As you know, inguinal hernia is a protrusion in the groin area due to the presence of the weakened abdominal wall of the inguinal canal. An inguinal hernia occurs in both men and women. Inguinal hernia is only operative, not conservative ways to remove inguinal hernias. But surgery for inguinal hernia repair can be carried out not all patients.
In case of severe physical illness, weakness or elderly patients is recommended to wear a special brace, which aims to prevent the infringement of a hernia. Operation over the hernia can be carried out in different ways, and depends on the patient and the skill of the surgeon.
Surgery for inguinal hernia
Surgery for inguinal hernia is called a hernia repair or hernia repair. The essence lies in the hernia repair reposition organs that are located in the hernia sac, in the abdominal cavity, removing the hernia sac and the strengthening of the abdominal wall in the region of hernia ring. The operation in the presence of an inguinal hernia can be as open pit and laparoscopically. Plastic (strengthening of the abdominal wall) can be made as the patient’s own tissue, and with the help of additional materials.
Preparing for surgery
Preparing the patient for surgery hernia repair includes:
not smoking, drinking alcohol and drugs in the weeks before surgery;
to refrain from taking drugs (aspirin, antihypertensive, tranquilizers) three days before surgery;
prohibited from eating before surgery (at least eight hours);
before surgery bowel and bladder should be emptied;
before the operation, the patient should take a shower;
if necessary, the patient is assigned enema;
examination of the patient before the operation include: the appointment of the common blood and urine tests, blood chemistry, electrocardiogram, and if necessary, ultrasound hernia.
Pain relief during hernia repair
Pain relief during surgery to remove an inguinal hernia can be of three types:
Local anesthesia (performed by introducing into the region herniation novocaine or lidocaine);
spinal anesthesia (injection of lidocaine into the spinal canal);
intravenous anesthesia (intravenous injection of special drugs – relaxants and intubation of the patient).
Preferably local anesthesia, during which the patient is conscious and if necessary can assist the surgeon (tighter to determine the site of localization of hernia).
Hernia repair surgery
Hernia repair surgery consists of several stages. In the groin incision is held up ten or twelve inches, then dissected subcutaneous fat and stands hernia sac. Hernia sac is opened carefully at its thinnest point, the internal organs are inspected and placed back into the abdominal cavity. After that the stitching and remove the hernia sac. The next step is a plastic surgery hernia. It is performed either by creating a aponeurosis of the (connective abdominal wall) duplicator or special overlay grid. Then sutured incision.
The postoperative period
Postoperatively, the patient is assigned to bed rest for two to three days. After this time the patient can walk. Ligation of the wound is on the day after surgery and repeated after seven days. Within two weeks after the surgery the patient is forbidden to lift weights (no more than three kilograms). Full recovery of the patient is in a month. But within six months after surgery, the patient should limit physical activity and do not lift heavy. Stitches are usually removed on the eighth day. Within two weeks, the patient is assigned to sexual rest (since the sex life can lead to an increase in intra-abdominal pressure and recurrence of hernia).