparoscopic methods,some common surgeries include: laparoscopic hernia repair, intestinal resection, cholecystectomy, appendicitis surgery, breast surgery, cancer surgeries.
What are the risks of hernia surgery?
Surgery to repair an inguinal hernia is quite safe. However, possible complications of hernia surgery include:
- Bleeding
- infection
- chronic or severe pain
you should call your doctor right away if you have :
- bleeding, drainage, or redness in the area where you had surgery
- fever or chills
- nausea or vomiting
- pain or swelling in your abdomen
- pain or swelling in your groin that gets worse
- pain that is severe or doesn’t get better when you take pain medicines
- problems breathing
- problems urinating
reference: ( niddk.nih.gov)
