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Abstract

Groin Hernia Information and Support

What are the symptoms of groin (or inguinal) hernia. What causes it?
How can you tell if you have one?
In males, about two months before birth, the testicles descend into the
scrotum, passing through a gap in the groin, followed by the spermatic
tubes, which later will convey sperm from the testicles to the penis.
The gap in the groin is normally tightly closed, just relaxing enough
to allow sperm to squeeze through but otherwise fitting pretty snugly
together.
A hernia occurs when the groin gap weakens. This can be caused
by a number of superficial factors such as coughing, lifting, pulling a
heavy weight, or overexertion as in sport (groin strain). The inguinal
canal opens slightly and the peritoneum or intestines bulge through the
groin. This is the bulge of a groin hernia and causes severe pain. The
triggering factor is only the straw that breaks the camels back. The
weakness in the groin wall which allows the groin hernia to occur
actually develops over a prolonged period, encouraged by factors such
as overweight, smoking or a diet low in vitamin C and other vitamins
and minerals needed for strong connective tissue.
To confirm whether your groin pain is due to a groin hernia you
need to consult a doctor, but if you persistently suffer a shooting
pain in the groin when you cough or exert yourself, or during
ejaculation, then it is very likely you have a groin hernia...more
Medical treatment of groin hernia
Inguinal or groin hernia is the major cause of groin pain in men. Until
recently most doctors, after making the diagnosis, would have advised
immediate surgery to repair the groin hernia. With increasing concerns
about the high rate of long-term post-operative complications, this
trend is slowing down. Unfortunately without any external restraint or
support an untreated groin hernia tends to get worse. A special belt,
truss or other support garment can be prescribed to help control the
groin hernia, but frequently is not. The convex pads in these devices
may press into the groin hernia, which relieves the pain but hinders
the natural healing process. (The support garment available from The
Support Company is a unique patented product with flat pads that do not
have this adverse effect.)...more
Groin hernia repair operations, surgery
There are two main surgical techniques. The Bassini method is also the
basis for the Shouldice method. It uses sutures to tie the sides of the
inguinal gap together. The repair can give way under strain and the
insertion of sutures can weaken the flesh, leading to tearing and
recurrence of the groin hernia.
The Mesh method involves folding a patch of plastic mesh over and
under the inguinal gap and then stapling it down. Its success depends
upon the flesh growing in and around and through the mesh but this can
also be a problem if the mesh has to be removed because it was
misplaced or the surgeon accidentally trapped a nerve. Removal involves
taking out a lot of flesh as well.
Both methods can be performed by direct incision, i.e. cutting
open the abdomen directly above the area of the groin hernia, or by
laparascopy, where a tube is inserted through a small hole and the
operation is performed by remote control via a televised view of the
area. The scar is smaller with laparascopy, but the risk of error can
be higher.
A groin hernia operation is deemed successful if there is no
bulge in the lower abdomen afterwards. But for the patient who is
suffering long-term post-operative pain this is not the best measure of
success...more
Non-surgical treatments for groin hernia
Recently there are signs of a reversal in medical trends. Many GPs or
family doctors are following the advice recommended by medical
researchers who have compared both treated and untreated men with groin
hernias. Their findings are that unacceptable side effects and relapses
after surgery are so frequent that it is better to avoid surgery unless
the individual is suffering severe groin pain. This approach is known
as "watchful waiting". A combination of watchful waiting with a flat
pad support garment, a diet and exercises to minimise hernia symptoms
is now a very real non-surgical alternative which can even help the
groin hernia to repair itself...more
Can a groin hernia repair itself?
Before hernia surgery became routine, the natural healing of inguinal
hernias was considered commonplace. Given the right conditions, and
provided that surgery (which causes scar tissue) has not taken place,
groin hernias are certainly capable of repairing themselves, just like
any other injury to the body. Click here for information and case
histories.
Discuss these issues in our Forum

© The Support Company, 2006
about hernias | Anthony | articles | Craig | exercises | helpful foods
| hernia diet | watchful waiting | links | Herniabible principles | Roy
| newsletter | trusses | surgery | Baume | herbs | hernia support | how
it works | order | who can benefit?

End of Abstract

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