can inguinal hernia be treated without surgery??

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  • jd
    Lv 4
    1 decade ago
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    From what I've been able to find out, surgery is the most common treatment, but read the following in any case:

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    Inguinal hernias usually arise as a consequence of the descent of the testes from the abdomen into the scrotum during early fetal life. They are more commonly seen in men due to larger size of their inguinal canal, which transmitted the testicle and accommodates the structures of the spermatic cord.

    Men are 25 times more likely to have a groin hernia than women, but since this is such a common problem in the general population (it is estimated that 5% of the population will develop an abdominal wall hernia), inguinal hernia is not extremely uncommon in women. Direct hernias however are very uncommon in women.

    Clinical presentation

    Hernias present as bulges in the groin area that can become more prominent when coughing, straining, or standing up. They are often painful, and the bulge commonly disappears on lying down. The inability to "reduce" the bulge back into the abdomen usually means the hernia is "incarcerated," often necessitating emergency surgery.

    As the hernia progresses, contents of the abdominal cavity, such as the intestines, can descend into the hernia and run the risk of being pinched within the hernia, causing an intestinal obstruction. If the blood supply of the portion of the intestine caught in the hernia is compromised, the hernia is deemed "strangulated," and gut ischemia and gangrene can result, with potentially fatal consequences. The timing of complications is not predictable; some hernias remain static for years, others progress rapidly from the time of onset.

    Recent data questions the routine elective repair of all inguinal hernias. Some studies indicate that inguinal hernias can be left alone with no greater risk than prompt elective treatment. Nevertheless, the bias remains toward surgical repair. Provided there are no serious co-existing medical problems, patients are advised to get the hernia repaired surgically at the earliest convenience after a diagnosis is made.

    Emergency surgery for complications such as incarceration and strangulation carry much higher risk than planned, "elective" procedures.

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    Here is more from www.webMD.com

    How is it treated?

    Most people with hernias have surgery to repair them, even if they do not have symptoms. This is because surgery can prevent strangulation, a serious problem that occurs when tissue gets trapped inside the hernia.

    But you may not need surgery right away. If the hernia is small and painless and you can push it back into your belly, you may be able to wait.

    Babies and young children are more likely to have tissue get trapped in a hernia. If your child has a hernia, he or she will need surgery to repair it.

    Some people wear supports (trusses or corsets) to hold their hernias in. A support might let you delay surgery. But these supports can press too hard and trap tissue in the hernia. Talk to your doctor before wearing one.

    A hernia may come back after surgery. To reduce the chance that this will happen, stay at a healthy weight. Do not smoke, avoid heavy lifting, and try not to push hard when you have a bowel movement or pass urine.

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    See the sources below for more information.

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