A hernia occurs when an organ pushes through an opening in connective tissue called fascia. There are three types of hernia that are most common in men; inguinal or inner groin hernia, hiatal or upper stomach hernia and incisional hernia.
There can be a variety of reasons for the occurrence of hernia in an individual. Some of the most common causes are; ceaseless constipation, persistent sneezing or coughing and lifting heavy weights in an inappropriate manner.
Three most common hernia in men are:
Inguinal hernia in men
This is abdominal hernia that occurs in the inguinal canal. Inguinal canal is a tubular structure where a man’s testicles have to descend before birth. This may result in internal inguinal ring which is a natural defect in men, and this can lead to an inguinal hernia if the closure is not proper. This may cause a protrusion of tissue or organ in the abdominal region. It is a painful condition which is most common in men and consists two third of all adult hernia.
This hernia occurs in the lower abdomen, near the pubic area. If in case, these hernia occur on both sides of the pubia area it is called bilateral inguinal hernia. This may result in pain in the upper thigh.
Inguinal hernia may be direct or indirect. Direct inguinal hernia occurs through a weak point in the fascia of the abdominal wall whereas indirect inguinal hernia is a consequence of a naturally occurring weakness in the internal inguinal ring.
Also Read: Exercises for Inguinal Hernia
There are several approach to treat Inguinal hernia; Laparoscopic, tension-free and tension-repair. The recurrence rate of the former two techniques is comparatively low.
Men with hiatal hernia
Hiatal comes from the word hiatus which is an opening in the diaphragm(a muscle that separates the abdominal cavity from chest). And, hiatal hernia occurs when the upper stomach is pushed through the hiatus. This may lead to acid reflux causing pain, heartburn and erosion of esophagus.
A Hiatal hernia can be treated with a laparoscopic fundoplication surgery. In this surgery, a patient can resume daily activities in a week.
Incisional hernia in men
This type of hernia occurs as a result of incompletely-healed surgical wound in the abdominal region. These may occur years, months or weeks after the surgery and can vary in size and complexity. One should immediately see a doctor in case of incisional hernia as the complications may increase over time.
Laparoscopic tension-free and tension free have lower recurrence rate compared to tension-repair technique, which have 50% recurrence rate.
Best treatment – Laparoscopic surgery for hernia in men
Laparoscopic (minimally invasive) repair uses a laparoscope, a thin telescope-like instrument that gets inside the abdomen for treatment. The patient gets general anesthesia before the surgery. There is complete evaluation of your general state of health, including a history, physical exam and an electrocardiogram (ECG).
The pain during this surgery is very less. The laparoscope has a tiny video camera on top that projects an “inside view” of your body on the screen.
The surgeon inflates the abdomen with a harmless gas (carbon dioxide), which creates space to allow your doctor to view your internal organs. The inner lining of the abdomen is cut to expose the weakness. Surgeon places mesh on the inside to cover the defects in the abdominal wall and strengthen the tissue.
After the procedure is complete, surgical tape or adhesive glue closes the small abdominal incisions. Within a few months, the incisions are barely visible.
Benefits of laparoscopic hernia surgery include three tiny scars rather than one larger incision, less pain after surgery, a quick return to work and a quick complete short recovery time (a week or two).
Also Read: 3D Mesh Surgery for Hernia Treatment