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Although women account for roughly 70% of femoral hernia repairs, indirect inguinal hernias are still the most common subtype of groin hernia in both males and females. [ 14 ] Inguinal hernia surgery is also one of the most common surgical procedures, with an estimated incidence of 0.8-2% and increasing up to 20% in preterm children.
However most men tend to eventually undergo groin hernia surgery due to the development of pain. [1] For women, however, repair is generally recommended due to the higher rate of femoral hernias, which have more complications. [1] If strangulation occurs, immediate surgery is required. [1]
An inguinal hernia or groin hernia is a hernia (protrusion) of abdominal cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third of patients. Symptoms often get worse throughout the day and improve when lying down.
Strangulation can occur in all hernias, but is more common in femoral and inguinal hernias due to their narrow "weaknesses" in the abdominal wall. Nausea, vomiting, and severe abdominal pain are characteristics of a strangulated hernia. This is a medical emergency, as the loss of blood supply to the bowel can result in necrosis (tissue death ...
Small umbilical hernias are often successfully repaired with suture, while larger hernias may require a suitable mesh, [15] although some surgeons advocate mesh treatment for most hernias. The most common complications for both techniques are superficial wound infections and recurrence of the hernia [ 16 ] and some people experience pain at the ...
Although there are multiple different treatment approaches, many hospitals will follow their institution's guidelines for emergency hernia repair. [15] Post-surgery care for obturator hernias may also include protocols to aid in recovery of bowel resections as this is a procedure that may be performed in the process of treating the hernia but ...
Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success.
A Richter's hernia occurs when the antimesenteric wall of the intestine protrudes through a defect in the abdominal wall. This is distinct from other types of abdominal hernias in that only one intestinal wall protrudes through the defect, such that the lumen of the intestine is incompletely contained in the defect, while the rest remains in the peritoneal cavity.