Can A Small Inguinal Hernia Repair Itself?

Overview

Inguinal hernia Illustration | Cleveland Clinic — Inguinal hernia

What is a hernia?

A hernia is a common status that occurs when part of an internal organ or tissue bulges through a muscle. Hernias tin can occur effectually the umbilicus, through a surgical scar, in the diaphragm, or in the groin (the area between the abdomen and the thigh on both sides of the body).

What is an inguinal hernia?

An inguinal hernia occurs when the intestines or fat from the belly burl through the lower abdominal wall into the inguinal, or groin, expanse.

At that place are 2 types of inguinal hernias:

Indirect inguinal hernias: This type of hernia is acquired by a birth defect in the abdominal wall that is built (present at nascency).
Direct inguinal hernias: This blazon of hernia usually occurs in adult males. These are almost often caused by a weakness in the muscles of the abdominal wall that develops over time, or are due to straining or heavy lifting.

Hernias can be on one or both sides of the abdomen. Direct inguinal hernias are more than common later in life considering the abdominal wall weakens with age.

An inguinal hernia is usually not dangerous. However, it tin can exist painful, especially when lifting, bending, straining with a bowel movement, or cough. Direct inguinal hernias usually occur in adult males whose abdominal muscles have weakened.

Who gets an inguinal hernia?

Adult males over age 40 are much more likely to develop direct inguinal hernias than females. About 25% of males, and only almost 2% of females, will develop an inguinal hernia in their lifetime.

A family history of having an inguinal hernia, smoking, and men who accept had previous abdominal surgery are at greater risk for developing an inguinal hernia.

What is an incarcerated or strangulated inguinal hernia?

Incarceration or strangulation of inguinal hernias is rare, but serious complications can develop if a hernia is left untreated.

Incarcerated hernia: Incarceration occurs when part of the fat or intestine from inside the belly gets stuck in the groin or scrotum and cannot get back into the abdomen.
Strangulated hernia: Strangulation can occur when an incarcerated hernia is non treated. The claret supply to the intestine can be cut off, causing "strangulation" of the intestine. This is a very serious condition. You should seek firsthand medical attending if you suspect you take an incarcerated or strangulated inguinal hernia.

Symptoms and Causes

What are the symptoms of an inguinal hernia?

Inguinal hernias may be painless or cause no symptoms, especially when they first appear. Symptoms that can develop include:

A bulge on one or both sides of the groin that disappears when lying down.
Pain in the groin, especially when lifting, coughing or exercising.
A feeling of weakness, heaviness or burning in the groin.
A swollen scrotum (the sac-like a part of the male genitalia underneath the penis).

Diagnosis and Tests

How is an inguinal hernia diagnosed?

If you suspect you or your child has an inguinal hernia, you should seek medical attending. If it is not treated, an inguinal hernia can develop into a serious condition.

Your healthcare provider may enquire nigh family history, as inguinal hernias tend to run in families. He or she may then perform a concrete examination to experience for a hernia bulge. You lot may exist asked to coughing or strain to see if the hernia comes out.

An intestinal Ten-ray or CT browse may be ordered to look for a hernia and decide if information technology is strangulated or incarcerated.

Management and Treatment

Practise all inguinal hernias crave surgery?

Sometimes a healthcare provider can push button or "reduce" a small inguinal hernia dorsum into the abdomen with gentle massage. If this does not work, surgery may be needed.

An inguinal hernia does not get ameliorate or go abroad on its own. If you are diagnosed with an inguinal hernia, your doc will likely recommend surgery.

How is an inguinal hernia repaired?

Inguinal hernia repair is a mutual surgical process. Inguinal hernia surgery is also called herniorrhaphy or hernioplasty. There are three types of inguinal hernia repair:

Open up hernia repair: A surgical procedure in which an incision, or cut, is made in the groin. The surgeon then pushes the hernia dorsum into the abdomen and strengthens the abdominal wall with mesh and stitches. This surgery may be washed under local anesthesia for the abdominal area, or general anesthesia in which you will be put to sleep.
Minimally invasive or laparoscopic hernia repair: A less invasive surgical procedure in which the surgeon makes small, half-inch cuts in the lower abdomen and inserts a laparoscope (a thin tube with a tiny video camera attached). The laparoscope sends images to a video monitor and the surgeon to repairs the hernia through the small incisions.
Robotic hernia repair : Like laparoscopic surgery, robotic surgery uses a laparoscope, and is performed in the same way (small incisions, a tiny camera and projecting the inside of the abdomen onto television screens).

Robotic surgery differs from laparoscopic surgery in that the surgeon is seated at a panel in the operating room, and handles the surgical instruments from the console. While robotic surgery tin be used for some smaller hernias, or weak areas, it tin now besides be used to reconstruct the abdominal wall.

What are the risks of inguinal hernia repair surgery?

The risks of inguinal hernia repair include:

Infection
Haemorrhage
Pain that is non relieved by medication

Long-term complications are rare, but can include nerve harm or a render of the hernia, which requires a 2d surgery.

Outlook / Prognosis

What can be expected in the recovery after inguinal hernia repair surgery?

Recovery from both minimally invasive and open surgery usually requires medication for several weeks to care for postoperative pain. You will also exist brash to not lift anything heavy or engage in vigorous activity.

Minimally invasive hernia surgery ordinarily has a shorter recovery time. However, it may not be an pick for patients with large hernias or those who have had previous abdominal surgery.

Infants and children usually have a quicker recovery than adults from inguinal hernia repair surgery.

What is the prognosis (outlook) for someone who has had inguinal hernia repair?

Patients who accept had inguinal hernia repair mostly do very well. Post-obit surgery, y'all may be brash to maintain a healthy weight and avert heavy lifting or straining during bowel movements. These steps tin can assistance to forestall your inguinal hernia from returning.

Source: https://my.clevelandclinic.org/health/diseases/16266-inguinal-hernia

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