Inguinal hernias are when organs in the abdomen (such as small intestines, intestinal fat) come out of weak areas in the abdominal wall and cause swelling under the skin. Throughout life, 27% of men and 3% of women have this problem. It is known that an average of 20 million people in the world have inguinal hernia surgery every year.
Generally, causes that increase intra-abdominal pressure such as straining, coughing, sneezing, and straining make the swelling prominent. If the hernia is not compressed, it disappears when you lie down.
Although classified as direct, indirect and femoral hernia, obturator hernias can also be seen. Indirect hernias are common in the society, seen at any age and can go down to the testicles. Direct hernias, as can be understood from the name, are hernias that arise directly from the weak area of the abdominal wall and the risk of being seen increases with age. Femoral hernias are less common. It is more common in women, and the risk of choking is higher than other types.
Why do inguinal hernias occur?
Causes of inguinal hernia can be congenital or acquired (later). It can develop from openings that need to be anatomically closed immediately after birth, or it may occur as a result of heavy lifting, constipation, straining, old age, excessive weight gain or weakness, chronic cough, urinary and defecation difficulties. In addition, pregnancy may develop acquired due to many reasons such as decreased collagen synthesis, movements that force the abdominal muscles and smoking.
It is more common in people who lift heavy and work by standing for a long time (such as hairdressers and waiters). Inguinal hernia can occur very easily, especially in weight-lifting athletes and occupational groups that have to lift weights.
Pay attention to the symptoms of inguinal hernia!
Inguinal hernias may not cause any symptoms at the initial stage. The person may not be aware of the inguinal hernia until it is noticed in the physician’s examination.
1. The most common symptom of inguinal hernia is swelling in the inguinal region and testicles. There may be pain and burning in the swelling area. In cases where intraabdominal pressure increases, complaints increase and decrease when lying down.
2. The pain may appear as cramps after meals, causing constipation. All these complaints actually occur when the intestines temporarily enter and exit the hernia sac. If the hernia comes out but does not go inside, it means that the intestinal and intestinal oils are drowned. This condition is defined as ‘strangulated hernia’, ‘pinched hernia’, ‘incarcerated hernia’, ‘strangulated hernia’.
3. Symptoms such as nausea, vomiting, loss of appetite, gas and bowel movements, abdominal distension, fever, redness and bruising in the hernia area may occur. It is an emergency situation, the hernia should be repaired with emergency surgery and the intestine should be re-blooded, otherwise the intestinal rotting, perforation, peritonitis (inflammation of the peritoneum) will start due to insufficient blood supply to the intestine.