Doctor insights on:
Inguinal Hernias In Children
Does the presence of congenital hernias in children predispose to hernias in adulthood especially since the repair is only a herniotomy but no repair of the posterior wall of the inguinal canal?
Unknown: As you said there is no repair of the posterior (floor) of the inguinal canal. However they are separate entities with different causes and one should not lead to the other or preclude it. Finally on occasion wih long standing child type hernias can lead to weak floors and this is usually reinforced if discovered at the first operation. ...Read moreSee 1 more doctor answer
A hernia is a hole in the abdominal wall thru which the inner lining protrudes thru, creating a sac. Organs from within the abdominal cavity, such as the intestine, can protrude thru the hole and get stuck in the sac. Many hernias develop during fetal life and become evident in childhood or as an adult. Some develop following a prior abdominal operation. The cornerstone ...Read more
Congenital/acquired : The path taken for testicular descend can stay open or predispose one to inguinal herniation - this is aka indirect hernia. The hernia more common with accident, sport injury or heavy lifting as with construction workers is frequently through the direct inguinal space - direct inguinal hernia. ...Read moreSee 1 more doctor answer
Pain and a lump : Inguinal hernias typically cause pain or discomfort of varying levels. Left untreated, there is a low likelihood they will get worse. Fixing them requires a surgical procedure, which is also low risk, but has a failure rate of 1-10% depending on the surgeon and the technique. A laparoscopic repair by a surgeon experienced with the technique is probably best for bilateral hernia repair. ...Read moreSee 2 more doctor answers
A variety: Depending on the patient, surgeon (and planned repair), anesthesiologist, and practice setting, inguinal hernia repair may be performed under local, regional, or general anesthesia. You should ask your surgeon if the operation will require a specific anesthetic, or if you and your anesthesiologist can decide. For example, a very complex hernia may be too uncomfortable to repair without general. ...Read moreSee 2 more doctor answers
No: Inguinal hernias in general get bigger with time. This is because any abdominal pressure increases force that pushes it out and there is no counteracting force to push it back in. Strong abs do not cause inguinal hernias to go back in. ...Read more
Yes: Hernias do not heal on their own. Not everyone has a surgery right away, but it is recommended that all inguinal hernias are fixed by surgery. ...Read more
It can be fixed: See a general surgeon with experience in hernia repair for an exam and consultation. This can confirm the diagnosis, and give you options of observation or repair. In general, types of repair are open or laparoscopic. About 75-80% of repairs in the US are done open. Only do lap if the surgeon is appropriately trained and experienced, and feels comfortable with the approach. Hope this helps! ...Read more
Have bilateral small inguinal & obturator hernias.Most pain on left side & little sometimes on right. Should I only repair the ones on the left side?
Herniae: If you trust a surgeon to operate on you and I would leave it up to him as to whether both sides should be done ...Read more
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