Initial symptoms of inguinal hernia

summary

Inguinal hernia refers to the hernia formed by the abdominal viscera protruding to the body surface through the defect of inguinal area, commonly known as "hernia". According to the relationship between hernia ring and inferior epigastric artery, inguinal hernia can be divided into indirect inguinal hernia and direct inguinal hernia. Indirect inguinal hernia protrudes from the deep ring of inguinal canal (foramen ovale of transverse abdominal fascia), which is located outside the inferior epigastric artery.

Initial symptoms of inguinal hernia

1. The clinical feature of reducible hernia is that a reducible mass appears in the inguinal area. At the beginning, the mass is small. It only appears when the patient is standing, working, walking, running, coughing or crying. When lying on his back or pressing with his hand, the mass can return and disappear by itself. Generally, there is no special discomfort, only occasionally accompanied by local pain and referred pain. With the development of the disease, the mass can gradually increase, from the groin down to the scrotum or labia major, walking inconvenience and affect labor. The mass was pear shaped with peduncle, with narrow upper end and wide lower end. In supine position, the mass can disappear by itself, or the mass can be pushed upward and outward by hand, and then it can be absorbed into the abdominal cavity. When the hernia content is small intestine, the whine can be heard. The mass was soft, smooth and had a drum sound. When returning, there is resistance first; Once the tumor began to return, it disappeared quickly. If the contents of the hernia are omentum, the mass is tough and inelastic, and the percussion is voiced and the recovery is slow. After the hernia block is accepted, the examiner can use the fingertip to gently extend the expanded outer ring along the spermatic cord through the scrotal skin, and ask the patient to cough, then the fingertip has a sense of impact. Occult indirect inguinal hernia can be confirmed by this test. Compression ring test can be used to identify indirect hernia and direct hernia. The latter can still appear when the hernia piece is returned and the patient is asked to cough by pressing the inner ring tightly with his finger.

2. The clinical characteristics of sliding indirect hernia are large and difficult to recover completely. The cecum sliding out of the abdominal cavity often adheres to the anterior wall of the hernia sac. In addition to the mass can not be completely accepted, there are dyspepsia and constipation and other symptoms. Sliding hernia is more common in the right side, and the incidence rate on the left and right sides is about 1:6. During surgical repair, to prevent slipping out of the cecum or sigmoid colon may be mistaken for a part of the hernia sac and be cut.

3. Incarcerated hernia often occurs in labor or defecation and other intra-abdominal pressure surge, usually oblique hernia. The clinical characteristics of hernial mass were sudden enlargement and obvious pain. The lump cannot be accepted when lying on the back or pushing by hand. The mass was tense and hard with obvious tenderness. When the contents of incarceration are greater omentum, the local pain is often mild; If it is intestinal loop, not only obvious local pain, but also accompanied by paroxysmal abdominal colic, nausea, vomiting, constipation, abdominal distension and other signs of mechanical intestinal obstruction. Once the hernia is incarcerated, the above symptoms will gradually worsen. If it is not treated in time, it will eventually become strangulated hernia. In case of incarceration of intestinal wall hernia, it is easy to be ignored because the local mass is not obvious and there is not necessarily intestinal obstruction.

matters needing attention

1, such as chronic bronchitis, emphysema, prostatic hypertrophy, etc. Generally, it should be treated by operation, that is, high ligation of hernia sac and hernia repair. This kind of operation is relatively simple, leaving no sequelae, and can also achieve the purpose of complete cure. 2. If children under two years old don't often fall down, they can be observed temporarily, because with the growth of age, some children may grow better by themselves. Elderly patients friends can refer to the above introduction, develop scientific habits, reasonable maintenance of the body, can effectively prevent the occurrence of inguinal hernia.