Pahnaya hernia is a disease in which tumor-like protrusion of internal organs occurs in a peculiar pocket, formed due to the bundle of peritoneous leaflets in the groin area. Most often is one-sided character and is manifested by pains of various intensity, a sense of discomfort, gravity, burning in the area of \u200b\u200bthe groin.

Pathology refers to the number of the most common from all hernias of the front abdominal wall. Most often, men suffer from a disease (5 times more often than women). This is due to the fact that the groin canal is one of the weakest anatomical formations of the anterior abdominal wall.

The main elements of the hernia: a groin canal (a hernia), parietal peritoneal (hernia bag) and abdominal organs, most often the gland and intestines (hernial content). The inguinal hernia accounted for from 75 to 80% of all outdoor hernias of the abdomen, of which 90-95% are inguinal hernia in men. In 85% of cases, oblique inguinal hernias are acquired, in 15% - congenital.

By origin, inguinal hernias divided:

• Congenital. The disease develops as a consequence of the absence of the peritoneal invaginate after the intrauterine omission of the egg in the scrotum. With full unction, the testicle will be located in the hernial bag. In this form of groin hernia, men can observe the testicle in the scrotum (cryptorchism).
• Purchased. Appears as a result of the impact of a number of factors.

The main difference is the location of the egg. If it is near (outside) with a junk bag, then this acquired hernia, with an innate character of the disease, the testicle is located in the hernial bag.

According to anatomical features, and depending on the localization and nature of the formation, the following types of inguinal hernia distinguish:

• Direct - wears the acquired character and most often arises from the elderly. It is characteristic of this type of hernia is that the internal organs go into the groin canal through the medial inguinal yam outside the seed rope. The main cause of the formation of pathology is the presence of a wide inguinal gap and weakness of the rear wall of the inguinal channel. The hernia can be incomplete and complete (the protrusion remains within / goes beyond the inguinal channel). Digging round, often double-sided, large sizes reaches in rare cases.
• Kosy - characterized by one-sided localization and most often wears a congenital character, although it can appear at any age. The protrusion is located either from the elements of the seed rope duck, or its elements can make a hernery bag from all sides.
• Combined - characterized by anatomically different multiple hernial bags (found quite rarely).
• Sliding - the hernia walls are adjacent to the organ lying nearby (refers to the most dangerous species of the disease).

Causes of groin hernia in men

There is no single cause of groin hernia, it may arise from various age categories at any time.

The discomfort appears when the grocery hernia is significantly increased in size. An important role is played by the dimensions of the hernial protrusion and the organ in it.

Provice the appearance of inguinal protrusion in men can be such factors as:

• pathology of prostate;
• hereditary factor (the presence of this disease in close relatives);
• congenital disorders of the connective tissue, consisting in its weakness;
• excess body weight (contributes to an increase in intra-abdominal pressure);
• violation of the functions of the gastrointestinal tract (lead to an increased load on the front abdominal wall);
• injuries of the muscles of the abdominal wall;
• severe physical work;
• chronic cough (provokes increased intrauterine pressure).

The risk group includes premature children who have a greater likelihood of groin hernia in adulthood.

In the development of pathology, 4 stages are distinguished.

1. Initial - in the field of groin as a result of overvoltage is formed a tumor-like protrusion.
2. Channel - characterized by protruding the hernial bag at the hole in the inguinal channel, acting as a hernial gate.
3. Actually, groove hernia - hernial content goes beyond the inguinal channel.
4. Patch-scrotal hernia - the contents lowered through the seed edge into the scrotum.

Clinical symptoms of groin hernia in men, depending on the stage of the disease, can appear gradually or suddenly sharply sharpen. The main feature of the initial phase of the disease is a slight protrusion in the groin area, which disappears in the lying position and externally becomes almost inconspicuous. This pathology proceeds relatively favorably, the pain is insignificant. It can be detected during the visual examination of the patient.

The discomfort appears when the grocery hernia is significantly increased in size. An important role is played by the dimensions of the hernial protrusion and the organ in it. A man may experience painful sensations that are amplifying with loads and stress, pain in the lumbar region, dysuric disorders. There are disorders of the digestive organs. In addition, the disadvantaged groin hernia can provoke hyperthermia, weakness, indisposition, vomiting, acute pain.

Diagnostics

The diagnosis of pathology does not represent special difficulties and includes an inspection of the surgeon, instrumental and laboratory research methods.

Timely identification of pathology and early surgical treatment of groin hernia is the prevention of its infringement.

Tool methods

• Ultrasound (ultrasound study) inguinal channels: it will determine some of the features of the hernia bag, its contents, size and position, especially if the formation has a small size.
• X-ray with a contrasting substance: The method is to introduce an x-ray-contrast solution in the hernia bag to determine the hernial content, the size of the gate and the inguinal channel.
• Laparoscopy: allows you to establish a final diagnosis in difficult cases.

Laboratory methods

• common blood test (clinical);
• general urine analysis;
• blood chemistry.

Differentiate inguinal hernias are necessary from hydrocel, lymphatication, eggs of eggs and seed rope, femoral hernia and other states similar to them.

Treatment

The treatment of groin hernia in men is carried out with the help of surgical intervention. Alternatives to surgical treatment of hernia does not exist. Bandages, special gymnastics and other conservative methods of therapy in the treatment of hernia are ineffective. Usually they are prescribed with serious contraindications to the operation or are shown to men in the form of preventing the fence of organs in the hernia.

The operation of groin hernia in men (hernioplasty) is carried out in several versions, when choosing the specificity of the inguinal channel topography, the localization of the hernia, the size of the herniated gate is taken into account.

Main methods:

• endoscopic hernioplasty is carried out through small punctures. The doctor excishes the hernia and installs the grid to strengthen the surface of the abdominal wall. After the operation, small scars remain;
• obstructive hernioplasty (Linchtenstein) - has a very low probability of relapses. The essence of the method is to remove the hernial bag through small cuts on the skin, followed by the contribution of the composite surgical grid.

