Inguinal Hernia

Inguinal Hernia

What is an inguinal hernia?

This type of hernia results in a bulge in the groin. It occurs due to a weakness in the lower abdominal muscles. It is associated with the inguinal canal through which blood vessels, nerves and the spermatic cord pass through to the scrotum.

This is the most common type of hernia and is seen more commonly amongst males. When the hernia enlarges it can move from the groin in to the scrotum and this is called inguinoscrotal hernia. When you have a hernia in one groin there is a 33% chance that you can get a hernia in the opposite groin as well.

What are the symptoms?

Symptoms include: lump in the groin, discomfort and dull pain.

Complications

Complication risks include Obstruction and Strangulation.

Treatment

You can have open surgery with a cut in the groin or Key hole (Laparoscopic) surgery.

If you are having open surgery you can have a general anaesthetic, regional anaesthetic or local anaesthetic depending on your fitness and preference.

An incision is made in the groin. The hernia sac is identified. The sac is opened, emptied and excised. The hernia is repaired with a non-absorbent mesh and the skin is then closed with absorbable stitches. The surgery takes about 30 minutes.

Key-hole  surgery is  done under General anaesthetic. You will have 3 small incisions in the abdomen which will be 0.5cm to 1cm in length. The sac will be reduced in to the abdominal cavity The hernia is repaired with a non-absorbent mesh and the skin is then closed with absorbable stitches. If you have hernias in both groins, both can be fixed with the same skin incisions and at the same time. The surgery takes about 30 to 40 minutes for one side and about an hour for two sides.

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