Diagnosis for Inguinal Hernia

A physical evaluation, while the patient is standing, is usually good enough for a doctor to access an inguinal hernia. 

The patient may be asked to cough while standing, as the bulge of the hernia in the groin region becomes prominent on coughing.

 An abdominal ultrasound, CT, or MRI scans are recommended should the evaluation by the doctor be inconclusive.

Treatment options for Inguinal Hernia

If the hernia formed is small and not causing a lot of discomforts the doctor may recommend observation and ask to wear a truss to support the bulge (to relieve symptoms). 

For children, the doctor may attempt manual pressure to push back the hernia in its original position. However, if the hernia continues to enlarge and is painful, surgery is the only course of action.

There are two types of surgical interventions:

Open Hernia Repair

Open hernia repair is done under local anesthesia and sedation or even general anesthesia. An incision is made in the groin area and the bulging tissue is pushed back into the abdomen.

 The weakened area is then stitched. It may also be reinforced with a synthetic mesh (hernioplasty). The incision is then closed with surgical glue, staples, or stitches.

Laparoscopic surgery

This is a minimally invasive surgery. Small incisions are made in the abdomen. Gas is used to inflate the abdomen to have a better view of the internal organs.

A small tube connected to a small camera (laparoscope) is inserted along with tiny instruments through the other incisions and repair the hernia. Recovery post-surgery is easier and it is an effective alternative for recurrent hernias or bilateral hernias.

Recovery is rapid with laparoscopic surgery compared to open repair.

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