The removal of groin hernia in men reduces the likelihood of the development of a recurrence of the disease (less than 1%).

Complications

The complications of hernia refers to infringement. The disadvantaged grocery hernia limits the blood flow into the small intestine, causing necrosis. Compressed or stricken hernia are lifeless and require emergency medical care.

These symptoms are indicated about the impairment of internal organs:

• nausea;
• lack of defecation and gases, bloating;
• blood in feces;
• sharp pain;
• the inability to enhance the hernia in the abdominal cavity even with the horizontal position of the body.

After surgical treatment, postoperative complications may occur, which depend on many factors, including from the physiological characteristics of the body and compliance with medical recommendations.

The possible early consequences of the operation include:

• swelling and pain;
• inflammation of the postoperative wound due to its infection;
• the appearance of hematoma in the groin area and the scrotum;
• discussion of seams.

In a later period may occur:

• thromboembolic complications;
• postoperative ovational eggs due to damage to their shells;
• re-emptying hernia in groin, as a result of a breakdown disturbance in the rehabilitation period;
• development of infertility.

Features of groin hernia in children

The disease is often observed in children, especially premature, and mainly congenital character. In childhood, hernia is usually oblique, and the frequent contents of the hernial bag in boys are the blind intestine or bladder. Teenagers diagnose congenital and acquired hernia.

The groin clinic in children is not much different from adult symptoms and requires an urgent physician intervention in the event of the risk of infringement of internal organs.

Features of the groin hernia in the elderly

Treatment of groin hernia in patients of this age category has its own characteristics. In chronic diseases of the respiratory and blood circulation, urinary, endocrine, digestive systems, there is a periodic increase in intra-abdominal pressure, which contributes to herniasis. Heavy postoperative complications in older people arise much more often than young people, which also applies to risk factors.

Clinical symptoms of groin hernia in men, depending on the stage of the disease, can appear gradually or suddenly sharply sharpen.

Contraindications for planned operational intervention are:

• heart attack;
• acute form of ischemic disease;
• III Hypertension Stage;
• heart failure;
• diabetes in severe form;
• oncological diseases.

Forecast

Forecast with operational treatment is favorable.

Preventive measures

Timely identification of pathology and early surgical treatment of groin hernia is the prevention of its infringement.

• healthy nutrition;
• active lifestyle;
• weight normalization;
• rational approach to lifting weights.

Video from YouTube on the subject of Articles:

The groin hernia is a fairly common disease, in which the peritoneum portion is made in the groin canal.

According to statistics in men, the groin hernia is formed 10 times more often than women, which is associated with the peculiarities of the anatomical structure of the groin area in men. However, the cases of the formation of groin hernia are not so rare. Usually the disease is found in women who gave birth several times.

The appearance of hernia can cause obesity, chronic cough, constipation, pregnancy, excessive sharp physical activity.

Causes of development and provoking factors

The groin hernia in men occurs much more often, due to the features of the structure of the inguinal canal. Inside it passes the seed rope, and in early childhood, eggs are lowered from the abdominal cavity. That is why, the entrance to the groin canal remains an extended, and the channel's channel proceeding does not overgrow. In a short time, the boy grows, and in the presence of provoking factors, the abdomen can enter the "free space".

More than adulthood, men have a groin canal is a "weak place" for the same reasons. Acquired, the muscles of the anterior abdominal wall are attached to congenital risk factors, and a hernial protrusion is formed.

To factors that contribute to the appearance of hernia front abdominal walls include:

• heavy exercise - sports and professional;
• diseases causing an increase in pressure in the abdomen - chronic obstructive pulmonary disease, bronchial asthma, acute bronchitis and pneumonia,
• diseases of the gastrointestinal tract, cirrhosis of the liver;
• harmful habits are smoking (causes a long, unproductive cough) and alcoholism;
• obesity is a common factor in men older than 40 years, an increase in the load on the front abdominal wall, and does not allow to identify her a long time.

Classification

1. Packing - hernia is in a groin canal, near its outdoor hole.
2. The rod - hernia descends below, is in the scrotum, near the seed rope, but does not descend to the level of the egg.
3. Patch-scrotum - hernia descends into the scrotum, is near the testicle

Types of inguinal hernia, depending on the location of the hernial bag:

• Oblique - pass through the groin canal, next to the seed cord;
• Straight - go into a groin canal, bypassing its inner hole, through a weakened abdominal wall;
• Combined - two and more hernia on one side that are not related to each other.

Symptoms of groin hernia, photo

Symptoms that detect the presence of groin hernia in men can be very different. But there are a number of general manifestations of this problem. Hernia Paho (see photo) makes itself felt as follows:

• noticeable emphasis in the groin area, which can have different sizes;
• redness of the skin at the site of the neoplasm;
• tangible discomfort when lifting weights, large physical exertion;
• painful sensations arising in the lower abdomen;
• the feeling of burning in place where the hernia is located;
• pain, nausea, vomiting.

With hernia, a person feels relief when taking a horizontal position. Herry formations of large sizes cause discomfort when walking. At the same time, a long time of hernia can absolutely not manifest. But if there is even a small tumor, the groin zone must immediately contact a specialist. This will help correctly set the diagnosis.

Infringement of groin grozhi

This condition develops as a result of sudden squeezing the contents of a hernial bag in the hernial gate. There are two mechanisms of infringement:

Elastic mechanism - a sudden falling into a large number of internals of the abdominal cavity in a hernia bag through a narrow hernia. This can occur with a sharp increase in intra-abdominal pressure (for example, with sharp physical voltage). Caluing infringement occurs as a result of overflowing the containers of the intestine loop, which is in the jewelry bag. The infringement of groin hernia is manifested by a sharp strong abdominal pain. The protrusion, which was used to be without effort, becomes unfavorable and tense. Often this condition is accompanied by an increase in body temperature, nausea, vomiting and stool delay.

