what happens to hou testicals after a inginial hernia surgery
- What Is It?
- What Is a Hernia?
- Types
- What Are the Dissimilar Types of Hernias?
- Causes
- What Causes a Hernia?
- Symptoms/Signs
- What Are Hernia Symptoms and Signs?
- When Should Someone Seek Medical Care for a Hernia?
- Handling
- What Specialists Treat Hernias?
- What Is the Treatment for a Hernia?
- What Medications Treat a Hernia?
- Diagnosis
- What Exams and Tests Do Health Intendance Professionals Use to Diagnose a Hernia?
- Surgery
- How Do Physicians Repair Hernias?
- What Follow-up Care Is Necessary Afterwards Hernia Surgery?
- Prevention
- Is It Possible to Forbid a Hernia?
- Complications
- What Are the Risks and Complications Associated With Hernias?
- Guide
- Hernia FAQ Topic Guide
- Doctor'south Notes on Hernia FAQs Symptoms
What Is a Hernia?
Treatment of hernia may incorporate wearing a truss or surgical belt and having surgery.
If a person feels a lump in the belly, it could exist a hernia. The lump may be soft, pocket-sized, and painless, or it may feel a little painful and bloated. The lump might even exist able to be pushed back in, but to popular out over again later.
When the hernia occurs in the groin, it is called an inguinal hernia. Hernias occur when role of an abdominal organ, such as the intestine, bowel, or bladder, or fatty tissue in the abdomen pushes through a weak spot or tear in the intestinal muscles. The contents of the lump or bulge may be intestine or fatty tissue. Sometimes this lump in the abdominal wall is referred to equally an outpouching. Hernias usually occur in areas where the abdominal wall is weakened or thinner, either considering the location is already weaker or is made weaker due to a previous intervention such as a surgical process. If the force per unit area within the abdomen increases, equally with a cough or lifting a heavy object, the hernia can announced.
Many people have abdominal hernias. As much equally x% of the population develops some type of hernia during life. More than a half million hernia operations are performed in the United States each year.
Many people exercise not seek treatment. Hernias might never worsen, but if a hernia is non taken intendance of, information technology tin can get larger and cause a medical emergency every bit tissue becomes trapped in the outpouching, loses its blood supply, and dies. (This is chosen a strangulated hernia.)
Some people have no discomfort at all. Even so, some hernias can go painful, when the intra-abdominal pressure is increased (which happens when you cough or lift a heavy object). Sometimes coughing or lifting can crusade the hernia in the first place.
Hernia repair is ane of the most common types of surgery in the United states. At one time, a hernia operation was a major procedure. Now, inguinal (groin) hernias are oftentimes repaired using laparoscopy. This is a technique in which instruments are inserted into the abdomen through several small incisions or cuts. Recovery is often quick without complications.
What Are the Different Types of Hernias?
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Hernias of various types tin can develop in men and women.
- Inguinal or groin hernia: The nigh mutual blazon, inguinal hernias occur in most two% of men in the United States. These hernias are divided into two different types, direct and indirect. Both occur in the area where the peel crease at the summit of the thigh joins the torso (the inguinal crease), but they have slightly different origins. Both types of hernias are treated the same mode.
- Indirect inguinal hernia: An indirect hernia follows the pathway that the testicles made during pre-birth evolution and descends from the abdomen into the scrotum. This pathway normally closes before nascence but remains a possible identify for a hernia. Sometimes the hernial sac may beetle into the scrotum. An indirect inguinal hernia may occur in people of any age only becomes more mutual as people age.
- Direct inguinal hernia: The direct inguinal hernia occurs slightly to the inside of the site of the indirect hernia, in a place where the intestinal wall is naturally slightly thinner. Information technology rarely protrudes into the scrotum. Dissimilar the indirect hernia, which tin can occur in people of any age, the direct hernia most always occurs in middle-aged and elderly people because the abdominal walls weaken with historic period.
Other types of abdominal hernias include the following:
- Femoral hernia: The femoral canal is where the femoral avenue, vein, and nerve leave the abdominal cavity to enter the thigh. Although usually a tight space, sometimes it becomes big enough to allow abdominal contents (usually intestine) to be pushed into the canal. A femoral hernia causes a burl below the inguinal crease in roughly the middle of the thigh. Rare and usually occurring in women, femoral hernias are particularly at risk of becoming irreducible (cannot be pushed back in the abdominal cavity) and strangulated (tissue becomes trapped and may lose blood supply, a medical emergency).
