Hernia Inguinalis

Definition
A Hernia is an abnormal weakness or hole in an anatomical structure which allows something inside to protrude
through.

Types
There are two types of inguinal hernia, direct and indirect, which are defined by their relationship to the inferior
epigastric vessels.
* Direct inguinal hernias occur medial to the inferior epigastric vessels when abdominal contents herniate through a     weak spot in the fascia of the posterior wall of the inguinal canal, which is formed by the transversalis fascia.
* Indirect inguinal hernias occur when abdominal contents protrude through the deep inguinal ring, lateral to the
inferior epigastric vessels;
this may be caused by failure of embryonic closure of theprocessus vaginalis.

Cause

Any condition that increases the pressure of the abdominal cavity may contribute to the formation or worsening of  a hernia

* Obesity
* Heavy Lifting
* Coughing
* Straining during a bowel movement or urination
* Coughing
* Fluid in the abdominal cavity
* Hereditary

Patient Education and Health Maintenance:
A. Advise that pain and scrotal swelling may be present for 24 to 48 hours after repair of an inguinal hernia.
1. Apply ice intermittently.
2. Elevate scrotum, and use scrotal support.
3. Take medication prescribed to relieve discomfort.
B. Teach to monitor self for signs of infection: pain, drainage from incision, temperature elevation. Also, report                 continued difficulty in voiding.
C. Inform that heavy lifting should be avoided for 4 to 6 weeks. Athletics and extremes of exertion are to be avoided         for 8 to 12 weeks postoperatively, per provider instructions.

Hernia 3   Hernia 2

Hernia 1