When infringement of groin hernia, an emergency surgical intervention is necessary.

Complications

The main complications of the groin hernia are: infringement, coprostas, non-execution, inflammation and damage to hernia. More rarely encounters neoplasms and bodies of hernia.

1. The incorporation of hernia arises as a result of development in the hernial bag of the battles of the internal organs among themselves and with a hernia bag, which is due to the injuryization of hernia content. The incorrect may be partial (when part of the hernia content can be edited into the abdominal cavity, and the other part is not) or full (all the contents of the hernia do not go into the abdominal cavity).
2. Koprostases (stagnation of powerful masses) develops in cases where the contents of the hernial bag are the thick intestine, as a result of the disorder of the intestinal motor function. Promotes the development of coprostase, the nepherupability of hernia, abundant food and a low-wear lifestyle. More often occurs in senior patients with increased body weight. It is manifested by difficult abscessive constipation, abdominal pain and nausea, less often vomiting. Koprostaz may lead to a fenced root of hernia. The inflammation of the hernia is developing when infected with a hernia bag, which is possible in acute inflammation of a worm-like process (appendicitis) or a meckylene diverticulus, which fell into the hernia bag, with peritoneum tuberculosis. At the same time, the general condition of patients suffers, the body temperature increases, chills arises, and vomiting appears, the latency of the chair and the difficulty of fatting gases. The size of the hernia is increasing, kaja bloom over it.
3. Damage to the hernia can lead to a gap in the jewelry bag and are found with a sharp increase in intra-painted pressure, with a direct injury of hernia or due to the abdominal wall injury away from hernia.
4. The neoplasms of hernia are very rare, can occur from the contents of hernia, a hernial bag or surrounding tissues and organs. Most often there are lipoms (wen) of a hernial bag.

Foreign bodies in the hernial bag can perform objects, worms, bladder stones.

Diagnostics

Primary diagnostics is carried out at the reception of the surgeon. It consists in collecting anamnesis and complaints, visual and palpator examination of the patient. The location of the hernia is determined, its size and degree of return. After that, additional diagnostic methods are appointed.

Laboratory diagnostic methods

Laboratory survey includes the definition of the following parameters.

1. A general blood test with a formula - an increase in ESP and an increase in the number of leukocytes indicates the beginning of the development of the inflammatory process.
2. Biochemical blood test - allows you to determine the violation of the work of the abdominal organs, including the urinary system.
3. Analyzes to determine the patient's blood group, coagulogram, HIV and hepatitis (when preparing for surgical intervention).

To obtain a full picture, instrumental diagnostics are assigned.

Instrumental research methods

Depending on the localization of hernias education, certain types of surveys are prescribed.

1. Uzi abdominal organs - the presence of bias of organs and their actual location is determined.
2. Ultrasound urinary bubble - the degree of involvement of the bladder in the overall process and signs of acute urine delay are revealed.
3. Ultrasound of the organs of a small pelvis - allows you to determine the location of the organs of the urogenital system and the presence of pathological deviations.
4. Irrigoscopy is prescribed when suspicion of pinching the loop of the colon. It can also be used to see the presence of scar changes in the walls, tumor formations and other pathologies.

Treatment of gentle hernia in men

Fully and forever get rid of the groove hernia is only a surgical path. Many authors at different stages of medical science development proposed various methods of treating hernia. Many methods are currently practically not used due to the fact that after them is likely to come recurrence, and have only historical importance.

The treatment of inguinal hernia is engaged in the surgeon. In the absence of complications and contraindications, a planned surgical treatment is carried out in the hospital. Operations are possible under general anesthesia or under local anesthesia. An excision of a hernial bag is carried out, if there is an abdominal organ in it, the surgeon is refueling them back. After that, the front abdominal wall is strengthened. To do this, plastic is carried out by surrounding tissues or sewing of the mesh graft.

In the presence of a patient at the moment there is a temporary conservative treatment to surgical treatment - wearing a bandage.

Treatment without surgery

The bandage contributes to the relief of the state and is not 100% the treatment of groin hernia without surgery. It is worn at home, as well as on the street under the clothes. The bandage helps to hold the hernia in its original position, thereby not giving it to fall out and deliver discomfort.

After eliminating contraindications, operational treatment is carried out. After surpassing, the patient is in the hospital for observation and processing of seams. The seams are removed after 7-10 days.

Wearing a bandage with groin hernia

Carrying out surgical intervention

Surgical methods:

1. Laparoscopy - embedding hernia by an endoscope through the puncture of the abdominal wall with the help of minicimers, microendoscopic tools and with the mesh installation;
2. Operational hernuty. Various techniques of operational treatment of groin hernia (Bassini, Matrynova, Ruji, etc.) are used.

The patient is discharged from the hospital a few days after treatment. The pain in the area of \u200b\u200bpunctures in the postoperative period is minor. Full recovery after removal of groin hernia occurs after 3-6 months. During this period, severe physical labor should be avoided. Power should be lightly accurate food so that the patient has no constipation.

With the development of the disadvantaged groin, emergency operational treatment is carried out. At the beginning, the surgeon reveals the hernia and assesses the state of the organs contained in it. Since if the bowel fabric in the junk bag is dead, they are excised. And then the yumbell bag is already excised and the front abdominal wall is strengthened. After conducting modern methods for the treatment of inguinal hernia, their recurrence is extremely rare, subject to all recommendations in the postoperative period.

Postoperative period

After performing the shenoplasty operation of the groin hernia in a planned manner, the patient should be adhered to the beddown for about a day. After the spinal anesthesia, the patient will not feel the lower part of the body approximately 4-6 hours. When the sensitivity returns, you can rotate on the side. The first reception of food and water can be made in 12-24 hours, it should be started with conventional soup, sweet tea, sweet tea or simple mineral water. The diet is expanding and allowed to eat food familiar to the patient.

