Sick note for inguinal hernia | Inguinal hernia – symptoms and therapy

Sick note for inguinal hernia

The duration of sick leave depends on various factors.First of all, it is decisive whether an operation is performed and if so, when. The minimum period of sick leave is two days. After more complex operations or delayed healing process, the inability to work can be certified for more than two weeks. In addition, the appropriate sick leave depends on the activity the patient performs. While a predominantly mental and sedentary activity can be resumed more quickly, a person who works mainly physically must be on sick leave for longer.

Diagnosis of inguinal hernia

The clinical examination cannot be replaced by any other diagnostics. The hernia should be palpated (let the patient also cough), the repositionability should be tested. A repositionable hernia is an inguinal hernia if it can be pushed back through the hernial orifice. Furthermore, only ultrasound can be used as a supplementary measure to assess the hernial orifice and the hernia contents.

Summary

Inguinal hernias are the most common hernias. Especially men are affected. Inguinal hernias are “hernias”, whereby abdominal viscera emerge through a hernial orifice to the outside.

Indirect hernias pass through the inguinal canal, direct hernias come directly through the abdominal wall vertically. Under the skin swellings and protrusions are visible, which are palpated to make the diagnosis. As a rule, the hernias can be turned back inwards with the fingers, but this is not a therapy and is not permanent.

At the latest when coughing, the hernial sac reappears. The symptoms are mainly pulling pain in the groin (especially when coughing) and swelling of the affected area. Adequate therapy involves surgery, which moves the hernia contents back into the abdominal cavity, removes the hernia sac and sutures it in various ways.

Once a hernia has occurred, there is a high risk of recurrence. A new operation is much more difficult than the initial intervention.