Abdominal wall hernia is a relatively common surgical disease. When suffering from this disease, the patient will feel obvious pain in the groin area. If you touch it with your hand, you can also feel lumps of different sizes. The symptoms of this disease are not obvious in the early stage. As the course of the disease prolongs, the condition will become more and more obvious. When the patient feels pain in the groin, he should go to the hospital for examination so as not to miss the best time for treatment. Female right groin pain In clinical practice, if a female patient suddenly experiences pain in the right groin, the following possibilities should be considered: First, whether the above discomfort is caused by abdominal wall hernia prolapse, it is recommended that the patient go to the hospital to see a surgeon. A physical examination and abdominal B-ultrasound examination can provide a clear diagnosis. If the above discomfort is caused by hernia, surgical repair is required to relieve the symptoms. Secondly, it is also necessary to consider the above-mentioned discomfort caused by obturator nerve damage. If it is the latter case, it is recommended to perform lumbar magnetic resonance imaging and electromyography examinations to make a clear diagnosis. What causes abdominal wall hernia? 1. Abdominal wall hernia is caused by the protrusion of abdominal organs together with the peritoneum through weak areas or holes in the abdominal wall. Abdominal wall hernias can occur at all ages. Inguinal hernia (at the junction of the thigh and abdomen) is the most common. Others include femoral hernia, umbilical hernia, white line hernia, incisional hernia, etc. There are some weak areas on the abdominal wall of a normal person, such as the inguinal canal and femoral ring. In addition, some people have developmental defects in a certain part of the abdominal wall, such as incomplete umbilical ring closure, defect of the linea alba, etc. In addition, abdominal wall injuries caused by surgical incisions and trauma, and weak abdominal wall muscles caused by muscle atrophy in the elderly are prerequisites for abdominal wall hernia. 2. Increased intra-abdominal pressure, such as chronic cough, constipation, difficulty urinating, frequent crying of babies, weight lifting, vomiting, etc., will increase the intra-abdominal pressure and squeeze the abdominal organs through the weak part of the abdominal wall to form a small pocket called a hernia sac. Most organs can return to the abdominal cavity, which is called reducible hernia, while some require gentle massage to return. Some abdominal wall gaps are small, and the abdominal organs that are squeezed out cannot return, which is called incarcerated hernia; some compress the blood vessels, and only the protruding organs are ischemic, which is called strangulated hernia. Strangulated hernia can cause necrosis of the protruding organ. If the protrusion is from the intestine, it may cause intestinal obstruction, intestinal necrosis, perforation, peritonitis, etc. It can also pierce the abdominal wall to form a fecal fistula. After the hernia is formed, the hernial sac gradually expands as the organs repeatedly protrude. |
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