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Hernia


Inguinal hernia


  • 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.


  • Bulge in groin; it becomes larger on standing.
  • Pain
  • Incarceration (unnatural confinement) of hernia:
    1. Vomiting
    2. Scant stool
    3. Black stool
    4. Irritability
    5. Abdominal distension


  • Often unknown
  • Lifting
  • Straining


  • Made on examination by a physician


  • 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:
    1. Manual reduction under sedation and if successful, surgical repair within 1-2 days
    2. Immediate surgery if manual reduction is not possible


  • 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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