A Case Study of a 22 year old male,

with Inguinal Hernia who underwent

Herniorraphy

Introduction

This is a case study of a 22 year old male with Inguinal Hernia who underwent Herniorraphy who was admitted at
Antipolo Doctors Hospital last December 10, 2017.

In an inguinal hernia, abdominal fat or a loop of small intestine enters the inguinal canal, a tubular passage
through the lower layers of the abdominal wall. A hernia occurs when part of an internal organ (usually the small
intestine) protrudes through a weak point or tear in the peritoneum, the thin muscular wall holding the abdominal organs
in place resulting in a bulge. In men, inguinal hernias typically develop in the groin area near the scrotum, on one or both
(double hernia) sides.

Personal Data

Name: Christian Camano

Address: San Roque, Sagnay, Camarines Sur
Age: 22
Sex: Male

Medical History
 For his childhood illness, he experienced asthma, mumps and chicken pox. He also said that he was able to
complete the immunizations when he is a child. He has an allergy in cement powder, he feels itchy whenever it touches
his skin. It was his first time to be hospitalized. As for his asthma, he took herbal medicine as given by his grandmother.

Chief Complaint

“Nahihirapan akong umihi at masakit ang ari ko, nagsuka na rin ako kaya dinala na ako sa hospital” as verbalized by the
patient.

History of Present Illness

The patient was admitted at Antipolo Doctors Hospital last December 10, 2017. He said that he had difficulty in
urinating and he feel pain in his groin every time he walks. He said that this happened after he lifted heavy weights at the
gym. It gets invisible on lying down and becomes prominent on coughing, straining and standing for long hours.

Physical Examination

Vital Statistics :
BP: 140/80 T: 98 HR: 70 RR: 15
Skin: Patient complained of no skin symptoms.
Eyes: Patient complained of no eye symptoms.
Ears: Patient complained of no ear symptoms.
Nose: Patient complained of no nasal symptoms.
Throat: Patient complained of no throat symptoms.
(L) groin: reducible groin hernia, non tender no adenopathy
Lungs: clear to auscultation bilaterally
Heart: RRR, S1/S2 Normal, no murmus, rubs, or gallops
Abdomen: soft, non-tender, non-distended, no mass

Work-up (Laboratories/Diagnostic Procedures)

It is usually possible to see or feel a bulge in the area where a hernia has occurred by physical exam. As part of a
male’s typical physical exam for inguinal hernias, the doctor feels the area around the testicles and groin while the
patient is asked to cough. In some cases, soft-tissue imaging like a CT scan will accurately diagnose the condition.

Treatment

In adults, inguinal hernias that enlarge, cause symptoms, or become incarcerated are treated surgically. In infants
and children, inguinal hernias are always operated on to prevent incarceration from occurring. Surgery is usually done on
an outpatient basis. Recovery time varies depending on the size of the hernia, the technique used, and the age and health
of the patient. The two main types of surgery for hernias are Herniorraphy and Laparoscopic Inguinal Hernia Repair. The
patient underwent the Herniorraphy which he is given local anesthesia in the abdomen or spine to numb the area,
general anesthesia to sedate or help him sleep, or a combination of the two. Then the surgeon makes an incision in the
groin, moves the hernia back into the abdomen, and reinforces the muscle wall with stitches. Usually the area of muscle
weakness is reinforced with a synthetic mesh or screen to provide additional support-an operation called hernioplasty.

Recommendation

Patients are recommended to resume normal activities without restrictions as soon as they feel comfortable.
Provided expertise is available, it is suggested that women with groin hernias undergo laparo-endoscopic repair in order
to decrease the risk of chronic pain and avoid missing a femoral hernia.

Diagnosis

Inguinal hernias are the most common type of hernia. These occur when the intestines push through a weak spot
or tear in the lower abdominal wall, often in the inguinal canal. To diagnose inguinal hernia, the doctor takes a thorough
medical history and conducts a physical examination. The patient was asked to stand and cough so the doctor can feel
the hernia as it moves into the groin or scrotum. The doctor checks to see if the hernia can be gently massaged back into
its proper position in the abdomen.