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Inguinal hernia

General and vascular surgery
Procedure in numbers

60-90 minutes

Time of procedure

7 days

Time of recovery

general surgeon

Who makes procedure

general aneasthesia

Type of anasthesia

Other general and vascular surgery
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All about procedure

Inguinal hernia is a common condition. It can occur as an acquired or congenital condition. In infants up to the age of 3 months, it may go away on its own. In other cases, it may require surgery. Inguinal hernia is ten times more common in men. There are two types of inguinal hernia:
• Oblique inguinal hernia, also known as the lateral inguinal hernia
• Straight inguinal hernia, called the medial inguinal hernia.

The oblique inguinal hernia begins in the deep ring. The hernia canal is the inguinal canal. The orifice  of this type of hernia is located under the skin near the scrotum in the so-called superficial ring. The  straight inguinal hernia differs from the oblique hernia. It does not originate from the inguinal canal but directly from the abdominal cavity. This is the result of a weakening of the muscles of the lower abdomen. Its outlet is also around the scrotum.

Inguinal hernia symptoms:

  • a tumor in the groin mainly appearing when standing,
  • a groin tumor appearing when coughing, physical exertion,
  • a feeling of pain after physical exertion, when coughing, prolonged standing.

The first symptoms of inguinal hernia are not clear-cut for this condition. There is pain in the groin that is not unequivocal. At the time of disease progression, paroxysmal pain may appear, which may be accompanied by constipation. The effect of not diagnosing this condition is the formation of a soft tumor that can appear and disappear when at rest. The next stage of disease development is the tumor remaining permanently, which is an irreversible process. This change is an indication for surgical treatment. An untreated hernia can become trapped, which is a direct threat to life.

Surgery must not be given to patients who take anabolic drugs or abuse alcohol. Good test results and good health are also important when qualifying for surgery. Therefore, before the planned procedure, the necessary blood tests are performed:

  • morphology,
  • blood coagulation factors (APTT / INR),
  • creatinine,
  • electrolyte levels (Na-sodium, K-potassium),
  • blood group (standard for procedures under general anesthesia).

An anesthesiological interview is conducted immediately before the procedure and an interview with an anesthesiologist during which the patient can learn all aspects of general anesthesia. About two weeks before surgery, smoking should be stopped – it has a significant impact on the wound healing process. You should also avoid taking medicines that thin the blood, e.g. aspirin. On the day of the operation, do not eat or drink beverages (including water) for a minimum of 6 hours before surgery.

The only method to remove inguinal hernia is surgery. Inguinal hernia surgery is a relatively simple procedure that mostly require general anesthesia. The exception is surgery of children, in this case general anesthesia is recommended.

Operating methods:

Inguinal hernia surgery involves stitching a defect in the fascia so as to close the hernia’s gates and prevent the organs from escaping. It is a relatively short procedure that lasts about 60 min. The most popular method of treatment is the so-called traditional method of restoring the fibrous-muscular defect of abdominal wall elements.

Another operational method is the so-called a tension-free method involving the restoration of a defect of the abdominal wall using artificial materials – meshes. Non-absorbable meshes are placed in the cavity. This treatment is highly effective because it gives almost 100% certainty of cure, in addition, guaranteeing that the symptoms will not recur. The method used during the procedure is selected individually for each patient during medical consultation.

 

 

After the procedure, proper care of the wound is important. It should be washed with a mild cleaning agent to prevent infection of the wound. An equally important stage of convalescence is to minimize physical effort. The wound was made as a result of cutting and the internal sutures need a certain amount of time to recover. External sutures are removed between 7-10 days after surgery (the date of suture removal is decided by the attending physician). The duration of stay in the clinic is 1 day, then recovery time takes place at home.

  • poor blood test results
  • unregulated blood pressure
  • untreated diabetes
  • coagulation disorders
  • infections
  • purulent or inflammatory skin infections.

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