Getting out of bed is allowed the next day after the operation, it is desirable with the help of foreign people. Next will gradually appear forces and allowed to walk on their own.

Medical therapy:

• anesthetic drugs are introduced throughout the first 3-4 days;
• antibiotics (depending on the duration and course of the operation) over 1 to 3 days;
• anticoagulants (preparations that significantly reduce blood clotting) daily for 7 days, if there are accompanying
• diseases, age after 40 years, obesity, diseases of the lower limbs.

For 1-2 months, it is categorical forbidden to engage in heavy physical work, you need to keep a gentle lifestyle, after the 2nd month you need to gradually increase the load.

Large inhabited grozha in an adult man.

Can a relapse after surgery?

After the operation, the inguinal hernias occur re-in 2-10% of patients.

Possible reasons for recurrence:

• not quite correctly chosen surgical tactics, errors during the operation;
• intensive physical exertion after surgery;
• related diseases accompanied by a strong cough;
• constipation;
• suppuration at the operation site;
• prostate adenoma, which was not cured before the operation;
• failure to comply with the patient of appointments and recommendations of the doctor in the postoperative period.

The only effective way to treat postoperative groin is surgical intervention. The operation is quite complex due to the fact that after the previous intervention, anatomical relationships in the groin area are changed, there is a scar.

Other possible complications after surgery about groin hernia:

• enthancing in the field of seams - treatment is necessary in the separation of purulent surgery, the opening of an ulcer, the course of antibiotics;
• bleeding - stop using drugs or in the operating room;
• strong pain - various painkillers are used.

Prevention

To prevent the formation of groin hernia, it is necessary to eliminate factors that contribute to an increase in intra-abdominal pressure: lifting weights, chronic constipation, unbearable power sports workouts.

If a man wants to start doing Bodybuilding, he must first strengthen the muscles of the back and abdominal press for several months. Loads must be increased gradually. Exercises for the strengthening of the press can be used as effective prevention of the appearance of inguinal hernia, but in the absence of risk of the appearance of hernia.

Congenital hernia can not be warned. Parents should carefully watch the child, especially if he was born with undue testicles. If any suspicion appears, it is recommended to turn to the children's surgeon.

When the groin hernia occurs in men, treatment without surgery is possible? This issue will be discussed below. Pahnaya hernia is a tumor-like protrusion, overlooking the groin canal and beyond its limits. The most frequent dislocation of hernia is the area of \u200b\u200bpassage of the seed rope. Pathology more often amazes men than women, and is able to develop at any age. The etiology of the disease is associated with weakened connecting tissues, ligaments and muscles that lose the ability to retain organs in their places. A predisposing factor in the appearance of hernia is a specific anatomical formation - a slot of about 4 cm, located in the groove zone between the connecting fascia and ligaments. It is in this gap that drops hernia content.

The reasons for the development of pathology:

• weak muscles of the abdominal wall;
• obesity - excess weight puts pressure on the abdominal organs;
• injuries in the groin zone, weakening the binder;
• long-term physical tension;
• pathology of digestive bodies accompanied by frequent constipation.

Pachwasted hernia has several varieties. A straight groin hernia can only be purchased, characterized by pathological protrusion in the inguinal channel, while the seed rope is not affected. With oblique hernia, the protrusion is localized next to the inguinal canal and falls out of the abdominal cavity. This type of hernia is congenital or formed under the influence of external reasons. Combined hernia is less common, consists of several hernial bags.

The groin hernia needs compulsory treatment, as self-esteem is impossible. The most effective treatment method is a surgical operation. Cured herriation is difficult to cure a loose method. With groin hernia, men have treatment without surgery provides for the right of hernia. Conservative treatment is appointed by a doctor in the following cases:

• if there are medical contraindications to surgical intervention;
• infectious diseases of the genitourinary system;
• if the disease has revealed at an early stage of development;
• broken blood coagulation;
• serious violations of cardiac activity;
• renal failure.

Treatment of groin hernia in men without surgery should be carried out under the supervision of the attending physician. Independent treatment of groin hernia is not categorically recommended, as it can complicate the state and cause infringement.

How to treat inguinal hernia? There are basic methods to combat this pathology:

1. The use of a special bandage is an elastic belt with a clamping foot by a retainer. There is also underwear having special tight inserts. With the help of a correctly fixed design, the missing strength of connecting ligaments is replenished. Wearing a bandage belt is necessary during exercise. Do not wear a bandage constantly, this will lead to the weakening of the muscles of the abdominal press and back. The constant wearing of such a belt is recommended to people of old age. Design is recommended to use at an early stage of pathology.
2. Moderate sports. It is recommended to engage in swimming, easy run or walking, classes should be carried out with an instructor. Especially useful are swimming, in which the abdominal muscles are strengthened without much effort.
3. Physiotherapy. Treat inguinal hernia without surgery can be healing exercises. There is a special complex of gymnastic exercises aimed at strengthening the muscle group of the lower abdomen. Exercises are selected by a specialist individually depending on the physical training of a person. During sports, you need to wear a bandage belt.

How to treat inguinal herriation by folk remedies

Fitotherapy may serve as an addition to the main treatment and should be coordinated with the attending physician. Main methods are reduced to the use of compresses, lotions and ointments.

