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An inguinal hernia or groin hernia is a hernia (protrusion) of abdominal cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third of patients. Symptoms often get worse throughout the day and improve when lying down.
It is described as a sharp, stabbing pain in the medial thigh/obturator distribution, extending to the knee and is caused by the hernia pushing on the obturator nerve. The Hannington-Kiff sign can also be suggestive of an obturator hernia, which tests the adductor muscle reflex with a hammer whilst applying pressure on the obturator nerve. [7]
However most men tend to eventually undergo groin hernia surgery due to the development of pain. [1] For women, however, repair is generally recommended due to the higher rate of femoral hernias, which have more complications. [1] If strangulation occurs, immediate surgery is required. [1]
A pulled groin muscle usually refers to a painful strain of the hip adductor muscles. [6] This type of injury is related to risk factors including overuse and previous injury. [7] [8] [9] An inguinal hernia is a hernia of the groin and can be either a direct hernia, or an indirect hernia according to its particular
Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region. There are two different clusters of hernia: groin and ventral (abdominal) wall. Groin hernia includes femoral, obturator, and inguinal. [1]
Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success.
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