Direct and indirect hernias are the two types of inguinal hernia, and they have different causes. The current prevalence rate, excluding operated hernias, was 18 per 100 men aged 25 and over, and the lifetime prevalence, including operated hernias, was 24 per 100. Ultrapro hernia system versus lichtenstein repair in. A hernia is the exit of an organ, such as the bowel, through the wall of the cavity in which it normally resides. Symptoms are present in about 66% of affected people. Wechter, md, facs, general surgery practice specializing in breast cancer, virginia mason medical center, seattle, wa. An inguinal hernia occurs when the abdominal cavity bulges through the opening in the muscle. A hernia is strangulated when the blood supply to the intestine or hernia. Often it gets worse throughout the day and improves when lying down. An inguinal hernia can occur any time from infancy to adulthood and is much more common in males than females.
Definition inguinal hernia is an outpouching of the per itoneum, with or without its contents, which occurs through the muscles of the anterior abdominal wall at. There was a significant difference between indirect and direct inguinal hernias in respect to strangulation rate 32. Amyands hernia is an uncommon form of inguinal hernia. A reducible hernia can be pushed back into the opening. The authors examined risk factors for incident inguinal hernia among us adults 5,316 men and 8,6 women participating in the first national health and nutrition examination survey 19711975 who were followed through 19921993 for a hospital international classification of diseases, ninth revision, clinical modification, code 550 or physician diagnosis of inguinal hernia. Hernia inguinal hernia inguinal indirecta hernia inguinal directa hernia femoral hernia inguinal recidivante 15. Little is known about the epidemiology of inguinal hernia in resource poor settings, however the prevalence of inguinal hernia in tanzanian adults is 5.
Inguinal hernias occur when part of the membrane lining the abdominal cavity omentum or intestine protrudes through a weak spot in the abdomen often along the inguinal canal, which carries the spermatic cord in men. Hernia inguinal 120912212802 phpapp01 abdomen medicina. Symptoms of an inguinal hernia usually appear gradually and include a bulge in the groin, discomfort or sharp pain, a. An indirect inguinal hernia occurs when any intraabdominal structure protrudes through the deep inguinal ring entering the inguinal canal. Indirect inguinal hernia this occurs when the internal opening of the inguinal canal, which usually closes around the time of birth, remains open. An indirect inguinal hernia is a congenital lesion. This may include pain or discomfort especially with coughing, exercise, or bowel movements. If you continue browsing the site, you agree to the use of cookies on this website. The processus vaginalis must be patent for this type of hernia to occur. A bulging area may occur that becomes larger when bearing.
The surgical treatment of hernia requires an extensive knowledge and technical ability. The epidemiology of inguinal hernia was investigated in a community survey in a neighbourhood of western jerusalem in 196971. Hernia inguinal bilateral indirecta por deslizamiento medigraphic. A total of 293 patients with incarcerated hernia were evaluated. A patent processus vaginalis alone is not sufficient for an. European hernia s ociety guidelines on the treatment of inguinal hernia in adult patients. The present book is designed to focus on specific topics and problems which a general surgeon dealing with groin hernia is very likely to face during his practice. An inguinal hernia appears as a bulge in the groin or scrotum. Hernia inguinal revistas electronicas uach universidad austral. An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. Scribd is the worlds largest social reading and publishing site. Inguinal hernia represents one of the three most frequent surgical pathologies in surgical practice.
Inguinal hernias are up to 10 times more common in men than in women. When intestine or abdominal tissue fills the hernia sac and cannot be pushed back, it is called irreducible or incarcerated. The strangulation rate for inguinal hernias was found to be 29. About one in four men develop a hernia at some point in life. Risk factors for inguinal hernia among adults in the us. An inguinal hernia is a protrusion of abdominalcavity contents through the inguinal canal.
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