1. Rye bread and infusion wormwood. Rye bread is soaked in a concentrated nasty wormwood. The mixture in the form of a compress is applied to the hernia area. The method slows down the progressive process and prevents complications.
2. Vinegar. Wipe daily hernial protrusion with 4% vinegar solution.
3. Brine sauerkraut. Gauze, moistened in the cabbage brine, applied to hernia. Compress well soothes pain. The method is contraindicated with a disadvantaged hernia.
4. Oak bark. The crushed boring is brewed with boiling water in the ratio: 1 tsp. on a glass of boiling water. Insist 20 minutes. Gauze impregnate the decoction and impose on the inguinal hernia. The compress can be fixed with the plaster so that it does not slip.
5. Field Horsetail 3 tbsp. Dry grass is brewed with a glass of boiling water. The decoction insists 30 minutes and use for compress.
6. Ointment. The chicken egg is mixed with 100 ml of vinegar, 0.5 liters of melted pork fat and removes in a dark, cool place for 5 days. Then, it is necessary to add 2 quail eggs to the mixture and 10 g of plaque fat. Ointment is thoroughly mixed, impose daily to the inguinal hernia for 2 hours, the course of treatment is 1 month. On top of the ointment impose a napkin and fix the bandage.
7. Larkspur. 25 g of dry grass is poured with a glass of water, boil 10 minutes, consumed inside 1 tsp. before meals.
8. Sagebrush. 1 tsp. Herbs, flooded with a glass of water, boiled 5 minutes, the decoction is used for compresses.
9. Flowers cornflower. 30 g of herbs brew 0.5 liters of water. Drink half a cup before meal.
10. Nettle. The leaves of the plant are crushed into the cleaner and impose on the inguinal hernia.
11. The oak and acorns are insist on red wine for 3 weeks, infusion is used for compresses.
12. Spiraea. 3 tbsp. The herbs brew 0.5 liters of hot water, insist for 20 minutes and drink 3 times a day before meals.
13. Leaves of the gooseberry or tolody. 1 tsp. Dry herbs need to be brewed in a glass of boiling water, consumed three times a day before meals.

Exercises for groaning hernia

1. Take the position lying on the back, the legs bend in the knees, hands to sick into the castle on the back of the head. Alternately elbow the right hand touching the left knee, then the left elbow to reach the right knee. Exercise to perform 20-30 times in each direction.
2. Exercise "Bike" for 2-3 minutes.
3. Exercise "Scissors" is performed lying on the back for 2-3 minutes.
4. Lying on the side, perform mahi legs up with my left foot, then right.
5. Alternately perform the slopes to the right and left leg, one hand concerns the foot, the other hand is given behind the back.
6. Lying on the back, clasp the ball, lift legs with the ball, linger for a couple of seconds and lower the legs.

Exercises must be performed in a bandage belt. Depending on the state, the load can be increased or decreased. The main thing is that the therapeutic gymnastics is performed regularly. Therapeutic gymnastics, wearing bandage and phytotherapy may not bring the desired results. With a deterioration of the state, immediately apply to the doctor.

Preventive actions

It is well known that the disease is always easier to prevent than to treat. The occurrence of groin hernia is often due to the weak muscles and the absence of the abdominal press. To prevent hernia's formation, your physical form should be maintained. It has been proven that in most cases the groove-scrotal hernia is found in men with a safer belly and the flabby muscles of the abdominal press. It is 20-30 minutes a day to perform simple exercises aimed at strengthening oblique and transverse abdominal muscles, or several times a week to visit the gym, swim in the pool, and then the risk of groin hernia will be minimized. Refuse the elevator, more walk on foot, it stabilizes the vertical position of the body in space, which, in turn, forms the normal location of the internal organs and supports the abdominal muscles in the tone.

It is also necessary to regulate exercise, especially people whose professional activities are related to lifting weights. Remember that one of the causes of groin hernia is excessive physical stress.

It is necessary to monitor the right nutrition, not allowing frequent constipation. With a disturbed intestinal function, intra-abdominal pressure increases, which provokes the extrusion of internal organs into the inguinal ring. So that the intestines worked properly, in a large volume you need to use plant food and drink a sufficient amount of fluid.

In preventive measures, it is recommended to undergo a medical examination at least once a year. Pahnaya hernia is a pathology that develops gradually for several years. Early diagnosis can successfully help cope with the ailment, not allowing the development of pathology.

Content

Already the first symptoms of groin hernia in men say that the disease should urgently begin to treat with conservative therapy or surgery, otherwise it can lead to serious consequences. The disease is a drop in the smallest gap of various abdominal organs due to the bundle of muscles in the area of \u200b\u200bthe groin. Hernia can be acquired or congenital pathology. In the groin zone, it is one of the most common.

What is a groin hernia in men

In this case, the disease of the abdominal cavity wall weakens, because of which they can no longer hold in the place internal organs. One of the weak parts in this area is a groin canal. It is a gap, which passes the seed rope. It lasts from a deep inguinal ring to superficial, from where under certain conditions and the organs of the abdominal cavity are protruded.

What looks like

The first sign of this pathology acts as an appearance in the groin area of \u200b\u200bbloating, which varies in size. In the lying position it can disappear. When changing the position, the bloating reappears. The same happens when coughing, visiting the toilet and with exercise. The absorption size can be both very small, about the nut, as shown in the photo and reach larger dimensions.

Symptoms

In addition to the protrusion in the lower part of the abdomen, in the pubic area, the hernia in the groin can be manifested by a number of other signs. The patient is disturbed by minor pains who quickly pass, so a person simply does not pay attention to them. Inguinal hernial protrusion is accompanied by other symptoms:

• flatulence;
• belching;
• constipation;
• frequent urination;
• burning in the area of \u200b\u200bpaha;
• swelling and pain in the scrotum;
• the severity and feeling of squeezing into the groin.

Pain

At the first stages, pathology does not cause pain. For this reason, many patients appeal to the doctor already at the started stage. The presence or absence of pain is determined by the complexity of the developed pathology. Some patients complain about burning, increasing after physical exertion. Others have tingling and stupid pain. With a significant increase in protrusion can increase

First signs

Small swelling in the area of \u200b\u200bthe groin is the first sign. Over time, it gradually increases. Against this background, the following symptoms may occur:

• changing the size and form of swelling during exercise;
• burning in the area of \u200b\u200bpaha;
• it's a dull pain;
• discomfort when walking;
• feeling overcrowding at the bottom of the abdomen.

