A combination of muscle weakness and strain, such as lifting heavy objects, can cause a hernia. Some people are born with weak abdominal muscles and may be more prone to hernias. Treatment is usually muscle wall surgery. Untreated hernia can cause many problems
Today, people call groin protrusion a hernia or hernia wind. The point is, hernias can occur anywhere on the body. In fact, the displacement of the organs of the body from its natural position is called a hernia.
There are also abdominal wall hernias, intestinal hernias, or brain hernias, but most people are more familiar with groin and umbilical hernias. There are different types and causes of abdominal wall hernias. The most common abdominal wall hernia is an inguinal or inguinal hernia (groin), which is more common on the right side. Abdominal wall hernias may be present in different places and under different names, here I am only referring to groin hernia and umbilical hernia.
Abdominal wall hernias have different causes, but they are divided into congenital and acquired groups. Congenital causes, which are mostly due to genetic defects in the anatomical course of the testicles, are seen in children even at birth and may even contain fluid. Acquired hernias are more common at older ages and are caused by smoking, strenuous activity, lung problems and chronic cough, muscle problems, a history of area surgery, and more. Of course, hernias that develop at a young age can also be congenital.
In general, in hernias, an important issue that must be considered is what organs and elements the hernia contains. Abdominal wall hernias mostly involve the organs inside the abdomen and intestines and omentum (chadorine) and should be considered. It does not matter what the cause of the hernia is, it must be operated on in any case.
The symptoms of hernias are most often manifested as lumps in the umbilicus or groin that vary in size. In cases of umbilical hernia, a round mass comes out of the middle of the umbilicus, which can be the size of a walnut to the size of a soccer ball, depending on the stage of the hernia and the defect of the abdominal wall.
Anatomically, the abdominal wall is composed of different layers that are completely strong and on top of each other. Appear as a mass.
Another symptom is pain, pain is an important issue that must be addressed. Basically, hernias are subject to the condition of the patient, small and large, in and out. It comes out when you cough or push and goes in when you sleep. Most patients experience vague groin pain when standing too much due to hernia pressure.
Sometimes hernias (mostly in the groin) may present with vague pain in the area and may not be felt on mass examination, and the patient may complain of pain.
In the case of groin hernias, it may start in a small mass or progress to the inside of the scrotum, causing the scrotum to enlarge and sometimes become as large as a basketball that encloses the patient’s intestines.
The important thing is that as long as these lumps are mobile, they do not have a problem, but sometimes these lumps get stuck and cause severe pain, which is part of medical emergencies and must be removed. Restore the original.) Of course, hernia placement is only allowed in groin hernias and is not prevented up to twice, but all other hernias must be operated on and placement is not allowed. Of course, groin hernia placement is also a condition that when the hernia gets stuck due to intestinal obstruction and reduced blood flow, there is a possibility of intestinal rupture inside the hernia, which if this problem develops and the intestine becomes black, placement is not allowed and the patient must Emergency surgery or when the hernia does not fit after two implants should be operated on as an emergency.
Symptoms of ischemia (decreased blood flow) and anemia and the possibility of intestinal rupture include abdominal pain, fever, severe nausea and vomiting, and a blood infection that the patient must undergo surgery.
Inguinal hernias (groin) should be operated on whenever diagnosed, but do not require emergency surgery. (Except in the cases mentioned) and should be operated on as an outpatient as soon as possible. Elderly people who are not in a good general condition and do not have the conditions for surgery can be treated conservatively and not operate on the patient. But in emergencies, these patients must also have surgery. In some cases, the hernia gradually enlarges and gets stuck inside the scrotum, which occurs over time and these hernias should be feared.
The incision site of the groin hernia is slightly lower than the incision of the appendix on the abdomen on both sides.
In cases of umbilical hernia in old age, surgery must be performed. In children, it can be waited until the age of 4, but in cases where it stays for more than 4 years or gets stuck or the diameter of the abdominal defect is more than one finger (ie the tip of the finger enters the abdomen) surgery should be performed.
Hernias that enter the scrotum are sometimes mistaken for testicular masses and testicular varicose veins, so be sure to see a doctor if in doubt.
In cases of hernia, you should see a doctor and consult with him about surgery to prevent more dangerous complications.
The most common questions that people ask are:
Does the hernia recur after surgery?
Yes – hernias may recur after surgery, depending on the surgical technique. In hernia surgery, we sometimes use a mesh or artificial mesh to prevent the hernia from recurring like a backup, sometimes recurring.
Does a hernia repair the hernia?
No – In the case of groin hernias, there is no problem for a limited time that the patient does not have time for surgery, but it does not cure it.
What are the complications of hernia surgery?
The most common complication of hernia surgery is pain in the area, which sometimes lasts up to a year and is annoying. Taking painkillers and wearing tight shorts that lift the testicles can help.
Bleeding and enlargement of the area may be a complication of late surgery, which usually does not require special work and is improved by symptomatic treatment (hot water compress and analgesic).
The point is that heavy activity should not be started immediately after surgery and increases the risk of recurrence of the hernia. Wound amnesties, like any other wound, can occur. In principle, after hernia surgery, the wound should not be watered for 48 hours, but after that the patient can go to the bathroom.
Other complications of hernia surgery include burning and itching of the area, which is not an important point. In bilateral hernia surgery, sterility is also seen in cases where the technique is incorrect, which is very rare. Exercising the abdominal muscles in general prevents the recurrence of hernias. Groin hernias are more common in people with loose abdominal muscles.
So the point to consider is that if you have a hernia, always go to a surgeon immediately to be consulted about it.
If the hernia gets stuck, be sure to go to the emergency room because it is part of the surgical emergency department. Today, laparoscopic methods are also used for hernia surgery, which reduces its complications and is more acceptable in terms of beauty and problems of the operation site than the open method.
Of course, laparoscopy is not used on all types of hernias.
One of the questions that most men have after hernia surgery is when to start a marital relationship after hernia surgery that has nothing to do with surgery and can have sex whenever the patient is not in pain.
Source – Bitoteh