Right indirect inguinal hernia symptoms?
summary
Right indirect inguinal hernia is called indirect inguinal hernia when the hernia sac protrudes from the inner ring outside the inferior epigastric artery and passes through the inguinal canal obliquely inward, downward and forward, then passes through the subcutaneous ring and enters the scrotum. Indirect hernia is the most common external hernia, incidence rate is about 90% of all external hernia, or 95% of inguinal hernia. Most of them are male, and the right side is more common than the left side. Indirect inguinal hernia has congenital and acquired two kinds. The former is caused by patent peritoneum sheath process, while the latter is caused by congenital defect of inguinal region, and hypoplasia of internal oblique and transverse abdominal muscles. Right indirect inguinal hernia symptoms? Let's talk about it.
Right indirect inguinal hernia symptoms?
1. Easily reducible hernia is a reducible mass in the inguinal area, which appears when standing or loading. When lying on the back or pushing by hand, the mass can be put back into the abdominal cavity.
2. The mass is soft and pear shaped, reaching the scrotum or labia major. Incarcerated hernia is characterized by sudden enlargement of the mass, tension and stiffness, accompanied by obvious pain, which cannot be returned to the abdominal cavity. If the content of incarceration is intestinal tube, signs of mechanical intestinal obstruction may appear.
3. During physical examination, when you put your finger into the outer ring of inguinal canal, you can find that the mouth of the outer ring is enlarged and there is a sense of impact when coughing. The patient stood up again, coughed and the hernia no longer appeared. The clinical symptoms of strangulated hernia are more serious. In patients with long strangulation time, the contents of the hernia may be infected and invade the surrounding tissues, causing acute inflammation of the outer tegmental tissue of the hernia.
matters needing attention
1. Antibiotics are generally not used in the selective operation of indirect inguinal hernia. 2. When the hernia is incarcerated or strangled, or when the hernia is not incarcerated or strangled but with respiratory or urinary tract infection, drugs should be applied, including the drug use limit of "a" and "B". 3. For patients with complications or physical weakness after strangulated hernia operation, besides "a" and "B", new special drugs and symptomatic treatment can be considered.