When is it necessary to operate the inguinal hernia?

Inguinal hernia is characterized by the protrusion of a small portion of the intestine , intrabdominal fat or other organs through the abdominal wall. This happens due to a weakening of the musculature, which allows this projection, more commonly in men, in the groin region.

Some hernias are very small and do not show symptoms , others have medium sizes and there are very bulky ones. There are cases where the bowel moves out and back into the abdominal cavity . In other cases, the intestine may become stuck , which is called incarceration .

But in what situations is it possible to live with the inguinal hernia and when is it necessary to have surgery to correct it? Is there also any other treatment that is effective for this problem? These are the questions we will answer in this article. Keep reading to learn more!

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What treatments are available for inguinal hernia?

The protrusion of the intestine usually happens through the hernial ring (or canal) , which should be closed during intrauterine life, after the descent of the testicles.

When there is a problem with the closing of this passage, or there is a weakness of the musculature in the region, the pressure that happens in that place leads to the development of the hernia . The correction of it can only be done through surgery.

It is not recommended to use straps or bands to press the hernia. There are also no specific drugs or exercises to correct it. Therefore, the definitive treatment is only achieved with the surgical procedure.

Do all patients need to operate the inguinal hernia?

Although surgery is the only effective treatment for correcting inguinal hernia, not all patients need to undergo this procedure as a first step. Today it is acceptable that small, asymptomatic hernias , which do not offer immediate risk to the individual, can be monitored . In the long run, most people with small, asymptomatic hernia develop pain and discomfort and will need to seek treatment.

The same is true for patients who, despite having larger and symptomatic hernias, for some reason cannot undergo the surgical procedure, either due to complications with anesthesia or health problems.

All others who can undergo the surgical procedure and must be treated in an elective way (planned and non-emergency), since the inguinal hernia brings a lot of discomfort and can worsen over time. In other cases, there is another more severe and worrying complication , in those incarcerated hernias. These require emergency surgical treatment.

In this situation, the portion of the intestine that protruded can be pressed and no longer receive oxygen and blood flow. As a consequence, their tissues undergo a process of necrosis, with the risk of rupture.

Can any inguinal hernia incarcerate?

Despite the risk of the hernia being strangled, the good news is that it does not happen in all cases . The annual risk of incarceration is less than 5% and they seem to occur more frequently in femoral hernias and in those with a small hernial ring.

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As you can see, inguinal hernia is not a problem that can be ignored. Therefore, if you notice symptoms such as a small swelling in the abdominal wall or swelling in the groin or testis region, it is very important to see a doctor and carry out the treatment as indicated, so that no major complications occur

 

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