Inguinal hernia in pregnancy: planned operation is not carried out


inguinal hernia during pregnancy Women often inguinal hernia Inguinal hernia - dangerous or not? Inguinal hernia - dangerous or not? during pregnancy.Its formation is due to the influence of several factors.Herniation accompanied by characteristic symptoms.If it appears necessary to consult with your doctor.The specialist will decide how delivery will take place.It also gives recommendations that must be followed during the entire period of pregnancy.

alt

Why there

Inguinal hernias occur in women is rare.But during pregnancy the risk of this disease increases.

inguinal canal - a small slit-like space, which is located in the abdominal wall.Through this education takes place in women the round ligament of the uterus.In the formation of inguinal hernia through a channel under the skin out internal organs covered with peritoneum.The contents of the hernia sac are most often bowel loops and the greater omentum.

Inguinal hernia in pregnant women occurs against a background of increased intra-abdominal pressure, the growth of which is associated with an increase in uterine enlarged uterus - when the rate goes into pathology The increase in the uterus - when the rate goes into pathology in size.

During gestation unborn child tone of muscles of the anterior abdominal wall is reduced.There are additional factors that lead to the formation of hernias and their growth.It:

  • heavy lifting;
  • significant exercise against the weakness of the muscles of the abdominal wall;
  • Chronic cough;
  • constipation.

hernia consists of several elements.Hernial ring - a hole in the abdominal wall through which the hernial contents out (internal organs of the abdominal cavity).Outside these bodies are covered with peritoneum - a thin sheath of connective tissue that lines the inside of the abdominal cavity.This forms the hernial sac peritoneum.

alt

Symptoms

Inguinal hernia during pregnancy is accompanied by the same symptoms that occur in this disease to other people.The woman says that in the groin area is formed protrusion.It is soft, painless at a palpation and has elastic consistency.

usually with increasing gestational age an increase in the size of an inguinal hernia.Women may experience discomfort and pain at the protrusions.This is especially true during the third trimester.Some say that the pain is given in the sacral or lumbar region.

Upright inguinal hernia becomes more noticeable.If a woman falls, the diverticulum becomes smaller or disappears completely.An important feature of hernia - increasing its size when coughing, and exertion.

The more protrusion, the more uncomfortable it gives pregnant during exercise and walking.Difficult urination, constipation and aggravated Constipation - Watch out for food Constipation - Watch out for food .

If your finger to press the protrusion, it is easy to right.At this point, it can be heard rumbling.

alt

Complications

infringement - the most common complication of a hernia.At the same time the internal organs, which fell into the hernial sac, squeezed in the inguinal ring, and their blood supply is disrupted.Infringement is usually caused by a sharp increase in intra-abdominal pressure, for example, with a strong cough or significant physical exertion.

disrupted the blood supply to the organs, which are inside the hernia sac.If in the near future will not be given medical help, there they necrosis (necrosis).Against this background, it can develop peritonitis - inflammation of the peritoneum.

woman in pain, not reduce a protrusion becomes tense.Join nausea and vomiting.

alt

Treatment

most effective way to treat an inguinal hernia Inguinal hernia - dangerous or not? Inguinal hernia - dangerous or not? - this surgery.But during pregnancy is the treatment planning is not carried out.Exceptions are cases of infringement of hernia, in which the surgery is performed on an emergency basis.

To protrusion does not increase, your doctor may recommend wearing a supporting bandage, special exercises and massage.Often the band is already required in the first trimester, and it must be worn throughout pregnancy.

necessary to prevent substantial exercise and lifting weights, as it leads to an increase in intra-abdominal pressure, because of which the protrusion grows in size.It is important to follow the diet, which can be used to prevent the occurrence of constipation and increased gas production.

alt

Genera and inguinal hernia

If there was an inguinal hernia during pregnancy, the doctor decides which path will take delivery.Independent childbirth allowed if the protrusion has a small size (subject to the availability of a special bandage).When vain attempts during childbirth obstetrician and hand holds the place of a hernia to prevent its infringement.

In cases where an inguinal hernia is large, and there is a concomitant pathology (eg malposition in the uterus, complications of pregnancy, labor disturbances), perform caesarean section.Many women notice that postpartum inguinal hernia disappears.If it does not, then it held elective surgery.

alt

Prevention

In order to prevent the formation of an inguinal hernia, the pregnant woman should follow some recommendations.It is necessary to wear a special bandage that will keep the stomach.This reduces the load on the abdominal wall.

also to strengthen the muscles in this period it is necessary to do gymnastics.Be sure to follow the diet.Because the diet is recommended that the products the use of which results in increased gas production and the emergence of constipation.Also, do not allow excessive increases of body weight during this period.

If the groin during pregnancy appeared protrusion, then the woman should consult with a specialist.Pregnancy should comply with all recommendations of the physician to prevent the increase in the size of the hernia or infringement.Pregnancy - is a contraindication to surgery hernia repair in a planned manner.But if there is infringement, you will need emergency surgery.