The reasons

The hernia in men can be congenital or acquired. In the first case, pathology is still formed inside the womb. Acquired develops as a result of the weakening of the muscles of the peritoneum. The causes of the occurrence of such pathology are:

• changes in connective tissue with age;
• the consequences of operational interventions on the abdominal cavity;
• muscle weakness as a result of systemic diseases;
• a state of long-grained intraperous pressure when working associated with lifting weights, obesity, constipation or long cough;
• sedentary lifestyle.

Forms of the disease

Depending on the localization of hernia in gagging, men may be law or left-handed or bilateral. They are also publisted and unfavimed. In the first case, the protrusion can disappear by slipping back into the abdominal cavity. When the hernery bag is already connected with the contents, it becomes a neglected. Taking into account the characteristics of the anatomical structure, pathology can be:

1. Oblique. It happens acquired or congenital groin hernia. Its content is located along the inguinal canal inside the seed rope. Channel, rod and inhabric-scrutinous hernia in men are a variety of oblique groove.
2. Straight. Such hernia can only be acquired. Puritinum protrusion in this case is outside the seed rope and passes through the groove gap.
3. Direct interstitial, or subcutaneous. Here, the hernia bag does not fall into the cavity of the scrotum, and is located in the subcutaneous transshipment of the aponeurosis oblique outer muscle.
4. Combined. That kind of hernia is very complex in relation to the anatomy. It consists of several hernial bags.

What is dangerous groin hernia in men

The most dangerous happens when the hernia in the groin in men is thrown away. Then the contents of the hernia squeezed. This state is dangerous, because the infringement reduces the flow of blood into the intestine or the movement of the contents on it is stopped. There is no speech about the right of hernia here. Due to blood circulation disorders, it becomes red-purple or blue-bagg. This is a reason for immediate surgical intervention. The pinching of hernia threatens men with dangerous complications, such as:

• complete cessation of blood flow in disadvantaged hinges, their necrosis;
• intestinal obstruction;
• self-defense;
• peritonitis.

Diagnostics

Pathology is always visible to the naked eye, because the first sign is the appearance of a herniated protrusion in the field of paha. To confirm the diagnosis and obtaining additional data, in addition to inspection, the patient assign the following procedures:

• cystography - X-ray filled with a solution of the contrasting color of the bladder;
• gerniography - X-ray of a junk bag;
• irrigoscopy - X-ray studies of the colon after its filling in a contrasting agent to identify the contents of hernia, the size of its gate;
• Ultrasound of the groove zone, abdominal cavity and bladder;
• cistoscopy is an endoscopic inspection using a cystoscope of the inner surface of the bladder.

If there is a suspicion of the infringement of hernia, then differential diagnosis is carried out with non-stipulated. It is necessary to distinguish with the following diseases:

• varicocele;
• femoral hernia;
• lymphadenitis;
• hydrocel.

Treatment

In men, the inguinal hernia is treated in two ways - conservative and surgical. Enable the body at any stage of the disease allows only operational intervention:

• removal of hernia open;
• laparoscopy, i.e. Removing the absorption through the outer hole.

If the disease is not too launched, the conservative treatment sometimes helps to get rid of it. It is important to regularly and correctly fulfill all the recommendations. The conservative therapy of groin hernia includes:

• wearing a bandage;
• compresses from oak bark, pickle cabbage pickles or acetic acid;
• compliance with a special diet;
• regular physical exertion on the strengthening of abdominal muscles;
• taking non-steroidal anti-inflammatory drugs and analgesics for inflammation and pain.

Treatment without surgery

Conservative treatment is shown only in exceptional cases when the patient cannot be operated. This applies to the elderly or with cardiovascular diseases. The doctor appoints them to wearing a special bandage. The treatment of groin hernia in men without surgery includes the adoption of some drugs, medical gymnastics, diet observance.

Physical exercise treatment

Exercises in hernia are aimed at strengthening the muscles of the peritoness wall, but it can keep the progression of the disease only for a while. Fully correct the protrusion with sports will not work. Although doctors still recommend to engage in swimming, unprecedented running and walking. It is necessary to train in a bandage. Specific exercises that treat hernia are aimed at strengthening ligaments and muscles of the abdominal cavity:

1. "Scissors". To lie on the back, legs to lift the legs by 30-40 cm. Machine crossing like scissors. Make 3 approaches 8-10 times.
2. "Bicycle". Lying on the back, the legs bend in the knees, then perform them by movement as when the bike pedals are turned. Repeat for 30-60 seconds.
3. Compressing the ball. Stay in the same position on the back, feet bend, keep the feet on the floor. Between the knees, place a small ball, compress and squeeze it for a minute.

Diet

The main purpose of the diet is the prevention of constipation and meteorism, saturation of the body by minerals, weight loss. To treat hernial protrusion, it is necessary to eat often and gradually, up to 4-5 times throughout the day. Avoid such food:

• fat, salted, fried and acute;
• flour and sweet products;
• alcoholic beverages;
• strong tea and coffee;
• cabbage, pea, fresh cucumbers and other products provoking constipation.

This food must be replaced more useful, from which and make your diet for a week or a month ahead. The list of such products includes:

• porridge;
• fruit juices;
• broths;
• fresh fruits and vegetables;
• lean grade meat and fish;
• jelly and kissel;
• rubber branch;
• omelet.

Surgery

The only method of treating hernia is surgery. Conservative ways do not bring a positive result. Remove the protrusion can only surgeon. The operation is carried out by an open or laparoscopic method, i.e. Through a small hole. The first method is more common. The operation goes like this:

• local anesthesia with the help of spinal anesthesia;
• opening of soft fabrics of the front abdominal wall to access the organs;
• selection of a hernial bag from surrounding tissues, its autopsy through cuts, parallel to the groove bunch;
• refueling the contents of the bag into the abdominal cavity;
• flashing and rearing the neck of a hernial bag in the area of \u200b\u200bthe gate;
• cutting off an excess of peritoneum, which beyond the abdominal cavity;
• elimination of the hernial gate and the strengthening of the abdominal wall.

