- An inguinal hernia is where some abdominal-cavity contents protrude through a weak spot in the inguinal canal.
- This type of hernia causes severe pain or discomfort while coughing, exercising, or during bowel movements. They are more common in men than in women.
- They initially occur in the lower abdomen and thigh and move towards the scrotum as a bulge in the groin. In the worst case, the herniated bulge may get strangulated, blocking the blood supply to parts of the intestine.
- Further, if the intestines become gangrenous, it may require amputation, increasing the cost as well as the risk to life and morbidity.
- It is usually caused due to fluids in the abdomen, heavy weightlifting, straining during bowel movements, overweight, chronic coughing and during pregnancy.
Signs And Symptoms
- Presence of a direct inguinal hernia shows the following signs:
- A lump around the pubic region which becomes more obvious by the day
- Feeling pressure or weakness in your pubic area
- Swelling around the testicles
- A burning or aching sensation in the lump
- Severe pain while coughing, bending, or lift something heavy
Inguinal Hernia Repair
Laparoscopic Inguinal Hernia Repair
- This surgery is usually performed under general anaesthesia unless a patient has some exceptional condition.
- Three tiny incisions are made around the hernial growth to insert the laparoscopic camera and necessary operating tools.
- The hernia sac is pushed back into the cavity, and the weakened opening in the wall is strengthened with a synthetic mesh.
Open Inguinal Hernia Surgery
- Open surgery involves a large incision (up to three inches) to be made over the hernial site and hence, is performed under general anaesthesia.
- The surgeon makes a necessary length of the incision over the abdominal wall.
- The contents of the hernial sac are appropriately pushed back inside its membrane wall, and the muscles around the weak spot are sewed closed with sutures.
- A synthetic mesh is then placed over the sewed portion to fortify it, and the exterior incision is closed.