How is a hernia treated?
Basically, the surgery will be performed under local anesthesia and sedation. The monitoring during the operation is the task of our surgical staff, with whom Dr. Muschaweck works together for more than 16 years.
This procedure allows the outpatient treatment. Nevertheless, before every operation a risk profile of the patient will be made. Based upon this, Dr. Muschaweck and the surgical staff will decide whether an outpatient surgery is possible or an inpatient treatment is needed.
If an outpatient surgery is made, the attending surgeon is accessible 24 hours.
Diagnosis/ Examination of the inguinal hernia
The clinical examination is carried out while the patient is standing. This makes the diagnosis of an inguinal hernia much easier. In case of larger hernias, a typical protrusion occurs in the groin area. This protrusion can extend to the scrotum, so that the hernia is defined as a scrotal hernia. Equally indispensable is the ultrasound examination (sonography). Here, the static and dynamic sonography is of great importance.
Not only can the size of the hernia be measured, but also the size of the hernia sac. This is important in fields of choosing the right surgery technique. Additionally, other illnesses can be excluded and diagnosed with the sonography, such as lymphoma, cysts, vascular diseases, etc.
After the final diagnosis it is important to differentiate whether the inguinal hernia has to be operated immediately. In this context, possible accompanying illnesses are to be clarified.
If the conducted examinations justify an operation, crucial questions are to be answered: Which surgery technique is the right one? Mesh or no Mesh? Laparoscopic or not? How to find out what the right technique is? For many years now, Dr. Muschaweck uses the tailored approach.
It is of great importance, that the surgeon is trained in different kinds of surgical techniques. So it is possible to explain the different techniques to the patient and execute the tailored surgery. Dr. Muschaweck has a specialist know-how, which guarantees the patients a perfect, successful operation.
Symptoms of an inguinal hernia
Which symptoms are typical for an inguinal hernia? How can a patient identify a hernia without any visible signs?
Typical symptoms are pains while standing, sitting up or walking. Sneezing or coughing can, but doesn’t have to cause pain. The type of pain, in comparison to hip pain, is not dull but pulling, sometimes stinging and even radiating. The pain can radiate into the thighs, the so-called adductors, the iliac spine, sometimes burning the pelvic bone or the scrotum. In most cases, the pain lessens in a lying position. This pain is typical for all inguinal hernias, as well as the sportsman’s groin.
Larger visible hernias cause pain due to the size of the hernia sac in comparison to the size of the hernial orifice. Then, a possible mechanical irritation of the peritoneum, that means the hernia sac, occurs, which can be very painful. The pain is dull, less stinging. With this kind of hernias, there is a significantly higher risk of incarceration.
The indirect inguinal hernia
The indirect inguinal hernia is congenital and is caused by a congenital incomplete growth of the infantile abdominal wall. In this case, the fascia surrounding the spermatic cord is not stable, so that an opening remains which makes the development of an indirect inguinal hernia possible.
The direct inguinal hernia
This hernia is caused by a weakness of the abdominal muscles within the groin area, whereas different causes are possible: pressure increase in the abdominal area (for example in course of a prostate enlargement), diverticulosis in the intestinal area, chronic bronchitis, overweight, metabolic disorder. The most common cause by women is pregnancy.
The direct inguinal hernia causes similar symptoms to the sportsman’s groin, because the same nerve (genital branch) just below the hernia sac is compressed. In most cases, the hernial orifice is bigger, which reduces the risk of incarceration as with an indirect inguinal hernia.
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