An inguinal hernia is manifested in a bulging in the inguinal region. The organs of the abdominal cavity can be elements of a hernial sac: fragments of the omentum, intestinal loops, peritoneum. Due to the nature of the anatomy, it is more common in men than in women.
The male inguinal canal looks like a slit-like space between the abdominal muscles. Normally, it contains the spermatic cord and nerve fibers. In the event of pathological abnormalities, the inguinal canal expands, this produces oblique or direct inguinal hernia.
How to treat inguinal hernia? There are many conservative and surgical methods. However, the only and most effective surgical treatment remains.
Hernia removal is performed under local or general anesthesia. In the process of surgical intervention, the hernial sac is removed, the inguinal canal is strengthened, plastic is produced with the help of muscles or artificial polypropylene graft (the so-called grid).
And now the surgical treatment is over. Next – rehabilitation after the operation of the inguinal hernia in men.
How long does the recovery after surgery in men
The duration of the recovery depends on many factors, the main of which is the choice of the type of anesthesia. With the local anesthesia performed, it passes faster, and if there are no complications, in some clinics such patients may be allowed to go home after several hours.
Further rehabilitation after surgery, the patients pass on an outpatient stage. They are required to see a doctor, bandaging. The attending physician monitors the postoperative period, in the presence of complications, takes the necessary measures to eliminate them.
How much time will the patient have to spend in a hospital bed after surgery performed under general anesthesia?
If for some reason it was not necessary to operate under local anesthesia, the initial stage of recovery is prolonged. In this case, the patient will have to spend 3-5 days in the hospital. In the postoperative period of inguinal hernia in men, special attention is paid to the presence of edema, the general condition of the patient, complications. If the wound in the area of the surgical suture hurts, then anesthetics are prescribed.
The outpatient stage after an inguinal hernia operation in men usually lasts one or two weeks. The patient is recovering, gaining strength. At this time, it is very important to observe the diet and rest regimen, to increase the motor activity and load with a metered and with great care.
Postoperative recovery usually takes place without complications if the patient visits the doctor on time, fulfills his recommendations, requirements. The doctor, in turn, monitors the course of rehabilitation after the removal of the hernia, gives his recommendations, in case of complications, hospitalizes or prescribes additional treatment.
What the patient should know
During the first week after the inguinal hernia is removed, the postoperative suture will hurt. This is normal. To reduce pain sensitivity, the patient takes pain medication prescribed by a doctor. Recommendations to be followed by the postoperative patient:
- It is not necessary to lift weight more than 5 kg, physical loads after the operation should be increased gradually after 5-7 days;
- Perform a course of physical therapy exercises as directed by the doctor;
- If the doctor prescribed the wearing of a bandage, then it is necessary to purchase a postoperative belt;
- To monitor the hygiene of the postoperative suture: immediately after surgery, the wound is treated in the hospital under the supervision of a physician. Further, on an outpatient basis, treatment is carried out by relatives or by the patient. In this case, the doctor must make recommendations for the treatment of wounds;
- Comply with the diet: it must be balanced, constipation and diarrhea are not allowed. It is best to eat in small quantities, 4-5 times throughout the day. The diet should be rich in protein. It is found in chicken meat, dairy products, mushrooms, fish dishes. Due to the high protein content in food, tissues are regenerated more quickly after an operation to remove an inguinal hernia.
Important! In the case of an operation using a polypropylene mesh implant, it is not recommended to wear a bandage.
Complications after surgery
Possible consequences of an inguinal hernia operation in men occur as a result of the patient’s individual characteristics, non-compliance with the requirements of the doctor in the postoperative period, in rare cases surgeons’ mistakes (so-called iatrogenic complications).
To iatrogenic include:
- Violation of the integrity of the spermatic cord. Occurs due to the negligence of the surgeon, when the excision of the hernia sac is removed during excision of the hernia and extraction of the hernial sac. This can lead to a weakening of the male potency, disruption of the hormonal background and spermatogenesis, which further threatens testicular atrophy and inability to fertilize.
- Wound infection after surgery. It is a very dangerous complication, as it may threaten the development of sepsis. In such cases, antibiotics are prescribed.
- Damage to the intestinal section during surgery.
- Bleeding They can also have serious consequences.
Other possible complications arising from an inguinal hernia operation are:
- Deep vein thrombosis of the lower leg (usually occurs in elderly people, as well as in sedentary patients. Accompanied by pain in the calf muscles, fatigue of the lower extremities. To prevent such effects, anticoagulants or thrombolytics are prescribed.
- Edema of the testicle in men. It happens both one-sided and from two sides. Easily detected: there is an increase in the scrotum on the affected side. Requires repeated surgical intervention.
- Swelling of the testicle. Usually occurs after surgery, in some cases, passes independently. Accompanied by pain in the testicle.
- The recurrence of hernial swelling as a result of a violation of the regimen during the rehabilitation period: excessive physical activity, weight lifting, sudden movements, etc.
- Infection in the postoperative suture area.
- Hematoma formation. In order to avoid such a complication immediately after surgery, a cold (ice) must be applied.
Attention! To prevent the development of complications, the patient should observe a gentle regimen during the recovery period, strictly follow all the recommendations of the doctor.
In case of violation of the mode of motor activity with the use of unacceptable physical exertion, the postoperative suture may disperse, hematoma may occur, as well as hernia recurrence.
Postoperative physical activity
Within 15 – 20 days any physical activities are excluded. Further, individually, the patient may be offered a set of gentle gymnastic exercises to restore the muscles of the groin and abdomen, as well as morning exercises.
Important! At first, it is necessary to conduct classes under the supervision of a physician or an exercise therapy instructor, strictly following his recommendations. Do not exceed the threshold of permissible loads, it can be dangerous to your health and lead to undesirable complications.
Diet after surgical treatment of inguinal hernia in men
In the rehabilitation period, it is necessary to adhere to simple requirements when choosing products. Nutrition after an inguinal hernia operation must be balanced, including all the necessary nutrients and trace elements. You can eat often, but in small portions. The main component of nutrition that will allow a person to recover from surgery is protein. Therefore, the patient during the rehabilitation period should consume in sufficient quantities low-fat varieties of cottage cheese, milk and dairy products, buckwheat, chicken, eggs, fish dishes.
The diet is aimed at normalizing the work of the intestines and the stomach, that is, products that provoke constipation, diarrhea, flatulence are not allowed. The first time after surgery, doctors prescribe a special diet, highlighting such foods as: sparse cereals, low-fat broths and soups, mashed potatoes, boiled fish and meat.
The following foods should be eliminated from your diet:
- bean products;
- smoked food and spicy food;
- sweet pastries, rye bread;
- fermented milk products, yoghurts.
Important! Absolutely not allowed alcohol and smoking after surgery. Caution should be used coffee and coffee drinks, it is desirable to replace them with chicory. It is forbidden to use carbonated drinks.
What should be done to patients who have undergone such surgery
After a month after surgery, patients usually return to their daily activities. But to avoid possible troubles in the postoperative period, it is necessary to adhere to simple requirements:
- observe the regime of physical activity;
- strictly follow the recommendations of doctors;
- adhere to proper nutrition;
- observe postoperative suture hygiene.
With the correct implementation of these simple recommendations, you will forever get rid of and forget about the disease that has tormented you, and after a year even the seam will become almost unnoticeable.