Groin Hernia—Adult(Hernia, Groin—Adult; Hernia, Inguinal—Adult; Inguinal Hernia—Adult; Hernia, Femoral—Adult; Hernia, Femoral—Adult; Femoral Hernia—Adult)
by
Amy Scholten, MPH DefinitionA groin hernia is abdominal tissue or fat pushing through the abdominal wall. There are 2 main types:
A hernia can trap a section of intestine, leading to blockage or problems with blood flow. This is called strangulation. It is a medical emergency and requires care right away.
CausesThe abdominal wall wraps around the middle section from the bottom of the ribs to the pelvis. It helps to contain and support abdominal organs and tissue. When this area is weakened, these internal tissues can press through can create the hernia. The weakness may be caused by a problem with abdominal wall development before birth, or result from injuries or wear and tear of the muscles. Risk FactorsInguinal hernias are more common in men and femoral hernias are more common in women. Abdominal wall weakness is more common in older adults. Other factors that may increase the chances of abdominal wall weakness:
SymptomsMany times, there are no symptoms with a groin hernia. In those who do have them, the symptoms may include:
More serious symptoms may need emergency care:
DiagnosisYou will be asked about your symptoms and medical history. A physical exam will be done. Diagnosis can usually be made during the exam. If the diagnosis is not clear, imaging tests may be needed. TreatmentWatchful waiting is an option for those with inguinal hernias who do not have symptoms. This means you and your doctor will monitor the hernia for growth or the appearance of more serious symptoms. Femoral hernias are at higher risk of strangulation. Watchful waiting is not advised, especially for women. Femoral hernias and inguinal hernias that cause symptoms are repaired with surgery. The abdominal tissue will be pushed back in and the opening will be closed. Sometimes, a mesh material will be placed to help support the area. PreventionTo help reduce the chances of a groin hernia:
RESOURCES:Family Doctor—American Academy of Family Physicians https://familydoctor.org National Institute of Diabetes and Digestive and Kidney Diseases https://www.niddk.nih.gov CANADIAN RESOURCES:Canadian Institute for Health Information https://www.cihi.ca Health Canada https://www.canada.ca References:Garvey JF, Read JW, Turner A. Sportsman hernia: what can we do?
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3/16/2015 DynaMed Plus Systematic Literature Surveillance
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Last reviewed March 2018 by
EBSCO Medical Review Board
Marcin Chwistek, MD Last Updated: 3/16/2015 | |
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