Hernias

A hernia develops when the outer layers of the abdominal wall weaken, protruding or tear. The opening in these outer layers allows the innermost layer to protrude and form a lot. The most immediate example to understand what occurs is the output of the air chamber by a tire punctured.
In '80 per cent of cases occur in the inguinal region, but frequently occurs in the umbilical region or in the previous surgical wound.
The inguinal region is a particularly weak abdominal wall, and the escape from it of the abdominal viscera is a tribute to the man who pays the standing that reached in the evolution of species.
Until recently it was believed that the appearance of a hernia was due to the efforts of the abdominal muscles, such as lifting heavy objects or sudden twists, sprains, muscle strain. In recent years it has been found that the origin of the hernia is completely different: the main protein of connective tissue, ie the supporting tissue, lacks some of the constituents (amino acids) Fundamental .. This alteration may be congenital or more often linked to a metabolic damage, the cause of which is attributed to several factors of which the main one is smoking. That smokers are more often not because hernia cough but because the smoke from the many negative results in a deterioration of the supporting tissue.
A hernia is called reducible if the contents of the bag that protrudes can be pushed in its place inside the abdomen. If the hernia can not be reduced, it is called irreducible, incarcerated or strangulated.
The symptoms of inguinal hernia vary. Sometimes the onset is gradual, with no other symptoms and the onset of swelling. Other times, the hernia appears suddenly with a feeling that sometimes is pain or discomfort.
The signs and symptoms of inguinal hernia include:
- Visible swelling of the scrotum, groin or abdominal wall
- A feeling of weakness or pressure in the groin
- A burning sensation in the groin
- A sense of gurgling
Except in the case of hernial strangulation, only the patient can decide whether they want to undergo remedial treatment.

However, he should know that the hernia can not heal spontaneously, the pain may increase in the area of ​​the hernia, and usually with time tends to increase in volume.
The intervention should minimize the risks and discomfort to the patient and allow a prompt recovery of all activities.
Therefore, to this end, the service must be performed with local anesthesia, without hospitalization and immediate ambulation .. In fact, anesthesia and hospitalization are related to the main and most feared complications: infection, venous thrombosis, pulmonary embolism.
The technique developed by Dr. Sias and practiced for over 20 years, of course with the innovative changes small and large that the continuous updating makes it possible, in practice it is an outpatient procedure with local anesthesia and with the use of synthetic prostheses extremely thin (lightweight), positioned with very few stitches, in order to make as small as possible postoperative pain, immediate and distance.
The patient is called an hour before the operation, which lasted about an hour, then discharged with an invitation to walk for at least 2 miles a day. No restriction is recommended neither for the activity nor for power. Therefore, the family, social, sporting, working, it is not at all interrupted.

A particular type of hernia is called
SPORTMAN's Hernia or Sports Hernia: is the name of a disease typical of athletes.
E 'characterized by groin pain that typically is related to physical activity and improves with rest or moves.
It affects all categories of sport, with the highest percentage (28%) players.
E 'due to a relaxation or tear in the wall of the inguinal canal, resulting in stretching of the nerves in the area and abnormal traction on the pubis and resulting inflammation (groin) from the abdominal muscle.
When the rehabilitative care and physiotherapy does not lead to healing, you need surgery.
This intervention, similar to that for the typical inguinal hernia, consists in the repair of the inguinal canal damaged.
Is performed under local anesthesia in an outpatient.
The resumption of physical activity is immediate, while the competitive activity resumes usually within one month.
The percentage of total cure is about 90%.

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