Dr. Nguyen Dinh Lien - Head of the Department of Urology and Andrology, E Hospital - said: the male patient (54 years old, Russian nationality) was admitted to the hospital with pain in the lower abdomen, difficulty walking, and a large mass in the left scrotum...
After conducting the examination and performing the necessary tests and ultrasound, the doctors quickly determined that the patient had a left inguinal hernia. Immediately, the doctors ordered tests and early surgery for the patient because the patient's pain symptoms were signs of a threat of strangulation of the organs in the hernia sac.
Taking the medical history, the patient had a history of open appendectomy 18 years ago, and open varicocele surgery in 2003. About 3 years ago, the patient discovered a bulge in the left groin area, the mass grew larger and caused pain during daily activities, strenuous exercise...
Recently, the pain increased when moving, and the mass grew larger and larger, unable to be pushed up into the abdomen by hand.
The patient was operated on using endoscopic surgery.
Dr. Nguyen Dinh Lien explains that strangulated inguinal hernia is a condition in which part of the abdominal organs such as intestines and omentum enter the inguinal canal directly through the internal inguinal opening or indirectly through the posterior wall of the inguinal canal, forming a hernia sac and can become imprisoned or, more seriously, strangulated.
Inguinal hernia causes many complications such as: affecting movement, reducing quality of life; causing testicular atrophy, reducing fertility or causing pain and discomfort when the inguinal hernia is imprisoned; the most serious is that the inguinal hernia strangulates the organs inside the hernia sac, which can cause death if the intestines and colon become necrotic. Therefore, when an inguinal hernia is diagnosed, early surgery is needed, whether it is a child or an adult. In particular, strangulated inguinal hernia is a surgical emergency that cannot be delayed because the hernia cannot be treated with medication, and surgery is required. Therefore, strangulated inguinal hernia needs to be diagnosed as soon as possible and treated immediately to avoid organ necrosis leading to peritonitis, intestinal obstruction, and toxic infection due to organ necrosis (intestines, omentum, ovaries, fallopian tubes) ...
