Inguinal Hernia Conservative Treatment
This may include pain or discomfort especially with coughing exercise or bowel movements.
Inguinal hernia conservative treatment. Castorina s luca t privitera g et al. Inguinal hernias are up to 10 times more common in men than in women. Inguinal hernias most often contain fat or part of the small intestine. In these cases different modalities are used for confirmation.
Lessons learned from over 1 000 repairs. Lockhart k dunn d teo s et al. Mesh versus non mesh for inguinal and femoral hernia repair. Treatment targets are pain analgesics and swelling truss.
It is considered as a conservative treatment for asymptomatic hernia where it only prevents the contents of abdomen to protrude out and not a definitive treatment. Indirect inguinal hernia this occurs when the internal opening of the inguinal canal which usually closes around the time of birth remains open. 1 21 surgical repair is then recommended for those athletes who are unable to return to sport at their desired level after attempting. Symptoms commonly associated with hernias include pain discomfort pressure or a bulge in the groin area.
A bulging area may occur that becomes larger when bearing down. Inguinal hernia ih occurs when a peritoneal sac protrudes through a weak point within the groin area. Cochrane database syst rev. 1 as a rule ih is diagnosed by a simple physical examination except in cases where the diagnosis is obscure.
If your hernia is small and isn t bothering you your doctor might recommend watchful waiting. Inguinal hernias occur when a weakness or defect in the abdominal wall allows a piece of intestine to pop out of the abdominal cavity. In girls or women inguinal hernias may contain part of the female reproductive system such as an ovary. Inguinal hernia treatment for adults in europe in 2007.
This allows a portion. It often contains abdominal content and is traditionally treated with surgery. Endoscopic surgery entered the scene in 1991 and the lichtenstein technique around 1993. When an inguinal hernia occurs part of the peritoneum the lining of the abdominal cavity bulges through the abdominal wall and forms a sac around the hernia.
After 1993 other mesh techniques followed such as plug and patch phs etc. Often it gets worse throughout the day and improves when lying down. Although the available literature comparing surgical intervention to conservative management of a sports hernia favors surgical repair 5 an initial trial of conservative treatment of 6 8 weeks is recommended. Sometimes wearing a supportive truss may help relieve symptoms but check with your doctor first because it s important that the truss fits properly.
A number of studies provide insight into the treatment techniques which surgeons have used since 1992. About one in four men develop a hernia at some point in life. There are two types of inguinal hernias. An inguinal hernia is a protrusion of abdominal cavity contents through the inguinal canal.
The prerequisite to using a truss is that the hernia should be freely reducible. An evidence based approach for laparoscopic inguinal hernia repair.