Michigan Medicine

A hernia occurs when an electric organ protrudes through the wall of muscle that encircles it. There are a few unlike types of hernia that can occur in the area of the breakwater. For more information on inguinal and femoral hernia, and the symptoms and treatment methods associated with these hernias, please see below .

Inguinal Hernias

inguinal hernia, besides known as groin hernia, occur when a moment of weave protrudes through a weak spot in the muscles between the upper second joint and the lower abdomen .
inguinal hernias are normally caused by an open in the brawn wall that should have closed before birth but alternatively remained open. Because of that abnormality, there is a weak spot in the abdomen .
When tissue pushes through that weak spot, it creates a bulge, or hunk, that tends to be painful, though not inevitably dangerous.

Symptoms

The primary coil symptom of an inguinal hernia is a hunk or bulge in the area of the breakwater. That bulge may appear all of a sudden, after you have been coughing, laughing, lifting heavy weights, or otherwise filter, or it may develop over a longer menstruation of weeks or even months .
You may experience pain or general discomfort in the sphere of the breakwater, particularly when straining. inguinal hernia can cauase significant discomfort, and may besides be associated with an ache or burning feeling in the area of the start. You may besides experience a sensation of dragging, press, or weakness in the breakwater .
Some male patients may experience swelling and annoyance around the testicles, if the jutting tissue descends into the scrotum .

Causes

inguinal hernia can be caused by any one of the come, or by a combination of factors :

  • Chronic coughing
  • Chronic sneezing
  • Increase of pressure in the abdomen
  • Pregnancy
  • Straining during bowel movements
  • Strenuous activity
  • Weak spot in the abdominal wall

The lawsuit of an inguinal hernia, however, is not always immediately apparent .
many people develop inguinal hernia later in liveliness, when their muscles have weakened with old age, or when they are more vulnerable following abdominal operating room or an injury. many others, however, experience a weaken in the abdominal wall during birth, when the peritoneum ( abdominal line ) doesn ’ thyroxine close as it should .
In men, that abdominal weak spot normally develops in the inguinal canal, which is where the spermous cord enters the scrotum. Women, on the other hand, have a ligament in their inguinal canals that helps to hold the uterus in position. Hernias can develop in the place where connection tissue from the uterus is joined to the tissue surrounding the pubic bone .

Risk Factors

Certain populations seem to be at greater gamble of developing inguinal hernia than others. gamble factors include the succeed :

  • Aging: Muscles grow weaker with age.  
  • Being male: Men are more likely to develop inguinal hernias than women.
  • Chronic constipation, which usually causes excessive straining during bowel movements.
  • Chronic cough, particularly when caused by smoking.
  • Family history: If you have had a parent or sibling with an inguinal hernia, you may be at greater risk of developing one yourself.
  • Premature birth and low birth rate are both associated with greater incidences of inguinal hernias.
  • Previous inguinal hernia or hernia repair: Those who have already suffered an inguinal hernia are at greater risk of developing another one.

Complications

In some cases, an inguinal hernia can result in extra complications. These may include :

  • Incarcerated hernia: A hernia can grow to obstruct the bowel if its contents become trapped in the weak area of the abdominal wall. An obstructed bowel will result in nausea, vomiting, an inability to pass gas or have a bowel movement, and severe pain.
  • Increased pressure on surrounding tissue: If not treated promptly with surgery, most inguinal hernias will grow larger over time. In men, this means that a hernia may extend into the scrotum, resulting in swelling and pain.
  • Strangulation: An incarcerated hernia may block the flow of blood to part of your intestine. That strangulation can result in the death of the affected bowel tissue. A strangulated hernia requires immediate surgery; it is life threatening.

Femoral Hernias

femoral hernias occur when a bit of tissue bulges through the lower belly and into the upper second joint, in the area just below the groin rumple. femoral hernia are sometimes mistaken for inguinal hernia because they occur in a nearby localization .
femoral hernias are relatively uncommon. In fact, fewer than 5 % of all hernias turn out to be femoral hernia .
femoral hernia occur more normally in women than in men .

