Inguinal hernia

DEFINITION: For inguinal hernia is defined as a swelling inguinal expandable to coughing , caused by the leakage of a viscus , or a part of it , from the abdominal cavity.

ETIOLOGY : Alone accounts 90% abdominal hernias. Very common in the early years of life and adolescence onwards reaching a peak in old age. It affects men more ( females are more affected by another type of hernia that crural). It can occur after an intense physical effort and recognizes a hereditary predisposition.

SYMPTOMS: An inguinal hernia may be completely asymptomatic and only manifest itself in the form of inguinal swelling expandable to coughing. Unlike in some cases can cause pain with possible radiation to the thigh.

DIAGNOSIS : The diagnosis is essentially clinical (Visit Specialist) , possibly complemented by ultrasound.

TREATMENT: Outside of congenital hernias treated early and continuously , guardians restraints are only palliative remedies. The only effective solution is surgery. Evolved over the years, the operation currently consists of affixing a prosthetic mesh with tension free technique that precisely reducing tensions between conjoined tendon and inguinal ligament lowers the recurrence rate. The transaction is now executed under local anesthesia with early discharge. Depending on the characteristics of the hernia may also be indicated with laparoscopic TEP ( Totally Extra Peritoneal) o TAPP ( transabdominal preperitoneal).

COMPLICATIONS: Le ernie inguinali , if not treated , tend to evolve increasing in size over time. Strangulation , real complication of the disease that requires immediate evaluation by a general surgeon , can occur at any age with more ease in hernias smaller. When you have a bowel ,or a part of it , migrates into the hernial defect and is no longer able to shrink in the abdomen. At this point comes a venous stasis caused by the Track strozzante on the veins that prevent the normal flow of blood. Appears as anoxia ( decrease in oxygenation borne by the herniated viscera) , infarcimento emorragico (condition in which the parenchyma of an organ is "flooded" with blood) e Infine time rena ( condition in which there is decomposition of the tissues).

SURGERY FOR inguinal hernia

Indications for surgery

Symptoms apart , the intervention is always indicated when you are in the possibility that the hernia throttle ( CEO. Complicanzioni).

Results

The goal of the project is the prevention of complications related to the disease mainly strangulation. The technique we adopted under local anesthesia allows you to have the best aesthetic results ( absence of sutures) , to walk immediately after the operation and resume normal activities, including the early work. The technique used , tension-free attachment of prosthetic mesh with preformed , allows to drastically reduce the rate of recurrence failing areas of traction in the intervention. This also justifies the absence of pain post / operative typical of past interventions.

The intervention

It is performed under local anesthesia and can last depending on the indication by 30 a 60 minutes. Will be administered a single incision at the groin that will be synthesized with intradermal suture. The technique we used , tension free , contemplates the application of a prosthetic mesh preformed. At the end of the intervention will be applied a dressing and a splint to wear while in restraining day for some time.

Conclusions relating to the intervention

• Duration intervention: 30-60 my
• Type of anesthesia: Local
• Dressings: 2
• Length of stay: 5 hours
• Resumption of normal activities: 8 gg. ( heavy activity / sport 15-30 gg)