The weak spot is in the inguinal canal. In men, this is where the spermatic cord exits the abdomen and enters the scrotum. In women, the inguinal canal carries a ligament that helps hold the uterus in place. Often, an inguinal hernia is present at birth — especially for boys — but it may develop later in life due to factors such as aging muscles, strenuous activity or chronic coughing. Femoral hernias are far less common and are more often seen in older women.
They form along the canal that carries the principal blood vessels femoral artery and vein into the thigh. Fatty tissue in the abdomen is usually the first tissue to exit the hernia. This is beneficial, because it plugs the hole. It typically causes constant discomfort. I just think there is too great a chance of harm to my baby from the anesthesia and surgery to have the hernia repaired before delivery. Your personal feelings are just as important as the medical facts.
Think about what matters most to you in this decision, and show how you feel about the following statements. My hernia is keeping me from doing daily activities or from returning to work. I want to have the hernia repaired while my insurance or worker's compensation will help cover the costs. I will be traveling to an area where health care may not be available, so I want to take care of this now. I have no plans to travel to places where health care may not be available.
Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now. How sure do you feel right now about your decision? Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision. One reason for me to have surgery for my inguinal hernia is to prevent a rare but serious problem called strangulation. I need surgery even though my hernia is small and doesn't bother me.
Are you clear about which benefits and side effects matter most to you? Do you have enough support and advice from others to make a choice? Author: Healthwise Staff. Medical Review: E. This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information.
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Get the facts. Your options Have surgery now to repair the inguinal hernia, even if you do not have symptoms. Take a "wait and see" approach to surgery because the hernia does not bother you much. Key points to remember Hernias don't go away on their own. Only surgery can repair a hernia. Many people are able to delay surgery for months or even years. And some people may never need surgery for a small hernia. If the hernia is small and you don't have any symptoms, or if the symptoms don't bother you much, you and your doctor may simply continue to watch for symptoms to occur.
Many doctors recommend surgery because it prevents a rare but serious problem called strangulation. This occurs when a loop of intestine or a piece of fatty tissue is trapped inside the hernia and is cut off from its blood supply.
Talk with your doctor before wearing a corset or truss to hold in your hernia. What is an inguinal hernia? Why do hernias need to be repaired? In some cases small, painless hernias never need repair. What kinds of surgery are used for inguinal hernia? There are two types of hernia repair surgeries: Open hernia repair surgery. The hernia is repaired through a cut incision in the groin. Open surgery is safe and effective and has been done for many years.
Laparoscopic hernia repair. This is another method for hernia repair in adults. A surgeon inserts a thin, lighted scope through a small incision in the belly. Surgical tools to repair the hernia are inserted through other small incisions in the belly. Laparoscopic hernia surgery may have some advantages over open surgery in certain cases. When is it safe to delay surgery? You and your doctor may want to put off surgery if: The hernia is small and you don't have any symptoms, or if the symptoms don't bother you much.
The hernia can be pushed back into the belly or it goes away when you lie down. If it cannot be pushed back, surgery must be done sooner. It may also be a good idea to put off surgery if: You are taking medicines such as blood thinners that cannot be stopped for surgery. You have other health problems that make surgery dangerous. You have a skin infection that could also infect the material used to repair the hernia.
Your doctor has suggested that wearing supports trusses or corsets could help. Compare your options. Compare Option 1 Have surgery now Wait and see. But how do you know if you have one? Hernias can be caused by a variety of circumstances. You might get one because of muscle weakness, straining from heavy lifting or a previous injury.
When you get a hernia, an organ or fatty tissue protrudes through the wall of the cavity in which it is contained, typically in the abdomen. Alanna Gretschel , a general surgeon at Geisinger. This type of hernia mostly occurs in men.
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