Inguinal hernia what things and how to recognize it
Inguinal hernia: what is it?
When the integrity of the inguinal region is compromised by a structural defect, the abdominal contents tend to leak from their natural location resulting in what is known as a hernia.
Depending on the anatomical structure involved, we can subdivide inguinal hernias into direct or indirect hernias (also called external oblique).
Often the inguinal hernia begins initially on a single side, but it is very frequent that the contralateral side, in a more or less short time, also manifests the pathology. It is not uncommon to find the simultaneous presence of bilateral and bilateral inguinal hernia. umbilical hernia.
Inguinal hernia cannot heal spontaneously because the fibers of the connective tissues affected by the pathology have no possibility to regenerate. On this principle, physical training can in no way eliminate the pathology and sometimes instead can aggravate it.
The process of aggravation over time is a constant, and the risks of the condition complicating into astrangulated hernia are often more than gigantic.
Therefore sooner or later it is necessary to consider surgery to return safely and solve.
Inguinal hernia: how to recognize it
Often during exertion, a sudden burning or a feeling of heaviness is felt in the affected groin. This onset may be followed by a sense of swelling and soreness in the following days, also in some cases, the pain may radiate to the testicle or to the inner side of the thigh.
The phenomenon may subsequently regress and no longer occur for several months, but in reality the anatomical defect remains and worsens over time. As the pathology evolves, the hernia sac expands more and more.
This is perceived by the patient as a swelling, swelling, orasymmetry of the groin.
The deformity that is created is often visibly variable with increasing abdominal pressure,with physical exertion or standing for a long time.
Frequently due to the tolerability of symptoms, those with inguinal hernia develop the (mistaken) belief that it is possible to live with this condition.
With the passage of time also some manifestations may appear, which generally are not directly related to the disease, but in reality sometimes are part of it.
Difficulty passing bowel, nausea, vomiting, or abdominal pain are signs of intestinal distress, which may be a prelude to a hernial stricture.
Finally, in even more insidious cases, the hernial bottleneck can arrive out of the blue and without warning.
A strangulated hernia is defined as the irreversible engagement of the bowel in the herniated defect and its eventual necrosis, which results in a shift from a planned, minimally invasive repair to a major operation performed in an emergency.
