The hernia crural is characterized by the exteriorization of tissue intra-abdominal in an area of muscle weakness, usually near the groin area.
The incidence of hernia crural or femoral hernia increases with age due to muscle atrophy own of aging, which leads to a weakness of the mechanisms muscle of the barrier to the formation of hernias.
CAUSES AND RISK FACTORS OF HERNIA CRURAL
Any condition that increases intra-abdominal pressure can contribute to the onset and progression of a hernia. Such as:
- Chronic obstructive pulmonary disease;
- Physical exercise heavy;
These are some of the conditions involved in the appearance of the hernia crural.
The risk factors associated with this pathology are:
- Ascites due to cirrhosis;
- Heart failure or nephropathy (kidney disease);
- Peritoneal dialysis;
- Tumors, intra-abdominal, particularly pelvic.
SIGNS AND SYMPTOMS OF HERNIA CRURAL
The classic symptoms are pain and swelling in the area of the groin.
However, typically, hernias femoral/crural infection are asymptomatic until incarceration or strangulation.
Incarceration reduces the blood flow to the affected segment. When the blood flow is completely interrupted, we are faced with a strangulated hernia, which, if not treated, will cause death of the tissue, with infection that extends to the entire abdomen and can be fatal.
Abdominal pain type cramps and signs of intestinal obstruction are often the initial expressions of a hernia crural strangled.
TREATMENT OF HERNIA CRURAL
The treatment of hernia crural is established by the attending physician and depends on the size of the hernia and the discomfort felt by the patient.
If the hernia is small and cause little discomfort, the most advisable is a careful monitoring with evaluation of the increase of the hernia or the appearance of other symptoms.
The only treatment for cure is surgical and is performed quickly in order to prevent a bottleneck or, in emergency, if the throttle is in fact found.
With respect to surgery, this can pass for a traditional approach, which consists in an incision open reduction of the hernia and repositioning. Even after years, there is the possibility of displacement and migration.
The surgery for the hernia crural laparoscopic or, better yet, robotics allows:
- Repair of the wall defect within with incisions of 3 mm and a view of the anatomical structures with the optical fiber;
- Quick recovery;
- Skin incisions inguinal small and more esthetic than conventional.
Another advantage of minimally invasive surgery for hernia crural is that the branch of the nervous nerve genito-femoral is not busy during surgery and, therefore, there is no risk of damaging it.
Usually, both surgeries, do not require a time of admission to long, being that on the same day or in the following is given high medical.
HERNIA CRURAL: THE RISKS ASSOCIATED WITH THE SURGERY
The correction of the hernia crural is a routine operation, carried out daily, and has few risks. In addition, the number of cases of hernias that return after surgery is small.
However, some complications, although not common, include:
- Development of a lump on the wound;
- Difficulty in urinating;
- Injury or narrowing of the vein in the femoral artery (which passes through the femoral canal);
- The lesion in the intestine;
- Injury in the nerves, causing pain or numbness in the groin area.