The hernia appears when the muscular layer of the anterior wall of the peritoneum is weakened and creates the prerequisites for the formation of a hernial sac.
With increasing internal pressure, the intestinal loop( or other part of an internal organ) can fall into the hernial sac.
Hernias are formed in both men and women. Hernia can be congenital, or acquired. The hernia does not disappear by itself. The only treatment for hernia is surgical intervention.
Hernias of the abdomen differ depending on the place where the hernia left:
- inguinal hernia;
- lumbar hernia;
- hernia of the white line of the abdomen;
- umbilical hernia;
- femoral hernia;
- postoperative hernia.
The most common inguinal hernia. Inguinal hernia - protrusion of the peritoneum organs through a channel formed by the inguinal ligament and abdominal muscles.
Men in the inguinal canal enter the spermatic cord - the most important organ of the male reproductive system.
Seedal cord consists of:
- lymphatic vessels;
- veins;
- arteries;
- of the nerves;
- of the duct.
In women through the inguinal canal passes a round uterine ligament.
The main feature of a hernia of the abdomen is an intact shell of the abdominal cavity, and the main sign is the protrusion of the hernia in the groin area.
The protrusion appears at rest or when straining( strong coughing, lifting heavy weights, constipation).
The protrusion can be on one or both sides.
Another sign of inguinal hernia may be dull pain in the groin( constant or with loads).
Diagnosis of inguinal hernia is quite simple.
The diagnosis is made based on the patient's words. The doctor evaluates the condition of the inguinal canal, introducing the little finger into its outer ring. For diagnostics, ultrasound can sometimes be used, but most often the doctor does without it.
Removal of inguinal hernia
Removal of inguinal hernia should be performed only surgically.
During the operation, the hernial sac is opened, the bulging organs are placed back into the peritoneum, into its place, and then plastic is performed in the inguinal canal area.
Another method in the treatment of inguinal hernias is the reinforcement of the inguinal sheath by a special net - synthetic material: capron, teflon, dacron and others.
The plasty of inguinal hernia is usually performed under local anesthesia, however, there are cases when general anesthesia is also used. Note that with the development of a bilateral hernia, the second hernia can only be operated after a few months. A one-time operation is not carried out.
After the inguinal hernia is removed, the patient needs a bed rest for two days.
The patient should avoid any physical exertion.
All this is associated with an increase in internal pressure, which can have a negative impact on the general condition of the postoperative suture.
Rehabilitation after the removal of inguinal hernia requires constant compliance with the diet. Food can not be eaten to promote gassing( sweets, sweets, yogurts, fruits).
Dressings begin to do after a few days, and post-operative sutures are removed after ten days. After the patient is discharged from the clinic, it takes another three to four months not to commit severe physical actions. Otherwise, a hernia may recur.
The consequences of removing the inguinal hernia , as well as after any other surgery, can come a variety of:
- revealing viral wound infections( prevention - antibiotics);
- appearance of a hematoma( for the prevention apply the imposition of a bubble with ice);
- nerve damage;
- damage to parts of the spermatic cord( crossing or clamping causing fertility);
- vascular lesions in the tissues of the spermatic cord, leading to a future testicular atrophy;
- hydrocephalus;
- trauma to the femoral vessels;
- recurrent hernia;
- deep vein thrombosis on the legs of the legs.
Removal of inguinal hernia in children provides for the return of hernial protrusion to its original place, excision of the hernial sac and strengthening of the abdominal wall.
Surgical intervention can be carried out only when the child is absolutely healthy: nothing is sick, has good test results. If this is not the case, the operation is postponed until the patient is fully recovered.
However, parents should know that it is not necessary to delay the operation, as at any time the hernia can be infringed. In this case, the operation will be significantly complicated.
For an experienced surgeon, such an operation is not difficult, it is carried out very quickly( no more than a few minutes), but requires special skills and special delicacy when performing.
The child is under anesthesia about fifteen minutes, and after a couple of days is due for discharge. About a week later, we must again come to the hospital and remove the stitches. After surgery, there is a small scar( not more than a centimeter).
The cost of removing the inguinal hernia in Moscow can vary significantly, depending on the quality of the service and the complexity of the operation. Approximate corridor of the price of surgery to remove inguinal hernia is from 18,500 to 47,500 rubles.
Similar operations are conducted in the medical center "Clinic of Practical Medicine" , located on Petrovsky-Razumovskaya alley, 4. Metro stop: the station "Dynamo".Phones: 495 61 20 740, 495 61 38 106.
Video: Ingestion of the inguinal hernia
Hernia is a disease during which an internal organ protrudes through the hernial portal( an opening in the anterior abdominal wall).