exp. Dr Sarp Kaya Görür spoke about inguinal hernias and surgery. Defining inguinal hernia as a weak area between muscle and connective tissue or a situation where organs or adipose tissue in the abdomen come out through a tear in a pouch, Uzm. Dr Sarp Kaya Görür said: “Swelling in the groin area that occurs when standing is one of the symptoms of an inguinal hernia. In addition, this swelling can disappear by itself when the patient lies down, or sometimes it disappears by pressing the hand of the patient.Inguinal hernia treatment is done with surgical interventions and operations.The aim of the surgical treatment of an inguinal hernia is to move the hernia organs and the hernia sac into the intra-abdominal cavity and get rid of the weakness in the abdominal wall so that the hernia does not recur.
In whom is an inguinal hernia usually seen?
According to Dr. Görür says: “The most common indirect type is seen. The incidence of inguinal hernias is high in infants under one year of age and in men over 40 years of age. In men over 75 years of age, inguinal hernias are observed in nearly one in two men ( 47 percent). However, this should not be construed as ‘inguinal hernia is never seen in women.’ requires emergency surgery, is more common in women than men and results in emergency surgery.
What are the causes of inguinal hernia?
Noting that there is a hereditary (genetic) predisposition to inguinal hernias, said Dr. Görer: “Some people’s connective tissue is more prone to tearing, and if your first-degree relatives have an inguinal hernia, you’re eight times more likely to develop it than a normal person. However, if there are no facilitating circumstances that could cause an inguinal hernia, no one can say something like “you will definitely get an inguinal hernia.” Continuous coughing, straining and heavy lifting has been shown to increase the risk of inguinal hernia. Smoking, constipation, prostate enlargement can be demonstrated among other risk factors that can cause an inguinal hernia. In addition, inguinal hernias are more common in overweight people than in people of normal weight.
Noting that pain will not be perceived in every patient as a symptom of an inguinal hernia, Uzm. Dr Sarp Kaya Görür said: “Pain from inguinal hernia can arise as a result of pressing the hernia sac on the nerves here or as a result of suffocation of the organs and fatty tissues in the hernia sac. This condition usually requires immediate surgical intervention. To for this reason, a general surgeon or emergency room should be consulted without wasting time.Femoral type inguinal hernias, which are more common in women, are not visible from the outside because the hernia sac is very small.However, inguinal hernias can cause severe inguinal pain or pain in the inner thigh, which increases when the patient stands up or does sports, coughing, straining. Of course, these patients often mainly refer to physiotherapy or orthopedic specialists. After examination and examination, it is clear that there is an inguinal hernia.”
How to treat an inguinal hernia?
Sharing information on the treatment of inguinal hernias, Görür said: “Inguinal hernia is a mechanical problem. For this reason, it is not possible to treat an inguinal hernia with medication. Because inguinal hernia contains a tear and weakness in the abdominal wall, the treatment is done with surgical interventions and operations to solve these problems. In the simplest definition, the goal of surgical treatment of an inguinal hernia is to reposition the hernia organs and the hernia sac in the intra-abdominal cavity and eliminate the weakness in the abdominal wall so that the hernia does not recur. In the past, this procedure was done by bringing the solid layers of tissue in the abdominal wall together and stitching them together in a way to cover the weak area and the torn area in the abdominal wall.
Görür stated that recently, with the development of synthetic plasters, repairs have been made by supporting the opening in the abdominal wall with a synthetic plaster (mesh graft), Görür said: “In cases where this is not possible, tissue-based repairs are still performed. in a number of specialized centers.If, after previous inguinal hernia surgery, a new hernia has developed in the same inguinal hernia, then it is necessary to restore the previously unused side at the second surgery.In other words, if there was a closed operation before performed an open repair should be performed and if an open repair has been performed a closed repair should be performed Since both methods (tissue-based and synthetic patched repairs) have their own pros and cons, they should be discussed with the physician After consultation with the doctor, your doctor will decide which method is most suitable for you.