An inguinal hernia that can't be moved back into the abdomen is called an incarcerated hernia. This is a dangerous situation because the part of your intestine inside the hernia can become strangulated, which is a medical emergency.
Symptoms of a strangulated inguinal hernia include:. Inguinal hernia is most often diagnosed through a medical history and physical examination. Your doctor will ask you questions about hernia symptoms. During the exam, he or she will look for and feel for a bulge in your groin or scrotal area. You may be asked to stand and cough to make the hernia appear. Inguinal hernias in children may only be seen or felt when the child cries. The way to repair an inguinal hernia is usually with a surgical procedure.
Adults with symptoms and most children usually have surgery to prevent the possible complication of a strangulated hernia in the future. An incarcerated or strangulated hernia may need emergency surgery. Open repair. An incision is made through the skin in the groin area. The surgeon moves the hernia back inside the abdomen and closes the abdominal wall with stitches. Sometimes, if the opening is large, the surgeon may use a synthetic manufactured mesh to strengthen the closure.
This type of surgery uses a few small incisions and a thin scope with a tiny camera. The surgeon works through the scope to repair the hernia. Synthetic mesh may also be used in laparoscopic hernia surgery. In open inguinal herniorrhaphy , one larger incision is made over the abdomen near the groin. In laparoscopic inguinal herniorrhaphy, multiple smaller abdominal incisions are made.
A long, thin tube with a lighted camera on the end helps the surgeon see inside your body to perform the surgery. The goal of either surgical approach is returning the internal abdominal tissue s back into the abdominal cavity and repairing the abdominal wall defect. Mesh is commonly placed to reinforce the abdominal wall. Once structures are put into their proper place, your surgeon will close the opening with sutures, staples, or adhesive glue. There are potential pros and cons to open inguinal hernia repair versus laparoscopic.
For instance, laparoscopic herniorrhaphy may be preferable if you want a shorter recovery time. But your risk of hernia recurrence may be greater with laparoscopic repair.
Follow these tips:. Early surgical treatment can help cure inguinal hernias. These can include infection after surgery or poor surgical wound healing. Call your doctor if you experience new symptoms or if side effects occur after treatment. A hernia occurs when an organ pushes through the muscle or tissue that holds it in place.
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An inguinal hernia happens when contents of the abdomen bulge through a weak area in the lower abdominal wall. Inguinal hernias are more common in certain age groups. Among adults, the chance of having an inguinal hernia increases with age, and inguinal hernias are most common in people ages of 75 to Symptoms of an inguinal hernia may include a bulge in the groin—the area between the lower abdomen and thighs a bulge in the scrotum in a male feelings of discomfort, pain, heaviness, or burning in the groin Your symptoms may get worse when you strain, lift, cough, or stand for a long time and may get better when you rest or lie down.
Seek medical help right away If you have symptoms of a stuck or strangulated hernia, seek medical help right away. Symptoms of stuck or strangulated hernias may include a hernia bulge that is suddenly larger than before a hernia bulge that used to go back inside the abdomen but no longer does fever redness in the area of the hernia sudden or severe pain or tenderness in the area of the hernia symptoms of intestinal obstruction, such as abdominal pain, bloating, nausea, and vomiting What causes inguinal hernias?
Indirect inguinal hernias are related to a defect in the lower abdominal wall that is present at birth. In a developing fetus, the inguinal canals have openings inside the abdomen that typically close before birth. In some cases, one or both openings remain open. Contents of the abdomen may bulge through this opening, causing a hernia.
While the defect is present at birth, an indirect inguinal hernia may not occur until many years later. Direct inguinal hernias are related to a weak area in the inguinal canal wall that develops later in life. Contents of the abdomen may bulge out through this weak area, causing a hernia. This type of hernia primarily occurs in men. Women and children rarely develop this type of hernia. It can appear as a swelling or lump in your groin, or as an enlarged scrotum the pouch containing the testicles.
The swelling may be painful. The lump often appears when you're lifting something and disappears when you lie down.
For information on other types of hernia , see:. An inguinal hernia usually happens when fatty tissue or a part of your bowel, such as the intestine, pokes through into your groin at the top of your inner thigh. It pushes through a weak spot in the surrounding muscle wall the abdominal wall into an area called the inguinal canal.
Inguinal hernias mainly affect men. Most are thought to be caused by ageing, although they can happen at any age.
This is because as you get older, the muscles surrounding your abdomen tummy can become weaker.
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