Inguinal hernia, despite its "harmless", as many patients are fraught with many dangers. The main and the formidable complication of inguinal hernia is its denial. Strangulated hernia can lead not only to the trauma of being in the hernial sac, and disability, and in some cases even death. That is why surgeons are strongly advised not to delay and promptly seek medical attention. It is known that complication is easier to prevent than to treat. To this end, a removal of the inguinal hernia.

Diagnosis of inguinal hernia

Before you begin treatment of an inguinal hernia, it is necessary to diagnose. Diagnosis of the disease is not surgical complications. Visually groin determined pathological education, or so-called protrusion. At rest in a horizontal position or protrusion disappears. On palpation determined by the soft consistency of education and painless. The skin over the pathological formation is not changed. Also it is identified symptom cough shock. At the same time the surgeon inserts the little finger in the external inguinal ring (OK, maybe only enter the fingertip), and asks the patient to cough. If the symptom cough shock is positive, the doctor determines a concussion. In difficult cases, a hernia ultrasound.

Treatment

Treatment of inguinal hernia is its removal, that is in operation. No conservative methods do not relieve the patient from the presence of an inguinal hernia. In some cases, patients assigned to wear a special support bandage if there are contraindications to surgery (old age, the presence of severe comorbidity).

Preoperative

Preoperative preparation includes an examination of the patient. Appointed by common blood and urine tests, chest X-ray, electrocardiogram and medical consultation (for the correction of chronic diseases). Also shown is a mandatory visit to the dentist and rehabilitation of patients with teeth (they are the centers of a chronic infection). The patient is strictly prohibited the use of food and liquids for eight hours before surgery. In the presence of intestinal disorders, the patient is assigned to preoperative enema. The day before surgery the patient should take a shower and shave the hair Hair: structure, characteristics of growth and development   in the groin. It is recommended to stop smoking several weeks before surgery. If the patient is taking medications that reduce blood pressure, aspirin or nonsteroidal anti-inflammatory agents, you need to stop taking them for a few days before the operation. Immediately before the surgery the patient urine output catheter.

Anesthesia during surgery

Removal of inguinal hernia is most often performed under local anesthesia. In some cases, possible a mask anesthesia or epidural anesthesia. Children and mentally unstable patient is assigned to general anesthesia.

Removal of inguinal hernia

Removal of an inguinal hernia is to reposition in place organs that are in the hernial sac and plastic inguinal canal.

Procedural steps:

• first incision is made, which runs parallel to and slightly above the inguinal ligament;
• then found the inguinal canal, sought hernia (if there were difficulties in finding a hernia, the doctor asks the patient tighter);
• after the discovery of a hernia Hernia: Types and symptoms - which are the most dangerous?   made her incision, the surgeon assesses the state authorities who are in the hernial sac, and then released to the bodies immersed in the abdominal cavity, provided their usefulness;
• further performed ligation of the hernia sac, his needling and clipping;
• After the operation is necessary to perform plastic inguinal canal, or by creating duplikatury - double fascia fold and staple muscle and fascia, or by suturing the inguinal canal to the special synthetic, inert solid grid;
• In conclusion, the operation wound is sutured skin.

Anna Sozinova

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