Direct and indirect hernia

Hernia Discussion Forums Hernia Discussion Direct and indirect hernia

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    • #11059
      saro
      Participant

      I have read that a direct hernia can be controlled, while an indirect hernia always requires surgery. Do Some Doctors Have Guidance on this?

    • #15000
      drtowfigh
      Keymaster

      Hernia repairs are performed based on symptoms.

      Not all inguinal hernias require surgery, regardless of direct or indirect status.

      Femoral hernias are the only hernias where we recommend surgery instead of watchful waiting, due to higher than average risk of incarceration, need for emergency surgery, etc.

    • #15026
      saro
      Participant

      Tank you dear drtowfigh for the attention and precise answer, really a great help to the knowledge

      At this point we only have to understand the concept of ‘poorly symptomatic’.

      The most common symptoms are pain and swelling
      In the absence of pain and growing swelling, we may perhaps define as a “slightysymptomatic” hernia
      Emerging from the force of gravity with the upright position or by the intraddominal pressure (for example, during urination on awakening), but which can be reduced through the use of the restraint band, can it be repositioned in the seat, and spontaneously disappear into the supine position?
      In the absence of pain, and being able to perform any daily and physiological movement and activity without disturbances, can we define such a hernia as being “slightly symptomatic”?

    • #15030
      drtowfigh
      Keymaster

      With some exceptions, if a hernia is not affecting your daily life then it can be watched until it does get to that point.

    • #15035
      saro
      Participant

      Thanks for clarifying the drtowfigh.
      I do not wonder what the exceptions are
      As far as I’m concerned, I have been afraid of getting out of this maintenance condition some times because, after an effort, the hinged door seemed widened, and the discomfort was increased
      With tenacity every time I accused me of strain or fatigue, I pledged to seek to recover the lost condition.
      Lately I wonder if it is possible that the hernial door, apart from enlarging, is narrowing.

    • #15114
      saro
      Participant
      quote drtowfigh:

      With some exceptions, if a hernia is not affecting your daily life then it can be watched until it does get to that point.

      Thanks for clarifying the drtowfigh.
      I do not wonder what the exceptions are
      As far as I’m concerned, I have been afraid of getting out of this maintenance condition some times because, after an effort, the hinged door seemed widened, and the discomfort was increased
      With tenacity every time I accused me of strain or fatigue, I pledged to seek to recover the lost condition.
      Lately I wonder if it is possible that the hernial door, apart from enlarging, is narrowing.

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