Causes of inguinal hernia
An inguinal hernia can be congenital or develop only in the course of life (so-called acquired inguinal hernia). The acquired inguinal hernia is caused by a weakness of the connective tissue of the abdominal wall in the region of the groin. An increased pressure in the abdominal cavity has a positive effect on the development of the hernia.
An increase in pressure leading to an inguinal hernia can be caused, for example, by coughing, lifting heavy loads, or during bowel movements (especially in cases of constipation with heavy pressing). The groin region is a very sensitive area. This fact is due to a multitude of nerves in this area. If pain occurs during inguinal hernia, it is due to local irritation of these nerves.
Therapy
If an inguinal hernia is detected, the only possibility of recovery is surgery. The aim of this is to stabilize the corresponding weak point of the abdominal wall either by suturing or by inserting a foreign mesh. Hernia ligaments are no longer used today, as they carry the risk of the hernia being trapped.
The operation can be scheduled by appointment in the case of an unincarcerated inguinal hernia. However, if there is an incarceration that cannot be removed by the doctor, an emergency operation is necessary to prevent the tissue from dying off. Depending on the extent of the pain, it may be treated with mild painkillers.
Strong and sudden pain must necessarily lead to a visit to the doctor, as this may indicate an incarceration of the inguinal hernia. Depending on how long the incarceration has already existed, the doctor will either try to remove it with his hands or decide on an operation as soon as possible. If there is severe pain in this situation, it can be treated with painkillers.
Prognosis
The prognosis of inguinal hernia is generally good. Of course, a distinction has to be made whether it is an uncomplicated inguinal hernia which is operated on in a planned manner or an emergency operation in case of incarceration of the hernia. This makes it all the more important to seek medical advice immediately if incarceration is suspected, as this can significantly improve the prognosis.
However, even after successful surgery there is a risk of recurrence of a hernia. Depending on the method of surgery, this risk is indicated with one to ten percent. If there was pain, this usually disappears after successful surgery. Unfortunately, however, a small percentage of patients continue to experience pain. In this case, the further procedure and, if necessary, the sensible use of painkillers must be discussed with the doctor.
