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WHAT IS INGENIC HERNIA?Inguinal hernia is the formation of swelling under the skin of organs in the abdomen (such as small intestines, intestinal fats) coming out of weak areas in the abdominal wall.

In other words, inguinal hernia is the protrusion of the organs in the abdomen from under the skin to the outside.

TYPES OF inguinal hernia

Although they are classified as direct, indirect and femoral hernias, obturator hernias can also be seen. Indirect hernias are common in the society, seen at all ages and can go down to the testicles. Direct hernias, as the name suggests, are hernias that arise directly from the weak area of ​​the abdominal wall and increase the risk of being seen as age progresses. Femoral hernias are less common. It is more common in women and the risk of strangulation of hernia is higher than other types.


It usually occurs due to reasons that increase intra-abdominal pressure such as straining, coughing, sneezing and straining. This problem is seen in 27% of men and 3% of women throughout their entire life. It is known that an average of 20 million people in the world have inguinal hernia surgery every year. Causes of inguinal hernia can be congenital or acquired (post-operative).


• It can develop from openings that should be closed anatomically immediately after birth.

• It may occur as a result of heavy lifting, constipation, straining, old age, excessive weight gain or weakening, chronic cough, difficulty urinating and bowel movements.

• It can also be acquired due to many reasons such as pregnancy, decreased collagen synthesis, exercises that force the abdominal muscles, and smoking.

• It is more common in those who stand for a long time (such as hairdressers and waiters).

• Inguinal hernia can occur very easily, especially in weight-training athletes.


Congenitally, the inguinal canal of men is weaker than women. After the testicles are formed in the abdomen in the mother's womb, they descend from the inguinal canal to the scrotum. After birth, the inguinal canal closes. However, if the canal is not closed properly, weakness occurs in the abdominal region. For this reason, inguinal hernia is more common in boys than girls during infancy. In addition, men who work harder than women, because they lift heavy loads, inguinal hernia occurs more easily.


Inguinal hernias may not give any symptoms in the initial stage. The person may not be aware of an inguinal hernia until it is noticed in the physician examination.

• The most common symptom of inguinal hernia is swelling in the inguinal region and testicles. There may be pain and burning in the swelling area. In cases of increased intra-abdominal pressure, complaints increase and decrease when lying down. Pain can be seen as cramps after meals,

• Inguinal hernia can cause constipation. All these complaints actually occur when the intestines enter and exit the hernia sac temporarily. If the hernia comes out but does not go in, it means that the intestinal and intestinal oils are suffocated. This condition is defined as 'strangulated hernia', 'stuck hernia', 'incarcerated hernia', 'strangulated hernia'.

• Symptoms such as nausea, vomiting, loss of appetite, gas and inability to urinate, abdominal bloating, fever, redness and bruising in the hernia area may occur. It is an emergency situation, the hernia should be repaired with emergency surgery and the blood supply of the intestine should be provided, otherwise, intestinal decay, perforation, peritonitis (inflammation of the peritonitis) will begin due to insufficient blood supply to the intestine.


Generally, as a result of the physical examination performed by specialist physicians, it is determined whether an inguinal hernia has occurred or not. The patient's complaints also help physicians in identifying the problem. The diagnosis of small hernias is made as a result of imaging with the help of ultrasonography.

How is an inguinal hernia treated?

Since inguinal hernias will not shrink or heal when they are left to their natural course and there is no drug treatment, the only treatment is surgery when diagnosed. The purpose of hernia surgery is to place or remove the hernia sac where it should be in the abdomen (abdomen). The aim is to close the partial defect (defect) that causes herniation and to fix it with a mesh, that is, a patch, so that it does not happen again. It can be applied in the form of local anesthesia, general anesthesia or spinal anesthesia before the surgical treatment. Hernia operations can be performed with open or closed methods.


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