What is Inguinal Hernia?
What is Inguinal Hernia? Inguinal Hernia is a condition when the organs inside the body suppress and penetrate out through the muscles or weakening of the surrounding tissue gap. One of the most common types of hernias is inguinal hernia. Inguinal hernia occurs when a portion of the intestine exits the abdominal cavity through the lower abdominal wall toward the genitalia. This makes the appearance of a lump on the scrotum sac, which can be painful or hot.
In the inguinal hernia, the lump often appears when the patient lifts something and will disappear while in a lying position. Although the inguinal hernia itself is harmless, this condition risks leading to life-threatening complications. To deal with painful and enlarged inguinal hernia, the doctor will suggest surgery to restore the bowel position and close the gap that causes the hernia.
Symptoms of Inguinal Hernia
Weakening of the gap that can cause inguinal hernia does not cause any symptoms, even patients are not aware of this condition until a lump appears due to a hernia. The lump will look or feel more clearly when the patient stands upright, especially if they cough. The emerging lump may be sensitive to touch and pain.
For more details, here are some symptoms that mark inguinal hernia:
- The appearance of a lump on any side of the quadriceps area.
- Pain or pain in the lump.
- The crotch is weak or depressed.
- The crotch is heavy or like someone is interested.
- Appears pain and swelling in the area around the testicles as most intestines penetrate into the scrotum bag.
- Pain, nausea and vomiting suddenly if the outgoing intestine is caught in the cleft of the hernia and can not return to its original position.
It is advisable to immediately see a doctor if you have pain or can see a hernia lump around the groin. Moreover, if the lump turns red, purple, or dark.
Causes and Risk Factors of Inguinal Hernia
One factor that is believed to cause the appearance of inguinal hernia is the age factor, ie when the muscles around the abdomen begin to weaken. In addition, the inguinal hernia can also appear suddenly when a person is straining from the consequences of constipation or lifting heavy burden. Inguinal hernias are also associated with severe cough and sedentary disease.
The following are some of the conditions and factors that could increase the risk of inguinal hernia.
- Gender. Inguinal hernias are more likely to occur in men. In fact, in young children and infants who have inguinal hernia are also male.
- When a woman is pregnant, they will experience increased pressure on the inside of the abdomen and weakening of the abdominal muscles.
- Overweight. People who are overweight usually have more pressure on the abdomen.
- Chronic cough. Chronic cough, one of which is caused by smoking, will increase a person’s risk for inguinal hernia.
- Certain job factors. Work that requires standing for a long time or having to lift a very heavy burden also increases the risk of inguinal hernia.
- Premature birth. Premature babies have a tendency to experience inguinal hernias.
- History of hernia diseases. If a person has experienced this condition on one side of the body, usually he will experience it again in the future on the other side.
- Hereditary factors. If a person has a family member (parent or relative) who has an inguinal hernia, then the person’s likelihood of suffering the same condition also exists.
- Certain medical conditions. Patients with cystic fibrosis are also at high risk for inguinal hernia. Cystic fibrosis is a condition of severe lung damage and often leads to chronic cough.
However, there are also some cases of inguinal hernia that are unknown cause.
Diagnosis of Inguinal Hernia
The doctor may suspect the patient has inguinal hernia based on the symptoms he/she has experienced. To corroborate the allegations, the doctor will review the patient’s medical history and perform a physical examination to see any lumps appearing in the scrotum. The doctor may ask the patient to stand up, cough, or push to make the hernia visible or palpable more clearly.
If the results of physical examination are still unclear, then the doctor may ask the patient to undergo a scan on the abdomen. The usual types of scans for this case are ultrasound, CT scan and MRI. In addition, the doctor may advise the patient to perform a urine examination to eliminate the cause of pain in the scrotum other than the inguinal hernia.
Treatment of Inguinal Hernia
Inguinal hernias can be handled through surgical procedures to push back the lump and to strengthen the weak parts of the abdominal wall. This procedure will be performed if the hernia causes severe symptoms and if complications appear serious enough.
A possible complication is an inguinal hernia obstruction, in which part of the intestine is wedged inside the inguinal tract and causes nausea, vomiting, abdominal pain, with a sore lump in the crotch.
In addition, another complication is the inguinal hinging of inkarserata (strangulation), which is the condition when the outstretched intestine is pinched and the blood supply stops. This condition requires immediate surgical procedure to release trapped tissue and restore the blood supply to prevent tissue death.
The purpose of hernia surgery is to overcome the emerging hernias, prevent the re-emergence of the hernia, as well as prevent more dangerous complications. However, sometimes the hernia may reappear after the surgical procedure is performed.
There are two methods of surgery to treat inguinal hernia, namely:
- Open surgery. Here, the surgeon will push the ingunalis hernia lump back into the stomach through a large incision.
- Laparoscopy or keyhole surgery. In this technique, the surgeon will make some small incisions in the abdomen. Through one incision, the doctor will insert a device called a laparoscope, which is a small hose equipped with a camera and a small lamp at the end. The camera will show the condition inside the belly on a monitor. Through this camera guide, the doctor will then insert special surgical instruments through other incision holes to pull the hernia back into place.
Some of the side effects that can arise from the operation of inguinal hernia repair are:
- The appearance of swelling and bruising on the part of the testicles.
- The buildup of fluid and blood in the former hernia room appears. Usually this condition will recover by itself without special care.
- Pain and numbness in the crotch due to injury or suppression of the nerves during an operation procedure
Prevention of Inguinal Hernia
You can reduce the pressure inside the abdominal cavity to reduce the risk of inguinal hernia by:
- Eat foods rich in fiber.
- Avoid lifting weights that are too heavy or do so slowly.
- Stopping smoking.
- Maintain weight to stay within ideal and healthy limits.