woodmansterne, Bansteads Dr Les Bailey Looks at inguinal hernia. A Dr Les Bailey orthotics article

Nov. 18, 2012 - PRLog -- Inguinal hernia looked at by Dr Les Bailey, woodmansterne, Banstead, Surrey. A Les Bailey orthotic article 2012.. Dr Les Bailey phd, DO, acopm, apta ( int part ). Dr Les Bailey physical therapy clinics 2012.

Inguinal hernia is the most common of the hernias.
It occurs when parts of the abdominal cavity protrude through what is known as the inguinal canal.
Two types of inguinal hernia (http://en.wikipedia.org/wiki/Hernia) occur, these are direct (http://en.wikipedia.org/wiki/Direct_inguinal_hernia) and indirect (http://en.wikipedia.org/wiki/Indirect_inguinal_hernia) which are differentiated by their proximity to the inferior epigastric vessels.
A direct inguinal hernia happens. medial to the inferior epigastric vessels.
The abdominal contents literally squeeze ( herniate ) through a weak area of the fascia in the posterior wall at the inguinal canal.
This canal is formed of the transversalis fascia.
" Indirect" inguinal hernias happen when abdominal Indirect  when the abdominal contents squeeze through the deep inguinal ring (http://en.wikipedia.org/wiki/Deep_inguinal_ring).
This is lateral to the inferior epigastric vessels.
There is a thought that this may be caused during embryonic formation where there is a failure in the closure of the processus vaginalis (http://en.wikipedia.org/wiki/Processus_vaginalis).
Where females are concerned,  the opening of the superficial inguinal ring (http://en.wikipedia.org/wiki/Superficial_inguinal_ring) is significantly smaller than that of  males.

 Hernias of the inguinal canal in men is far more common because of the larger opening  and therefore means there is a  much weaker wall for the intestines to break through.

Hernias show themselves as bulges in the groin area that generally  exacerbate their prominence when the patient coughs or, strains,

. They tend to be rarely painful, and the hernias bulge usually disappears upon laying down.

 If there is an inability to reduce, or push the bulging back into the abdomen , it can be a sign that the hernia is what is termed 'incarcerated' and is in need of emergency surgery.

Bad pain to the hernia could be a sign of a  strangulated bowel (This is an incarcerated indirect inguinal hernia).

If the hernia gets larger, parts of the abdominal cavity, eg the intestines, can squeeze into the hernia there is a big risk of being pinched within the hernia. This causes an intestinal obstruction.

If the supply of blood  of that portion of the intestine trapped in the hernia is blocked, the hernia is known as "strangulated" and  ischemia (http://en.wikipedia.org/wiki/Ischemia) and gangrene (http://en.wikipedia.org/wiki/Gangrene) of the gut can happen, with possible fatalality.

 Emergency surgery for incarceration and strangulation have a much higher risk factor than planned, operations .

 The risk of incarceration is slight and has been estimated at 0.2% every year.

However,  surgical intervention (http://en.wikipedia.org/wiki/Inguinal_hernia_repair) has a risk of causing inguinodynia (http://en.wikipedia.org/wiki/Inguinodynia), and because of this risk factor minor symptomatic patients are advised to consult their GP and assess symptoms prior to surgery. (http://en.wikipedia.org/wiki/Watchful_waiting)

There are many new and safer surgical procedures available for hernias nowadays, and options can be discussed with the GP (http://en.wikipedia.org/wiki/Watchful_waiting)

About Dr Les Bailey phd,DO, acopm.apta(int part) (http://en.wikipedia.org/wiki/Watchful_waiting)

woodmansterne, Banstead, surrey (http://en.wikipedia.org/wiki/Watchful_waiting)
Email drlesbailey@yahoo.co.uk
Direct phone number 07801418080
Dr Les Bailey began in physical therapies in 1981,qualifying in remedial massage,and later going on to qualify as an osteopath.
He gained his phd from OIUCM for a thesis on the treatment of plantar fasciitis.
He was awarded a teaching/lecturing diploma from the northern school of osteopaths in 1993.
He also holds a diploma in foot biomechanics .
Dr Les Bailey works from his clinic near woodmansterne,  Banstead in surrey.