Crural hernia: symptoms and treatments

Crural hernia: symptoms and treatments

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The hernias, in general, they are a condition that occurs when the contents of the abdomen, and usually a part of the small intestine, is pushed down towards a weak point in the muscle wall, responsible for the "tightness" of the abdominal organs.

Therefore, the hernia is caused by the protrusion of a viscera (in the case of inguinal hernias, an intra-abdominal organ) through a weakness of the wall that contains it. This weakness can be inherent, as is the case with inguinal, crural and umbilical hernias.

In particular, thecrural hernia occurs when the contents of the abdomen are pushed down by the crural canal, resulting in the formation of lumps in the upper part of the thigh near the groin. It is estimated that about 10% of hernia cases are cross hernias. Performing exercises in crural hernia not only causes pain that largely depends on movement, but also aggravates the condition by aggravating it.

Having said that, we underline how thecrural hernia is more common in women than in men, and is often the result of being overweight or obese, lifting heavy objects related to daily activities and exercise, chronic constipation and frequent and chronic cough.

The hernia often shows no symptoms. However, one can often see a lump seen near the groin. Total intestinal blockage can also cause nausea, vomiting and abdominal pain: in this case the patient must be immediately transferred to the emergency room. Some of the crural hernias may be congenital or present at birth.

Also: Hiatal hernia, natural remedies

Classification and types of crural hernia

Crural hernia is generally classified into four types:

  • reducible crural hernia;
  • irreducible crural hernia;
  • obstructed crural hernia;
  • strangulated crural hernia.

In summary, theReducible crural hernia occurs when a crural hernia can be pushed into the abdominal cavity, spontaneously or with manipulation. For example, an intestinal viscera can be pushed into the cavity so that the opening is recovered and does not create further problems. This is the most common type of crural hernia and is usually painless.

A'irreducible crural hernia occurs when a crural hernia is blocked in the crural canal and external manipulation does not help correct the hernia. This can cause pain and a feeling of being unwell.

A'obstructed crural hernia instead it occurs when a part of the intestine is intertwined with the hernia, causing intestinal obstruction. The obstruction can grow and the hernia can be more and more painful. It can also promote nausea and vomiting.

A'strangulated crural hernia finally, it is a condition that occurs when the herniated segment of the intestine has become "crooked" and the hernia blocks the flow of blood to the intestine and compromises the function of the intestine. Throttling can occur in all hernias, but is more common in crural and inguinal hernias due to their narrow “necks”. It can cause nausea, vomiting and severe abdominal pain.

This last case represents a medical emergency. A constricted intestine can in fact cause necrosis (tissue death) followed by gangrene (tissue deterioration). It is a life-threatening condition that requires immediate surgery.

Causes and risk factors of crural hernia

Although in many cases it is difficult to find out the exact one cause of crural hernia, the most suspicious determinants may include:

  • lifting very heavy objects;
  • strain during urination, probably due to an enlarged prostate;
  • chronic constipation;
  • obesity;
  • chronic cough.

Signs and symptoms of crural hernia

Although in many cases the crural hernia has no symptoms, there are some reasons and experiences that help indicate symptoms.

They usually occur when erect as a lump or swelling of the groin, which can vary in size during the day, depending on the variations in the internal pressure of the intestine. The bulge is usually smaller or is not visible in the prone position.

These hernias may or may not be associated with pain. They often present with a variable degree of complications ranging from irreducibility through intestinal obstruction to frank gangrene of the contained intestine.

The incidence of strangulation in crural hernias is high.

Diagnosis of crural hernia

There diagnosis of crural hernia it is largely clinical, usually performed through physical, objective and subjective examination of the groin. However, in obese patients, images in the form of ultrasound, computed tomography, or magnetic resonance imaging can help in medical diagnosis.

Treatment of crural hernia

The options of treatment of crural hernia they depend on the symptoms, knowing full well, however, that all crural hernias are present as a lump about the center of the thigh or just below the inguinal fold.

Small, asymptomatic crural hernias may not require specific treatment. Your doctor can monitor your condition to see if your symptoms progress. Medium to large crural hernias require surgical repair, especially if they cause some level of discomfort.

A thorough examination should be performed to check if the crural hernia can be manipulated externally to reposition it in its correct position or if it must be surgically corrected. However, due to the high incidence of complications, surgery for crural hernias is usually avoided.

In the event that the operation is used, the surgery is generally classified as a minor operation, with the dangers common to all surgeries, namely infection and reaction to painkilling drugs.

We also point out that crural hernias are more often closed than other types of hernias, so they should be treated surgically to avoid any medical emergency.

How to prevent crural hernia

There are some precautions that can be respected for the prevention of crural hernia:

  • avoid constipation by increasing fiber intake and drinking enough fluid;
  • maintaining a healthy body weight;
  • avoid putting too much stress on the abdominal wall;
  • avoid forcing when urinating or defecating;
  • avoid lifting heavy objects.

Video: Abdominal Wall Hernias (May 2022).