Effects

In addition to infringement, hernia is able to lead to other dangerous complications. The most common among them are the following:

• inflammation of the testicles;
• penetration into the abdominal cavity of infection;
• disorders of the sexual system of men;
• intestinal obstruction.

After the operational treatment of hernia, some negative consequences are also possible. In most cases, they arise through the fault of a patient who does not comply with the recommendations regarding the rehabilitation period. Although there may be consequences and due to the doctor's mistake. In general, postoperative complications are:

• hematoma (for their exception immediately after the operation, ice is superimposed);
• wasyanka testicles due to damage to their shell;
• damage to the femur with coarse overlap;
• infection and suppuration of the wound;
• damage to the seed rope that occurs due to the fault of the doctor;
• the discrepancy of the seams;
• recurrence of the disease;
• damage to blood vessels leading to egg atrophy.

Forecast

If the patient was made in a timely manner to remove the groin, it guarantees complete recovery and restoration of disability in a short time. With independent treatment with folk remedies, serious consequences are possible. Hernia in such cases becomes unfit. In addition, its infringement and possible complications further worsen the forecast.

Prevention

To prevent the development of such pathology, it is important to comply with some simple rules recommended by even doctors. Such advice includes the following:

• regular physical activity aimed at strengthening abdominal muscles;
• refusal to smoking leading to chronic cough;
• exception of excessive physical exertion, lifting too much weights;
• wearing a bandage after surgery on the abdominal organs;
• load distribution when transferring overall things on both hands;
• proper power to eliminate obesity;
• gradual weight loss, which eliminates a sharp relief of weight.

Video

Found in the text error?
Highlight it, press Ctrl + Enter and we will fix everything!

Among the various hernias of the abdominal cavity - Pakhovaya (PG), the most common.

It is characterized by the protrusion of various organs located in the abdominal cavity in a slit gap as a result of the bundle of muscle tissue in the area of \u200b\u200bthe groin.

The structure of the hernia pouch consists of mouth, cervical, body and bottom. Formed from parietal thin leaflets of peritoneum. Can be filled with various intraperitoneal organs:

• a large seal;
• part of the fine, blind, or the sigmoid intestine;
• draw-shaped process;
• bladder;
• female genital organs.

The groin canal performs the "role" of the hernial gate. Men are subject to this pathology almost ten times more than women. The reason lies in anatomical features. The gap, between the wide muscles of the belly of women much longer and already, has a stronger structure, well-strengthened, bundles, muscles, and tendons.

In this material, we will look at the inguinal hernia: you will get acquainted with the photo, as well as learn the symptoms and methods of treating this problem in men.

Provoking factors

Many reasons contribute to the formation of hernia protrusion in the groin:

• the effect of severe physical work;
• protracted, reflex cough;
• consequence of violations of the functions of the gastrointestinal tract;
• acute urination delay;
• anomalies in the anatomical structure of the rear wall of the channel;
• closed abdomen injuries;
• weak muscular-aponeurotic layers of the abdominal wall.

Types of PG

According to the classification of protrusion, men are divided into anatomical features, development and origin.

In accordance with the anatomical signs, they happen:

• oblique;
• straight;
• combined.

Formation of pathology takes place four stages of development:

1. 1) In the initial stage, the protrusion can be easily forgotten with coughing or abdominal voltage in the patient.
2. 2) In the second stage, a channel protrusion is developing, located at the hole itself of the groove gap.
3. 3) the third stage is characterized by the formation of oblique hernia with the location along the channel through the lateral pumlet;
4. 4) the fourth stage is characterized by omitting the hernial content in the scrotum.

By origin, PG has a congenital and acquired form.

Spit type PG

The oblique type of hernia is found only with one-sided localization and manifests itself in the male floor in early and middle age. The hernia doors have a bevelled direction, only in the initial stage of the disease.

In the process of increasing the hernial bag, the slot in the transverse muscle is expanding toward the supred vessels, moving them inside. Expanding the hernial entrance more than usual, causes a weakening and good severity of vascular and muscle lacunas in the back wall of the canal.

1) Congenital Types of PG in men are due to the gradual lowering of the fetus eggs into the skin-muscle scrotum. Until the moment of birth, the egg should reach the bottom of the scrotum, and the output behind it is closed. If this does not happen, the fragments of the abdominal organs can penetrate into the open passage of the skin-muscular scrotum, forming a congenital shape of groin hernia.

Launched processes cause an increase in the hernial bags, as a result of which the skin-muscular scrotum is stretched and increased in size, hiding under the skin of the sexual organ. An independent right of such education is impossible. When you try to order, ricking sounds in the guts.

2) Acquired Types of PG are due to the formation of the absorption of organs located in the abdominal cavity, in a closed peritoneum, passing the way from the internal, to the outer opening of the channel.

Packing hernia in men photo:

Variety

1. 1) the arrangement of the hernial bags in the region of the rear inacid gap belongs to the inhabivine-intermediate types of hernia formations;
2. 2) Two-chamber formations, having a message between themselves and lying in different places - located in the channel itself and in the cloth tissue belong to the Pakhovo preventive form.
3. 3) Patch-surface species - has two capsules, located in various places and lies in different directions - in the channel itself and under the skin of the fascial case, in a bunch of oblique outdoor muscle.
4. 4) those accumulated GHG are two hance bags concluded in each other.
5. 5) Okolophane - characterized by yield into subcutaneous fatty cells.

Direct PG

This type of drawing, as a rule, is always acquired. The prerequisites are atrophic ligament and muscular pathology of the peritoneal wall, resulting from age-related changes. The formation of a hernial bag is localized near the Lona Budrock of the ingredient gap, without touching the seed rope, protruding the fascia, serving the coating of the rear wall of the inguinal canal.

