Intermediate inguinal hernia

A hernia is a protrusion or under the influence of pressure from the viscera of the abdominal cavity outside the pelvic cavity through a normal anatomical opening. An inguinal hernia is known and is called an interscrotal hernia. A hernia can be compared to a pocket that slips between two internal abdominal organs, such as the colon and liver, intestines and kidneys, colon and ovaries in women, and the vas deferens in men.

Due to the lack of a natural opening, internal pressure cannot accommodate this hernia. The patient is in immediate danger of transition from the extrainguinal entry into the inguinal canal. These situations are observed during sudden lifting of heavy objects, during heavy physical exertion, while swimming in cold water or after physical exertion. Patients experience severe pain in the lower abdomen with irradiation along the intestines or ureters, weakness and malaise, vomiting, low blood pressure, bloating and impaired bowel function. With a narrow inguinal ring with a diameter of less than 2 cm, there may be echisechism of the inguinal canal, which complicates the passage of these internal organs in the event of a hernia. In such cases, the edges of the internal fissure lying inside the femur are blocked by the edge of the femoral cavity and do not allow the intestine to completely pass into the inguinal canal.

X-ray reveals a disturbance in the activity of the intestines with bulging of the latter when bending forward, asymmetry of the contours of the lumbar region when coughing, passive non-displacement of the intestinal loop in the frontal plane, significant opacity of the gas leaving the intestines from everything filling the groin, which indicates the presence of a hernial sac. The most informative is ultrasound, which can be done in almost every medical center. It allows you to identify not only the hernia, but also its size and contents.

A perineal hernia or inguinal hernia is a type of hernia in which abdominal and pelvic organs protrude through a weak spot in the muscles that surround these organs. In a perineal hernia, the organs exit through the groove ring, the place where the groove muscles attach to the pelvic bone.

There are several types of inguinal hernia. A straight groove hernia is when organs pass through the skin itself in the area of ​​the groove gap. A hernial rectum is when the internal organs are pushed towards the abdominal wall while the skin is kept in place. The intermediate option refers to the second of these methods. Hernial intermediate grooves occur when folds appear in the area of ​​the groove ring. This may occur due to weakened muscles or other factors.

Symptoms of groove hernias can range from mild discomfort to severe pain. Hernias can be complicated by strangulation or thrombosis, which can lead to impaired blood circulation and tissue trophism. Treatment may vary, but usually involves surgery. During the operation, the doctor will remove the hernia, restore muscle tone and stitch the hernial orifice. In most cases, treatment goes well and without complications.

An inguinal hernia of the intermediate section is a pathological protrusion of internal organs through the inguinal canal. It occurs in the spaces between the main and transverse fascia, due to weakness of the muscles and ligaments. This type of hernia affects more men than women. When it appears, they usually contact a surgeon after 3–5 years.