Symptoms

femoral hernia may not present any symptoms at all, specially if they are of a little or metier size .
Larger hernia may become visible as a swelling or bulge in the area of your amphetamine thigh. That bulge may cause discomfort or pain when you try to stand up, lift a heavy aim, or tune in another way. Because femoral hernias are in many cases located in near proximity to the hip bone, they may cause annoyance in the hip .

Causes

As with inguinal hernia, the causal agent of a femoral hernia is not always clear. While the area of the femoral canal may have weakened over time, you may besides have simply been born with a sabotage femoral canal .
It does seem clear that straining can cause the muscle walls to weaken, thereby increasing the chances of developing a femoral hernia. Activities that may contribute to straining include :

  • Being overweight
  • Childbirth
  • Chronic coughing   
  • Chronic constipation
  • Difficulty urinating caused by an enlarged prostate
  • Heavy lifting

Complications

When left untreated, a femoral hernia can result in extra complications, some of them severe. These complications may include :

  • Incarcerated hernia: A hernia can grow to obstruct the bowel if its contents become trapped in the weak area of the abdominal wall. An obstructed bowel will result in nausea, vomiting, an inability to pass gas or have a bowel movement, and severe pain.
  • Strangulation: An incarcerated hernia may block the flow of blood to part of your intestine. That strangulation can result in the death of the affected bowel tissue. A strangulated hernia requires immediate surgery; it is life threatening.

Diagnosis

In most cases, your doctor will be able to determine whether you are in fact suffering from a hernia, whether it is an inguinal or a femoral hernia, just by looking and by gently palpating the involve sphere .
If for some reason a diagnosis international relations and security network ’ triiodothyronine immediately apparent, your sophisticate may decide to order an imaging test, such as an abdominal ultrasound, CT scan, or MRI. These imaging tests can help to show the hole in the muscleman wall, along with the tissue protruding from it .

Treatment

Inguinal and femoral hernia that have no symptoms may not require any treatment at all. Your sophisticate will discuss your options with you regarding surgery or alert wait .
Hernias that are causing discomfort or have incarcerated, normally require surgical animate to relieve the discomfortas well as to prevent complications .
There are two types of surgical hernia animate : open and minimally invasive operation. The type of operating room choose will depend on the austereness and type of hernia you ’ ve developed, the anticipate recovery time, your aesculapian and surgical history, and your surgeon ’ s expertness .
Open Surgery
During this procedure, your surgeon will make a little incision into your groin, and then push the start tissue back into your abdomen. Your surgeon will then sew up the hurt area. In some cases, your surgeon will use a synthetic engage to reinforce that weakened area .
open surgery can be performed either with general anesthesia or with sedation or local anesthesia .
After your operation, it might be several weeks before you ’ re able to in full resume your normal activities. however, it ’ mho distillery important that you begin moving about again angstrom soon as possible for a healthier recovery .
Minimally Invasive Surgery
minimally incursive operating room is performed under general anesthesia .
During this operation, your surgeon will make a few humble incisions in your abdomen. Your surgeon will then inflate your abdomen, using a special gas, in order to make your internal organs easier to see .
Your surgeon will then insert a small, narrow pipe into one of the incisions in your abdomen. This tube has a bantam camera, or laparoscope, at the end of it. That camera serves as a kind of steer for your surgeon, who is then able to insert surgical instruments through the other incisions in your abdomen. Your surgeon will repair the hernia using mesh .
Because minimally invasive operation allows the surgeon to avoid scar tissue from earlier hernia repairs, it may be an specially good option for people who have had their hernia recur following traditional hernia operating room. It may besides be a good choice for people with bilateral hernias, or hernia on both sides of the body.

Patients who choose minimally encroaching operation may experience less scar and discomfort following operating room than those who choose clear operating room. Patients may besides be able to return more promptly to their normal activities .
Your doctors will speak with you in detail about all of your discussion options and will recommend a course of action good suited to your individual needs .

Make an Appointment

To discuss a potential hernia operation, contact the Surgery Call Center at ( 734 ) 936-5738 .

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Category : Health

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