The combined type of PG includes anatomically different hange bags in its classification.

Another type of GHG, up to 2% of education, are the sliding type of hernia, one wall of which, adjacent to the next to the lying organ, not covered with peritoneum.

Types of Localization of PG in men

Depending on the place of position, the inguinal hernias in men are:

1. 1) with double-sided localization - is characterized by the same or different in size in abominations on both sides of groin or scrotum areas.
2. 2) Left-sided Localization of GHG - manifests itself due to the anatomical features of the peritoneum. The elimination in the left side can be from the internal organs - intestines or bladder, large gland or ovaries.
3. 3) right-sided protrusion - the consequences of the pressure imbalance between the surrounding muscles and the internal bodies. Initially recessed in the abdominal cavity, with the subsequent introduction of intestinal loops, gland or bladder, increasing local pressure.

As a result of the stretching of the pure tissues, a herniated shell is formed, followed by a conversion to the hernia.

Symptoms of groin hernia in men

PG clinical symptoms are manifested in the following moments:

• tumor-like protrusion;
• pools;
• believer and nausea;
• constipation or frequent urination;
• a sense of discomfort and burning in groin.

The most objective symptom of groin hernia in men is a characteristic protrusion, which manifests itself in the place where a herniated gate arose (see photo). Quite often, the groin hernia can descend into the scrotum, thereby increasing its volume.

Probability of consequences

Men should know all the consequences not treated, and they are very serious. The most terrible complication is to infringe the hernia, the consequence of which may be necrosis of the infringes organs and the development of purulent-inflammatory diseases of the internal organs.

In addition, the infringement is fraught with various complications in the form:

• acute urination delay;
• disorders of the GTS functions;
• constipation and;
• potency disorder;
• violation of spermatogenesis, which leads to.

Treatment of gentle hernia in men

Diagnostics in the hernias in the groin is carried out in the inspection and palpation of the protrusion, to assess the position, form and size of education. Further refinement is carried out during the operation.

The only effective method of treating groin hernia in men is surgical intervention. Now the operation is carried out mainly by the laparoscopic method, using 3-4 punzes at the bottom of the abdomen with a pencil size in diameter, or in an old manner, through the usual incision in the groin. It all depends on the desire of a man, the presence of contraindications and financial capabilities.

The usual operation can be performed under local anesthesia, and with laparoscopy, only common or combined anesthesia is used. In any case, a person is unconscious throughout the operation. Because of this, some prefer a standard incision under local anesthesia, as they fear "waste" from a stronger anesthesia.

1. 1) operational intervention is carried out with the use of necessary, for a given case, methods created by various authors;
2. 2) the most effective way is to create a surgical method that supports the fold or plastic of the rear wall of the channel using a special grid;
3. 3) the operation of hernias with the use of abdominal plastics;
4. 4) Congenital species of PG are being treated by intraperitoneal and extperpectorial access to laparoscopic hernioplasty.

Conservative treatment of groin hernia in men is applied only in exceptional cases when there is contraindications to the operation. Injected by drugs by drugs is carried out, in order to eliminate them and transform into scar tissue. This method is fraught with severe complications and is used in caseless situations.

In addition, it is possible to use a special bandage that will support PG and not give it to fall. However, this is a temporary measure, because the hernia do not shine in this way, and as soon as you rent a bandage - the groove hernia will come back. Therefore, without surgery can not do.

Permanent operations in gentle hernia

How long does the operation be dependent on the selected technique. On average, it lasts no more than 90 minutes. Preference is given to this methods:

1. 1) Operation on the method of Liechtenstein. The essence is to strengthen the posterior wall of the inguinal channel by a specialized grid. Strengthening is made behind the seed rope. This technique has its indisputable advantages among other methods of treatment and is "classic". The main advantages of the Liechtenstein operation include: an extremely low percentage of recurrence (neared to zero), a short period of rehabilitation, a minimum risk of traumatic damage to the urinary tract, as well as the minimum possibility of developing postoperative complications from cardiovascular and respiratory systems, lowered pain syndrome, the ability to perform operation under local anesthesia;
2. 2) Operation Trabukko. It is one of the modifications of the Liechtenstein method. More often with it, a single-component flat prosthesis is used, which is not fixed with the seams (there is no need for a high rigidity of the mesh material);
3. 3) Endoscopic hernioplasty. This technique is performed under the obligatory control of specialized endoscopic equipment. The strengthening mesh can be established by abdominal predominant or extra-bustitoneal methods. In the first case, the grid is located between the muscular-aponeurotic layer and directly peritoneum. In the second case, the intervention is carried out without penetration into the abdominal cavity: the grid is set between the pebble itself and other layers of the front abdominal wall. The main advantages of such an intervention are: the ability to simultaneously assess the situation on both sides, the low percentage of possible relapse, the weakness of pain syndrome, the minimum size of operational cuts (punctures) and postoperative scars, fast rehabilitation, the ability to perform physical exertion after a short time after the transmitted operation;
4. 4) Obstrument hernioplasty. A feature of this type of treatment is the obturation of the hernial gate with a mesh prosthesis. Bearing when strengthening the inkhan canal does not apply. This operation, as well as the previous one, allows you to control the progress of manipulation from both sides. In addition, it has a short postoperative period, the ability to perform physical exercises a few days after the treatment intervention, a low percentage of recurrence, minimal pain syndrome;
5. 5) Application of UHS systems, PHS. The obturation of the hernial gate is made using implants from semirassaming or polypropylene materials. For the purpose of obturation, a monoblock implant is used. It has 2 parts: one of them is attached to the prettier space, and the second is somewhat lateral (between the layers of the front abdominal wall).

What doctor to appeal to treatment?

If after reading the article you assume that you have characteristic symptoms for this disease, then you should