Inguinal hernia

How can you recognize a hernia? A protrusion in the groin, sometimes with a slight pain - that suggests a hernia. In contrast to the umbilical hernia, he never returns spontaneously. Therefore, the inguinal hernia in children and inguinal hernia in adults are almost always as follows: inguinal hernia = surgery. In addition to signs and symptoms in the following article causes, development and treatment of a hernia are discussed.

Inguinal hernia: causes and development

There are natural weak points in the body where the connective tissue is thin, for example, where vessels and nerves pass through it, or areas where connections in the development of the unborn child have not receded later. There, the peritoneum can push along with the intestinal loops - a gut breakage arises. A hernia is said to be when the fracture content in the groin area pushes outward.

  • Congenital inguinal hernia (Hernia congenita): The inguinal hernia in children is usually based on the fact that the protuberances that exist during child development do not close properly. This congenital form occurs more often in boys than in girls. Affected are about 1-4% of children or 20% of premature babies; Often there is a hereditary predisposition. The intestinal loops extend from the hernia portal through the inguinal canal (where the spermatic cord runs in the boy) under the inguinal ligament. This inguinal hernia can reach into the scrotum (scrotal hernia) in the boy and affect the testicles there; in girls, the inguinal hernia can extend to the labia (vaginal hernia). If fluid from the abdomen reaches the scrotum in boys instead of intestinal loops, it is called a testicular water break (hydrocele). However, in contrast to the inguinal hernia, this usually develops automatically.
  • Acquired inguinal hernia (Hernia acquisita): In adults, a hernia due to constant pressure increase, for example, by playing wind instruments, chronic cough or heavy physical work, but also as a result of pregnancy or a tumor to plant-related weaknesses of the abdominal wall. Women are far less affected by hernia than men.

Inguinal hernia: symptoms and signs

A soft protrusion on one or both sides of the groin, clearly visible and wegdrückbar: This can be a hernia recognize. The inguinal hernia symptoms are particularly pronounced during crying, coughing, and sneezing or during bowel movements. This is always the case when the pressure in the abdomen increases and the moving intestines are squeezed out.

The inguinal hernia in children, but also the inguinal hernia in adults is sometimes accompanied by pulling abdominal pain or groin pain, which occur especially under stress. Critical are more severe pain, especially if the stomach feels very hard and it comes to nausea and vomiting. These symptoms may indicate a life-threatening entrapment (incarceration) of inguinal hernia. Usually, the inguinal hernia is then palpable as a plump, non-displaceable knubbel.

Inguinal hernia: recognize and act

If you discover a bulge in the groin of your child or yourself, visit a doctor in good time. Sometimes the pain is similar to that of a groin strain (overstretching of the thigh muscles) - however, there is no protrusion in the groin on the latter. In contrast to an umbilical hernia, a hernia never spontaneously forms.

Since the risk of entrapment is relatively high, especially in the first year of life, inguinal hernias must be closed in an inguinal hernia surgery. Only in exceptional cases, for example, if the sufferers have an enormously high surgical risk, is an operation of inguinal hernia excluded. In case of entrapment, a doctor must be consulted directly and operated on as quickly as possible, so that the trapped tissue does not die. In other cases, the inguinal hernia surgery can be planned in peace.

Inguinal hernia surgery: surgical methods

If the diagnosis is inguinal hernia, the further procedure is prepared and discussed. In a hernia in children is usually standard to operate the inguinal hernia on an outpatient basis. In case of a trapped inguinal hernia, however, a hospital stay is to be expected. In adults, surgery is usually not performed on an outpatient basis.

Depending on the type and extent of inguinal hernia, there are various methods of surgery to close the inguinal hernia. Often, a laparoscopic procedure is possible, ie the access and closure of the inguinal hernia via a very small incision by means of laparoscopy.

Inguinal hernia: duration of healing

The duration of healing after a performance break depends on age, pre-existing conditions, type of inguinal hernia and type of surgery. It is important to know that the skin wound heals much faster than the inner wound. Therefore, light physical activities such as swimming or sexual intercourse should not begin until three to four weeks after the hernia operation; Jogging and cycling must be suspended for six weeks, and heavy physical activity for several months.

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