M At The Doctor

The operation of the inguinal hernia: how is it going?

It is an extremely common pathology: 150 000 people are operated on an inguinal hernia each year in France.

A hernia, as a rule, is an orifice through which an organ, or part of an organ, emerges from the cavity that contains it. Inguinal hernia (in the groin) is a piece of peritoneum and intestine that exits through the inguinal canal.

When one works his abdominals, the belly is very muscular. However, at the level of the groin, between the muscles, is a canal: the inguinal canal through which arteries, veins (which feed the testicles), a ligament and the vas deferens (through which the spermatozoa go from the testicle by the yard). Normally, the inguinal canal is narrow. In the event of a problem, during a too violent effort or a cough too strong, the canal opens and lets pass some sort of bag - a hernia - containing peritoneum, sometimes a small portion of small intestine or large intestine, and sometimes even bladder.

Possible complications of an inguinal hernia

When all is well, the hernia can be replaced in the abdomen. Just push on it. But sometimes things get complicated. The hernia can become "strangled". This means that the bag gets stuck, that the organs contained in it are no longer irrigated (the blood does not happen to them anymore) and it hurts. It can even become infected and cause peritonitis. Even if part of the small intestine is contained in the bag, this can lead to intestinal obstruction. These extreme cases are rare in that the diagnosis is usually made on time.

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