- Umbilical hernia: These common hernias (accounting for 10%-30% of all hernias) are ofttimes seen in babies at nascence equally a lump at the bellybutton (the umbilicus). This is caused when an opening in the intestinal wall, which normally closes before birth, doesn't shut completely. If pocket-sized (less than ½ inch), this type of hernia usually closes gradually by itself by ii years of historic period. Larger hernias and those that do non close by themselves usually require surgery when the kid is 2-four years of age. Even if the area is closed at birth, umbilical hernias can appear afterward in life because this anatomic area remains a weaker place in the abdominal wall than other areas. Umbilical hernias can also appear in elderly people and heart-aged women who had children. Obesity is an additional risk gene.
- Incisional hernia: Abdominal surgery causes a flaw in the abdominal wall that must heal on its own. This flaw tin can create an area of weakness where a hernia may develop. This occurs after a portion of all abdominal surgeries, although some people are more at risk. After open surgical repair, incisional hernias have a high rate of returning months or years subsequently the procedure. Even so, in good easily, minimally invasive surgical repair has a depression recurrence rate.
- Spigelian hernia: This rare hernia occurs along the lateral (outer) edge of the rectus abdominus muscle, which is several inches to the side of the middle of the abdomen.
- Obturator hernia: This extremely rare abdominal hernia happens mostly in women. This hernia protrudes from the pelvic cavity through an opening in the pelvic bone (obturator foramen). No bulge appears, but the hernia tin act like a bowel obstruction and crusade nausea and vomiting. As there is no bulge and the hurting can often be lengthened, this is a difficult hernia for the health-care provider to diagnose.
- Epigastric hernia: Occurring between the umbilicus and the lower part of the rib cage in the midline of the abdomen, epigastric hernias are usually composed of fatty tissue and rarely contain intestine. Formed in an area of relative weakness of the abdominal wall, these hernias are ofttimes painless and unable to be pushed dorsum into the abdomen when showtime discovered. This type of hernia occurs mainly in men and in people 20-50 years of historic period.

SLIDESHOW
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What Causes a Hernia?
Weakness in the abdominal wall may accept been present since nativity. But this weakness may not cause problems until later in life.
Hernias have other causes:
- Crumbling
- Injury
- Surgery in the surface area that creates a weakness in the muscles considering of incomplete healing
- Incision from surgery itself creating a weak spot (the bigger the incision, the college the risk to develop an incisional hernia)
- Family history
- Premature birth
- Previous hernia (People who have a hernia on one side may develop a hernia on the other side of the abdomen.)
Some conditions may increment the pressure level confronting the abdominal crenel and cause a muscle to tear and a hernia to form or make a hernia worse:
- Pregnancy
- Lifting heavy objects (Some strenuous jobs can cause hernias over fourth dimension.)
- Strenuous physical activity
- Cough from smoking or other lung conditions
- Sneezing (allergies)
- Obesity
- Straining during a bowel move (with constipation) or urination
- Do
- Fluid in the abdominal crenel (ascites)
What Are Hernia Symptoms and Signs?
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For a person with no symptoms, the md may notice a lump in the groin or abdomen during a medical examination. Most unremarkably, people with hernias notice a lump or tenderness and pressure level or hurting upon bending, coughing, or straining. The lump may be easier to experience when the person stands up. This is a sign of a reducible hernia, meaning information technology tin be pushed back into the abdomen. When a person stands, the lump sticks out noticeably because of the pull of gravity.
Other symptoms of a hernia include the following:
- A heavy feeling in the groin or abdomen
- Pain and swelling in the scrotum (men)
- Hurting with a bowel movement or during urination
- Hurting when lifting or moving something heavy
- Pain later in the day, especially if you accept been continuing a lot
In children, a parent may notice a lump when the baby cries or coughs or strains for a bowel movement.
An irreducible hernia cannot be pushed back within. Any time a hernia cannot be reduced, you should contact your health-intendance provider. Sometimes these types of hernias can go strangulated. The tissue, usually intestine, can become trapped and the blood supply cut off. If this happens, hurting, tenderness, and symptoms of a bowel obstacle (nausea and vomiting) develop. The person may develop a fever. This is a medical emergency that requires immediate surgery to repair the hernia.
Even if a person has no major symptoms, to avoid complications, the hernia should be discussed with a doctor.
When Should Someone Seek Medical Care for a Hernia?
If a person discovers a hernia or has symptoms that suggest he or she might accept a hernia, the person should consult a doctor. Hernias, fifty-fifty those that ache, if they are not tender and easy to reduce (push back into the abdomen), are not surgical emergencies, but all hernias accept the potential to become serious. Referral to a surgeon should by and large be made so that a person can have surgery past choice (chosen elective surgery) and avoid the risk of emergency surgery should the hernia become irreducible or strangulated.
