What is a hernia?
An inguinal hernia is a bulge you can see or feel in your groin.
The bulge is made up of fat and bowel that has slipped through a
weak spot in the muscles in your abdomen and down into your groin.
The word "inguinal" means "groin."
A hernia can be uncomfortable and feel tender, especially when you
bend and lift. It may make it difficult for you to do normal
activities, like shopping or having sex.
Some people can push their hernia back in, but it's likely to come
out again. Surgery is the only way to repair a hernia.
Key points for people with a hernia
About 9 in 10 hernias happen
in men.
An operation is the only
treatment for a hernia. It can get rid of the bulge and prevent
a blocked bowel.
Surgeons can operate by
opening up your groin (open surgery) or by making small cuts in
your groin and using a camera to see inside (keyhole surgery).
You may recover faster and get
less pain and numbness in your groin with keyhole surgery than
with open surgery. But not all surgeons are trained to do
keyhole operations.
If you don't have surgery,
your hernia may get bigger and more difficult to repair. The
bowel that has slipped out of your abdomen can get trapped and
lose its blood supply. This is called a strangulated hernia. It
can be life-threatening.
What
will happen ?
Most people have surgery to repair their hernia. There isn't much
research to say what will happen if you don't.
If you choose to leave your hernia, the following might happen.
It may get bigger and become
more painful and uncomfortable. It could stop you from doing
things like working, carrying anything heavy, exercising, or
having sex.
A bit of your bowel can get
squeezed by the opening in the muscle that it has slipped
through. The wall of the bowel could split, causing fluid to
leak into your abdomen. This can cause a dangerous condition
called peritonitis.
The bowel can get trapped by
the opening it has slipped through. This can cut off the blood
supply to the bowel. If blood stops flowing to this part of the
bowel, it can die. This is called a strangulated hernia. It can
be life-threatening, and you'll need to have an operation right
away. If part of your bowel has died, the surgeon will cut out
the dead bowel and join the two healthy ends together.
There isn't much research on how
likely these problems are. We do know that, each year, about 5 in
100 people with their first hernia get life-threatening problems
and need emergency surgery.
Key
points about treatments
An
inguinal hernia is a bulge or swelling you can see or feel in your
groin. The bulge is a bit of bowel and fat that has slipped out of
your abdomen and down into your groin. An operation can get rid of
the bulge, reduce pain, and prevent a blocked bowel.
Key points about treating a
hernia
Surgery is the only
treatment for a hernia.
Open surgery
is done through a cut that opens up your groin. Or you can
have keyhole surgery, where the surgeon uses a camera
to see inside your groin.
Both operations will get
rid of the bulge in your groin. You may recover faster and
get less pain and numbness with keyhole surgery. But there's
a higher risk of rare but serious problems during a keyhole
operation, including damage to other organs or blood
vessels.
Putting a patch of mesh
over the opening in your muscles works better than stitching
it up. Your hernia is less likely to come back this way.
If you don't have surgery,
the bit of bowel that has slipped out of your abdomen can
get trapped and lose its blood supply. This can be
life-threatening.
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