INGUINAL HERNIA Symptoms Diagnosis Treatment

An inguinal hernia is a protrusion of abdominal- A bulge in the area on • History & Clinical • Treatment of
cavity contents through the inguinal canal. either side of pubic bone, examination underlying cause
which becomes more obvious
when upright, especially • Ring Occlusion Test to • Surgical treatment
CAUSES
when coughing or straining differentiate b/w • Mesh Hernioplasty
direct and indirect
Straining during bowel movements or urination hernia
• Strenuous activity
• Pregnancy
• Routine
A burning or aching Investigations
• Chronic coughing or sneezing sensation at the
• Increased pressure within the abdomen bulge • Ultrasound (to see
• A pre-existing weak spot in the abdominal wall the defect size)
Pain or discomfort
TYPES Direct Inguinal Hernia ingroin, especially
when bending over,
Indirect Inguinal Hernia coughing or lifting

A heavy or
•Direct inguinal hernia (20%) – Bowel enters dragging
the inguinal canal “directly” through a weakness in sensation in groin
the posterior wall of the canal, termed Hesselbach’s
triangle
• They occur more commonly in older patients,
often secondary to abdominal wall laxity or a Weakness or
significant increase in intra-abdominal pressure pressure in groin

•Indirect inguinal hernia (80%) – Bowel enters the Occasionally, pain

inguinal canal via the deep inguinal ring and swelling around
• They arise from incomplete closure of the processus the genitalia when
vaginalis, an outpouching of peritoneum allowing the protruding
for embryonic testicular descent, therefore are usually intestine descends
deemed congenital in origin into the scrotum