If you already take a hernia and it suddenly becomes painful, tender, and irreducible (cannot be pushed it back within), y'all should get to the emergency department. Strangulation (cut off blood supply) of the intestine within the hernia sac can lead to gangrenous (expressionless) bowel in as little as half dozen hours.
What Specialists Treat Hernias?
Hernias are usually diagnosed by your primary intendance provider, including family practitioners, internists, and pediatricians. If surgery or farther evaluation is needed, you volition be referred to a general surgeon.
Questions to Ask the Medico When You Have a Hernia
What blazon of hernia do I have?
What is the plan to have intendance of it?
Tin can I simply look and see if my hernia gets worse?
What should I exercise if suddenly my hernia feels painful and bloated or gets larger?
What type of surgical repair (laparoscopic repair or open up repair) can I have?
What Exams and Tests Practice Health Care Professionals Use to Diagnose a Hernia?
A medico volition perform a physical exam.
- If a person has an obvious hernia, the doctor will not require whatever other tests to make the diagnosis (if the person is healthy otherwise).
- If a person has symptoms of a hernia (tedious ache in the groin or other body area or pain with lifting or straining only without an obvious lump), the medico may feel the area while increasing abdominal force per unit area (having you stand or cough). This action may make the hernia able to be felt. If a person might have an indirect inguinal hernia, the medico volition experience for the potential pathway and expect for a hernia by inverting the skin of the scrotum with his or her finger.
- The md may gild an X-ray, ultrasound, or CT scan.
The medico will ask questions almost the hernia:
- When was information technology first noticed (unless the doctor discovered the hernia during a physical exam)?
- Does the lump come and go? Can information technology be pushed back inside?
- Has the lump grown larger or painful?
- What activities requite you discomfort from the hernia?
Your doctor may recommend surgery and refer you to a surgeon for the procedure.
What Is the Treatment for a Hernia?
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Hernia Home Remedies
In general, all hernias are candidates for surgical repair unless you lot are unable to have surgery because of other medical conditions. If surgery is not possible or delayed, a person tin can vesture a truss or surgical chugalug (bachelor at medical supply stores or some drugstores) to hold the bulge of the hernia in. This will just piece of work for certain hernias. A truss is like tightly plumbing equipment elastic underwear that keeps the area of the hernia apartment. It keeps the hernia from protruding, but a truss is not a cure.
Gently push button the hernia back into your abdomen. This may be easiest while lying down. If yous cannot button the hernia dorsum into your abdomen, information technology may take become trapped in the abdominal wall. This is a medical emergency. Seek emergency medical care.
Practice these techniques:
- If y'all become constipated easily and strain for bowel movements, add fiber to your diet so y'all exercise not accept to strain.
- Ask your doctor to care for coughs so y'all are non cough and causing your hernia to bulge.
- Avoid whatever action that could increase abdominal pressure level, such every bit lifting heavy items.
Medical Handling for Hernias
For pocket-sized hernias that cause no hurting, you and your doc may make up one's mind to sentry and expect. Any hernia that seems to grow and cause pain may require surgery.
Treatment of a hernia depends on whether it is reducible or irreducible and possibly strangulated.
- Reducible
- In general, all hernias should be repaired to avoid the possibility of hereafter intestinal strangulation.
- If a person has medical conditions that would make surgery unsafe, the doctor may non repair the hernia only will monitor it closely.
- Rarely, the md may advise against surgery considering of the special condition of your hernia.
- Some hernias have or develop very large openings in the intestinal wall, and closing the opening is not possible considering of its large size.
- These kinds of hernias may be treated without surgery, peradventure using abdominal binders.
- Some doctors feel that the hernias with big openings have a very low adventure of strangulation and that surgery is not needed if the person is relatively symptom-free.
- Irreducible
- All acutely irreducible hernias need emergency treatment because of the risk of strangulation.
- An effort to reduce (push back) the hernia will generally be made, often with medicine for pain and muscle relaxation. If unsuccessful, emergency surgery is needed. If successful, treatment depends on the length of the fourth dimension that the hernia was irreducible.
- If the abdominal contents of the hernia had the blood supply cut off, dead (gangrenous) bowel is possible within hours.
- In cases where the hernia has been strangulated for an extended fourth dimension, surgery is performed to cheque whether the intestine has died and to repair the hernia.
- In cases in which the length of time that the hernia was irreducible was brusque and gangrenous bowel is not suspected, the person may be discharged.
