Inguinal Hernia

An inguinal hernia refers to the condition when tissues, such as those which are a part of your intestines, find a weak spot in your abdominal muscles and protrudes outwards. This may often result in a painful bulge, especially at times when you bend over, lift heavy objects or cough.

Usually, if the hernia is small, your doctor might just ask you to wait and leave it untouched. In children, manual pressure may also be applied to reduce bulging. Enlarged or very painful hernias, however, require surgery for the prevention of complications and for relieving discomfort.

Generally, there are two types of hernia repair surgeries which are as follows:

Open hernia repair surgery: This type of surgery is carried under sedation by local anaesthesia, and ensures an incision being made in the groin to push back the protruding tissues into the abdomen. The weakened area is then sewn back, and reinforced with the help of a synthetic mesh, a procedure called hernioplasty. The opening is then closed down using staples, surgical glue or stitches. Though movement as soon as possible is recommended, exertion must be avoided.

Laparoscopy: This is a kind of minimally invasive surgery, done with the aid of local anaesthesia. In this procedure, multiple small incisions are made in the abdominal region and then gas is used in order to inflate it, to make visibility easier.

Groin Hernia

Groin hernia is a weakness in the muscles and tissues of the groin.

Both men and women have natural weaknesses in the tissues of the inguinal canal, a passage from the inside of the abdomen to the scrotum in men and labia in women. This passage normally seals off during development. An indirect inguinal hernia occurs when the inguinal canal does not close completely. Over time, this opening enlarges and organs in the abdomen push into the canal. A direct inguinal hernia occurs when the weakness is in the floor of the inguinal canal rather than through its opening. Direct and indirect hernias cause similar symptoms and look nearly the same on physical examination. Lower in the groin, another area that can form a hernia is the femoral canal, which contains blood vessels that travel from the abdomen to the legs.

Factors associated with development of groin hernias include smoking, long-term coughing, obesity, and straining during urination or bowel movements. Groin hernias are more common in men—25% develop a hernia over the course of their lifetime. Indirect hernias are the most common groin hernia in men and women. Femoral hernias most often occur in women and most frequently require surgery.