What is a hernia?
A hernia is not always visible to the patient. The diagnosis of an inguinal hernia is made by a clinical examination of the groin in a standing position and is also compared to the sides under abdominal pressure or whilst coughing.
An ultrasound examination can be an additional tool for a more precise diagnosis.
There are many surgical options available today for the treatment of an inguinal hernia. The surgical procedure to be used depends on the type and size of the hernia, age and secondary conditions, the risk profile of the patient, physical and professional requirements and the patient’s wishes. Among the risk factors that promote the development of an inguinal hernia are
– Asthma, diabetes, COPD, chronic bronchitis
– Genetic factors (increased incidence of inguinal hernia, umbilical hernia and scar hernia in family members
In the human body, one finds a passage in the groin that is bounded by the abdominal muscles. Through this passage leads, in the case of men, the spermatic cord with its accompanying blood vessels and, in the case of women, the retaining band which holds the womb in place. Does a weakening of the abdominal musculature occur, the passage will widen allowing bowels to enter, which can be palpable and even visible. A hernia can grow in size as time progresses, which often happens when the interior pressure of the abdomen rises during coughing, pressing or sneezing.
The hernia occurs above the inguinal ligament, regarding men, it can stretch down deep into the scrotum. Being a man increases the chances of suffering from hernia. The ratio to women amounts to ca. 8:1. This can be explained by the “wandering” of the testicles during embryonic stage. Initially the testicles are situated in the abdomen and travel through the abdominal wall to reach their final destination, which leaves a sort of predetermined breaking point in the abdominal wall.