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Inguinal hernia
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- In the inguinal (groin) area there is a natural weakness in the wall of the lower abdomen. When a piece of intestine pushes through this defect into the inguinal canal, it is called a hernia.
- It occurs more frequently in men.
- Most incidences are unilateral -- more common in the right side.
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- Bulge in groin; it becomes larger on standing.
- Pain
- Incarceration (unnatural
confinement) of hernia:
- Vomiting
- Scant stool
- Black stool
- Irritability
- Abdominal distension
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- Often unknown
- Lifting
- Straining
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- Made on examination by a physician
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- Surgical repair of the hernia should be performed as soon as possible.
- Stool softeners are sometimes prescribed prior to surgery to help prevent incarceration.
- Incarcerated hernia:
- Manual reduction under sedation and if successful, surgical repair within 1-2 days
- Immediate surgery if manual reduction is not possible
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- Incarceration -- the hernia may become trapped and its blood supply cut off. This can cause rupture of this portion of the bowel, leading to severe illness and death.
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