Management Of Sliding Inguinal Hernia

A hernia is when an organ or a fatty tissue inside your body poke through a surrounding muscle or connective tissue.

Management of sliding inguinal hernia. From 2 per cent to 5 per cent of all indirect inguinal hernias are of the sliding variety. Frequency of sliding hernias is estimated at 3 8 of all elective operations of inguinal hernias. A bulging area may occur that becomes larger when bearing down. The hernia sac contents in cases of a sliding hernia can include the sigmoid colon appendix cecum or other intra abdominal structures.

An inguinal hernia occurs when tissue such as part of the intestine protrudes through a weak spot in the abdominal muscles. An inguinal hernia occurs when abdominal cavity contents enter into the inguinal canal. The term hernia is derived from the greek word hernios which means budding hernia protrusion of visceral contents through the abdominal wall. Symptoms are present in about 66 of affected people.

In this article we shall look at the classification clinical features and management of inguinal herniae. An inguinal hernia is a protrusion of abdominal cavity contents through the inguinal canal. The less common form is the sliding hernia where a portion of viscera slides behind the peritoneal sac into the inguinal canal with the wall of the organ forming part of the hernial sac. Sliding hernias are those in which part of the wall of the sac is formed by a viscus the proportion of sliding hernias is even higher in the aged.

Wearing corsets binder or truss puts gentle pressure on the hernia and keep. Often it gets worse throughout the day and improves when lying down. A sliding inguinal hernia is a protrusion of a retroperitoneal organ through an abdominal wall defect. Two key components defect hernial sac 3.

An inguinal hernia isn t necessarily dangerous. Sliding hernias are supposed to be more anatomically challenging for a surgeon than an uncomplicated non sliding inguinal hernias. The urinary bladder is rarely involved in herniation but is associated with a morbidity of 1 to 4 reaching as high as 10 in men with inguinal hernias over the age of 50 years. Sliding hernias more commonly are indirect but when any part of the urinary bladder protrudes through a direct defect it too is considered a sliding hernia figure 29.

Assessment examine the patient both standing and lying and ask them to cough or strain. It doesn t improve on its own however and can lead to life threatening. The resulting bulge can be painful especially when you cough bend over or lift a heavy object. Inguinal hernia ppt 1.

Dr p viswakumar m s assistant professor dept of general surgery psgimsr. Anatomy and management is intended for general surgeons and hernia specialists.