- Because a hernia that becomes trapped and difficult to reduce has a dramatically increased adventure of doing and then again, if you take had an irreducible hernia, you should take surgery sooner rather than afterward.
- Occasionally, your physician may decide that the long-term irreducible hernia is not a surgical emergency. These hernias, having passed the examination of time without signs of strangulation, may be repaired by scheduled surgery.
What Medications Treat a Hernia?
There are no medications to treat a hernia directly. The physician may prescribe medications to reduce the risk of worsening a hernia (such every bit a stool softener or coughing medicine).
How Do Physicians Repair Hernias?
Hernias can be repaired with two types of surgery.
- Traditional: During traditional hernia repair, the abdominal wall is opened during the performance, the protruding tissue is moved back into the belly, and the abdominal wall is closed and the weak area reinforced with synthetic mesh. The person may exist given general anesthesia and stay overnight in the hospital. The person will accept an incision and several stitches.
- Laparoscopy: Many times the surgery tin be done through laparoscopy. This type of surgery is less invasive than traditional hernia repair. With laparoscopy, tiny cobweb-optic instruments are inserted into the abdomen through minor surgical openings. The person may have several small surgical openings. A video camera is inserted into one opening, which guides the surgeon who is manipulating the instruments in the other openings. The person is given general anesthesia, and then he or she is asleep during the procedure. However, recovery is much shorter with this less invasive surgery. The person may even go home the same day.
Following the surgery, the doctor will propose the patient on these bug:
- The person may exist given pain medications.
- Tenderness, swelling, and some haemorrhage are possible.
- Depending on the blazon of surgery to repair the hernia, the person may slowly return to regular activities.
- Lifting or whatever activeness that would put a strain on the surgical area should be avoided.
- When the person can resume driving, sexual action, and work are items to hash out with the doc.
Call the doctor if, afterwards surgery, any of these problems develop:
- Excessive tenderness or swelling
- Fever
- Difficulty urinating
- Excessive bleeding
- Redness in the area of the incision
- Astringent or increasing pain

QUESTION
What is a hernia? Encounter Respond
What Follow-up Care Is Necessary After Hernia Surgery?
Resume regular activities as the dr. advises and ability permits.
Is It Possible to Prevent a Hernia?
A person can exercise picayune to preclude areas of the abdominal wall from existence weak or becoming weak, which can potentially go a site for a hernia.
However, people tin can reduce the pressure level on the abdominal wall to prevent a hernia from bulging through a weak spot (or prevent a hernia from becoming worse) by following these lifestyle practices:
- Lose weight if overweight.
- Eat loftier-fiber foods with plenty of whole grains and fruits and vegetables to preclude constipation and straining with bowel movements. Drink plenty of water. Ask a doc near using a stool softener.
- Larn how to lift heavy objects or merely do not lift them at all.
- Stop smoking. Smoking can cause coughing, which can make a hernia worse.
- Control allergies to avert sneezing in excess.
- Practice to strengthen the abdominal muscles.
What Are the Risks and Complications Associated With Hernias?
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- Risk of strangulation: In considering when to accept a reducible hernia operated on, it is important to know the risk of strangulation.
- The risk varies with the location and size of the hernia and the length of time information technology has been present.
- Inguinal hernias, the almost mutual type of hernia, have been the most intensively studied. For direct and indirect inguinal hernias, the chance of strangulation is 2.8% for the first three months, increasing to four.5% over two years.
- Femoral hernias, although rare, are peculiarly prone to strangulation.
- In general, hernias with big sac contents and a relatively minor opening are more likely to become strangulated.
- Hernias are more probable to get irreducible in the outset few weeks than over months or years, but even hernias that have been present for many years may become irreducible.
- Complications of surgery: Some people who undergo surgical hernia repair will take complications.
- These are short-term and usually treatable.
- The hernia that comes back after the initial surgical repair has a profoundly increased risk of returning if operated on again.
- Complications include the following:
- Recurrence (most common)
- Disability to urinate
- Wound infection
- Fluid build-up in the scrotum (called hydrocele formation)
- Scrotal hematoma (bruise)
- Testicular damage on the affected side (rare)
From
Hernia Causes
Sometimes hernias happen "just considering," but many times they are a complication of what we do and who we are. Risk factors for developing a hernia include:
- family history,
- premature birth,
- chronic cough,
- constipation,
- lifting heavy weights,
- being overweight,
- smoking, and
- pregnancy.
References
Fitzgibbons, Jr., R.J., and R.A. Forse. "Clinical Practice. Groin Hernias in Adults." Northward Engl J Med 372.eight Feb. xix, 2015: 756-763.
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