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Inguinal
hernia
Inguinal hernia is a lump in the groin that occurs when in most of the
cases a part of your gut (intestine) or any other abdominal organs pushes
through a weakness in the muscles of the abdominal wall.
Inguinal hernias are most common in males. They may be present at birth
or develop later in life. Straining, heavy lifting, coughing or being
overweight increases the pressure within the abdomen, and this puts strain
on the muscles in the groin area.
A hernia isn't dangerous in itself, but if it isn't treated there is
a high chance to get larger and become more uncomfortable. There is a
risk that the gut will get trapped inside cutting off the blood supply
to the hernia contents (strangulation), causing life-threatening conditions
such as gangrene and peritonitis(inflammation of the membrane covering
the abdominal wall). It may result in the gut becoming blocked (obstructed).
Without an operation, your hernia will get bigger and become more painful
and uncomfortable, especially when you bend or lift. The bulge also can
gradually move into the scrotum, making it swollen and sore. You may experience
discomfort while execising, or having sex. Other symptoms, like burning
sensation in the groin, gurgling in the part of the bowel inside the lump
may also occur.
In most cases
hernias only cause some discomfort but somethimes they may strangulate.
What happens during the operation?
The operation takes between 30 minutes and 50 minutes. You may be able
to go home the same day, but some people stay in hospital overnight.
Before
the operation, you'll need to go to the toilet to empty your bladder.
If your bladder is full, it's more likely to get damaged during the operation.
It may also block the surgeon's view of your hernia.
In most of the cases it is done in general anaesthesia, but may also be
done in the regional or local way.
You'll need to have the hair in your groin area shaved off.
Your surgeon
makes a small cut(about 5 to 10 centimetres long) through your groin.
If you have
a hernia that is bulging through a hole in your muscles (a direct hernia),
the bowel and fat can be pushed back into place through the muscle. If
you have a hernia that is going down the gap between muscles (an indirect
hernia), the thin film around the hernia (the hernia sac) is stitched
up and cut away or, sometimes, pushed back.
The surgeon
usually covers the hole in the muscle with a patch of tissue friendly
non absorbable plastic mesh. This strengthens the muscle to stop your
bowel slipping through again. You'll probably need stitches to close the
wound.
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