Inguinal Hernia - symptom, Treatment of Inguinal Hernia
Inguinal Hernia Information
A hernia is a common disorder in which part of the intestine bulges through a weak area in muscles in the abdomen. Inguinal Hernia is also known as Groin Hernia. Inguinal hernia occurs in the groin area, when an organ, usually a part of the intestine, protrudes through the abdominal wall into the inguinal canal. Symptoms of inguinal hernia may include a lump in the groin near the thigh; pain in the groin; and, in severe cases, partial or complete blockage of the intestine. An indirect inguinal hernia protrudes through the internal inguinal ring, within the cremaster fascia, extending down the spermatic cord for varying distances. The direct hernia protrudes through the posterior wall of the inguinal canal, i.e., medial to deep inferior epigastric vessels, destroying or stretching the transversalis fascia. Inguinal hernias are caused by a weakness in the abdominal wall. In some people, this weakness is congenital, which means it is present at birth. This type of hernia is often painless, but may be tender and can cause discomfort during any type of physical strain, such as lifting or coughing. The main treatment for inguinal hernia is surgery to repair the opening in the muscle wall. This surgery is called herniorrhaphy.
The incidence of inguinal hernia (IH) in premature babies (9-11%) is higher than full-term (3-5%), with a dramatic risk of incarceration (30%). Associated to these episodes of incarceration are chances of: gonadal infarction (the undescended testes complicated by a hernia are more vulnerable to vascular compromise and atrophy), bowel obstruction and strangulation. Symptomatic hernia can complicate the clinical course of babies at NICU ill with hyaline membrane, sepsis, NEC and other conditions needing ventilatory support.
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