Inguinal hernia: The earlier the surgery, the higher the efficiency

This is an automatically translated article.

The article is professionally consulted by Doctor, Dr. Do Minh Hung - Department of General Surgery - Vinmec Central Park International General Hospital
Inguinal hernia is a common pathology, common in both adults and children. The disease cannot be cured on its own, it is necessary to see a specialist for advice and surgery to treat inguinal hernia. If left for a long time, inguinal hernia can lead to dangerous, life-threatening complications.

1. Subjects with inguinal hernia

Inguinal hernia is a condition in which a part of the abdominal viscera such as the intestines and the great omentum pass through a weak spot in the inguinal region to form a hernia sac.
Inguinal hernia can occur at any age, the rate of men is more than women.
Symptoms of the disease in adults include:
Swelling on one or both sides of the groin, which may increase when coughing or standing up, disappears when lying down, scrotum red and swollen Feeling of discomfort or pain, especially when lifting heavy objects, exercising. Pain can be improved with rest A feeling of pressure in the groin In children, the cause of inguinal hernia is the presence of the peritoneal canal in boys and the Nuck duct in girls. These tubes should have been closed before birth, when their diameter was large enough that abdominal viscera (intestine, greater omentum, ovary/appendix) could pass through them into the groin and scrotum, causing drainage. inguinal taste.
Symptoms of the disease in children include:
The bulge in the groin area is not deflated but tight, painful to the touch The skin on the bulge may change color The body temperature rises and signs of bowel obstruction become obvious Children then quit sucking, vomiting, crying; Older children complain of groin pain.

2. How dangerous is late inguinal hernia treatment?

Untreated inguinal hernia can lead to strangulated inguinal hernia, causing dangerous complications for the patient such as bowel necrosis, mesenteric necrosis, necrosis of organs. Intestinal necrosis can lead to death. At this time, instead of only taking about 30-45 minutes to perform simple inguinal hernia surgery, the patient will have to have an emergency surgery, cut the necrotic intestine and connect the two healthy intestines together. Inguinal hernia is also one of the favorable factors leading to testicular torsion, testicular atrophy, strangulation of the spermatic cord bundle causing testicular necrosis, vasectomy causing infertility.
Besides, many cases also have complications of trapped hernia, because the hernia organ goes down but cannot be pushed up because it sticks to the hernia sac or because the viscera in the bag stick together. Incarcerated hernias often cause a feeling of entanglement, making them more susceptible to injury. Complications of hernia trauma, due to the large and descending mass relatively often, trauma from the outside causes contusion, rupture of internal organs...

3. Surgical treatment of inguinal hernia

Inguinal hernia is a disease that cannot be cured on its own but must be operated on early so that it can be cured, right from the time of diagnosis, at any age in order to prevent possible complications of strangulation, leading to damage to the internal organs of the hernia sac and more serious complications. Currently, there are two different surgical methods applied in the treatment of inguinal hernias: open surgery and laparoscopic surgery.
Open surgery: The doctor will make a single cut, thereby sealing the hernia and solidifying the abdominal wall Laparoscopic surgery: This is a less invasive but more complicated method than open surgery. Accordingly, the doctor will make a few small cuts in the area to be operated on, then insert special tools to seal the hernia. At Vinmec International General Hospital, it has pioneered the application of surgical techniques to treat inguinal hernias by laparoscopic surgery. The advantage of this method is that it makes it easier for the surgeon to recognize the vas deferens and blood vessels that feed the testicles, along with being able to suture the peritoneal canal in the treatment of inguinal hernias in children and hernia surgery. adult inguinal without touching the vas deferens or the blood vessels supplying the testicles. This is the most prominent advantage of laparoscopic surgery, which helps to avoid two dangerous complications: vasectomy or testicular atrophy, complications that can be encountered during open surgery.
Besides, Vinmec Hospital also applies robotic surgery - Less invasive surgery in inguinal hernia treatment performed by Dr., Doctor Do Minh Hung. Choosing robotic surgery, in addition to achieving the advantages of conventional laparoscopic surgery, also gives the surgeon greater control and vision, allowing them to perform more accurately, safely, and with less invasiveness. harm during surgery.

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