"Incarcerated" and "Strangulated" Inguinal Hernias | Inguinal hernia

Direct Inguinal Hernias ... Direct inguinal hernias are caused by connective tissue degeneration of the abdominal muscles, which causes weakening of the muscles ...GeneralSurgery » Conditions&Procedures » InguinalHerniaInguinalHerniaInaninguinalhernia,abdominalfatoraloopofsmallintestineenterstheinguinalcanal,atubularpassagethroughthelowerlayersoftheabdominalwall. Aherniaoccurswhenpartofaninternalorgan(usuallythesmallintestine)protrudesthroughaweakpointortearintheperitoneum,the thinmuscularwall holdingtheabdominalorgansinplaceresultinginabulge. Inmen, inguinalhernias typicallydevelopinthegroinareanearthescrotum,on oneorboth(doublehernia) sides. Herniarepairsarecommon—morethanonemillionherniarepairsareperformedeachyearintheU.S.Approximately800,000aretorepairinguinalherniasandtherestareforothertypesofhernias. RepairofInguinalhernias is amongthemostfrequentlyperformedsurgeriesintheU.S.ImageCredit:"Blausen0560InguinalHernia"by BruceBlausSignsandSymptomsSymptomsofan inguinalherniainclude:A smallbulgeinoneorbothsidesofthegrointhatmayincreaseinsizeanddisappearwhenlyingdown;inmales,itcanpresentasaswollenorenlargedscrotumDiscomfortorsharppain-especiallywhenstraining,lifting,orexercising-thatimproveswhenrestingA feelingofweaknessorpressureinthegroinA burning,gurgling,orachingfeelingatthebulgeIncidenceAn inguinalherniamay ariseatanytimefrominfancytoadulthood.However, it isfar morecommoninmales withalifetimeriskof 27%inmenand3%inwomen. Someindividualsarebornwithweakabdominalmusclesandaremorelikelytodevelopahernia. Othersarecausedby excessivestrainontheabdominalwallfromheavylifting, weightgain, coughing,ordifficultywithbowelmovementsandurination.TypesDirectInguinalHerniasDirectinguinalherniasarecausedbyconnectivetissuedegenerationoftheabdominalmuscles,whichcausesweakeningofthemusclesduringtheadultyears.Directinguinalherniasoccuronlyinmales.Theherniainvolvesfatorthesmallintestineslidingthroughtheweakmusclesintothegroin.Adirectherniadevelopsgraduallybecauseofcontinuousstressonthemu


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