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Hernias:

An inguinal hernia presents as a bulge in the groin.
It is more common in men and generally in infancy or the elderly.
Like all rules, however, they are commonly broken.

The patient may notice the increasing swelling or develop it suddenly with a tearing sensation during strenuous activity.

Initially the symptoms may be mild and the hernia easily reduced with pressure over the area or on lying down.

With time the hernia will enlarge as the weakness continues to give way.

Early surgery is recommended as the complications may be dangerous and the repair more difficult.

Intestinal obstruction - This may occur with or without strangulation. The bowel becomes "kinked" and unable to function normally

Strangulation - If the blood supply to the hernia contents becomes compromised they will suffer gangrene. This is a surgical emergency as prompt treatment is lifesaving.

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Advanced Laparoscopic Surgery Techniques by Nicholas Marshall