Inguinal Hernia

The inguinal canal is the base junction that connects the abdomen and the thighs and lies in the groin. Inguinal hernia is a condition occurs when the abdominal tissues pushes through the weakest speck of the inguinal canal. Inguinal hernia occurs in both men and women and has specific functions. In men, the inguinal canal makes the passage for the spermatic cord to the testis. In women, the ligament that supports the uterus is present in the inguinal canal. Inguinal hernia causes bulges in the canal leading to pain and discomfort during movement. They are visible as a bulge in the public areas.

The inguinal hernia can be classified into following:

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  • Indirect inguinal hernia: commonly found hernia in new born babies. The hernia will be formed lateral to the blood vessels when the inguinal canal is not fully developed.
  • Direct inguinal hernia: Direct inguinal hernia is found in adults in the middle from the blood vessels.
  • Incarcenated hernia: When the abdominal get stuck in the groin, then the hernia is known as incarcerated hernia.
  • Strangulated hernia: Strangulated hernia is more severe and stops the blood flow to the small intestine and has to be treated immediately.

Inguinal hernia symptoms include:

  • A bulge in the groin area
  • A burning or aching sensation at the bulge
  • Pain or discomfort in the groin while bending over, coughing or lifting
  • A heavy or dragging sensation in the groin
  • Weakness or pressure
  • Pain and swelling

Symptoms of an incarcerated or strangulated hernia include:

  • Nausea and vomiting
  • Fever
  • Pain that quickly intensifies
  • The bulge turns red, purple or dark
  • Inability to move the bowels or pass gas

Some of the factors that lead to inguinal hernia are discussed below:

  • Increased pressure within the abdomen
  • Weak tissues and muscles in the abdominal wall
  • Straining during bowel movements
  • Strenuous activity
  • Pregnancy
  • Chronic coughing or sneezing

Laparoscopic inguinal hernia surgery can be performed that is minimally invasive with less pain and discomfort. The surgeon initiates the surgery by administering a dose of general anesthetic to relax the muscles and to put the patient in sleep like state. The surgeon makes a small incision in the abdomen and is inflated with air to get a clear view of the internal abdominal cavity. A laparoscope (a thin long tube with a camera attached to its end) is inserted through the incision that allows the surgeon to view enlarged images of the organs and abdominal cavity that is connected through the monitor. After inspection, more incisions are made and other surgical repairing tools are inserted through the incisions into the abdominal cavity. A mesh is positioned in the weak spot of the inguinal canal to reinforce the abdominal wall. Later the incision are stitched and closed.

Laparoscopic inguinal hernia surgery can be categorized into two techniques:

  • Transabdominal preperitoneal (TAPP) – In TAPP hernia surgery, a small flap of the lining is peeled back from the hernia and a mesh is placed that acts as a support to the abdominal wall. This mesh acts as a barrier and prevents further thrusting of the abdominal tissues into the inguinal canal.
  • Totally extraperitoneal (TEP) – TEP technique involves refurbishing the hernia without inward bounding of the peritoneal cavity.

Keyhole Clinic

Thammanam Road, Palarivattom, Kochi, Kerala, 682025, 0484- 4850370


Lakeshore Hospital

NH Bypass, Nettoor, Maradu, Ernakulam; 0484 270 1032


Starcare Hospital

Mawaleh, Seeb, Muscat, Oman +0968 24557200;


Medeor 24x7 Hospital

Consulates Area, Sheikh Khalifa Bin Zayed Road, Bur Dubai - Dubai, +971 4 350 0600

Contact Details

Dr. R. Padmakumar
MBBS, DNB, MNAMS, DipALS, FAIS, FIMSA, FCLS, FRCS (GL)
Senior Consultant Laparoscopic and Metabolic Surgeon &
Director - Verwandeln Institute (Transforming Lives)
(Specialist in Laparoscopy, Hernia, Cancer, Obesity, Diabetes Surgery, Endoscopic Thyroid Surgery, Thoracoscopy, Intragastric Balloon)
Keyhole Clinic, Thammanam Road, Plarivattom, Kerala, Kochi, India
Lakeshore Hospital, Maradu, Kerala, Kochi, India

Consultant Surgeon
Starcare Hospital, Mawaleh, Seeb, Muscat, Oman (+968 24557200)
Specialist Surgeon
Medeor 24x7 Hospital, Dubai (+971 4 350 0600)

Mobile: +919447230370, +919846320370 (India)
Mobile: 00971567581025 (UAE)
Email: drrpadmakumar@gmail.com

Websites:
www.drrpadmakumar.com
www.endoscopythyroid.com
www.obesitysurgeonkerala.com
www.diabetescuresurgeon.com

National President - Indian Hernia Society (2016)
Chairman (Elect), Association of Surgeons of India - Kerala Chapter
GC Member, Association of Surgeons of India (2013 - 2018)
Vice President- Society of Endoscopic and Laparoscopic Surgeons of India
Jt. Secretary - Indian Association of Endocrine Surgeons (2016)
Founder Member, Obesity and Metabolic Surgery Society Of India
Founder Member, Association of Minimal Access Surgeons of India
International Faculty of IASGO on Hernia and Diabetic Surgery
International Faculty of IFSO on Diabetic Surgery
Associate Editor : Diabetes and Obesity International Journal