A groin It occurs when an intra -abdominal viscera (most commonly intestine) protrudes through a gap in the abdominal muscles in the groin. While groin is more common in men, they can also occur in women, but often, with different symptoms.
“Groin is significantly less common in women than men. It is estimated that men are 9 to 12 times more likely to develop groin than women. This difference is mainly due to differences in anatomy. In men, the spermatic tone passes through a tube (groin resource), which is a naive weaker area, since there is a descent and eventually the testicular exit to the scrotum in fetal life, making them more prone to the appearance of groin.
In women, there is no spermatic tone, the groin resource is clearly shorter and narrow and contains the round joint, which is smaller and offers more structural support, since it is one of the uterine ligaments. Thus, purely for anatomical reasons, the chance of developing groin in women is clearly smaller, ”says Fotis Archontovasil MD, PhD, Fehs, Surgeon General, Master Surgeon of Excellence, Hernia Surgery and AWR (SRC Certified), Director of Center for Surgery of Surgery Metropolitan General (SRC Certified), Scientific Associate of the University of Athens Medical School, First Vice President of the Hellenic Society of Endoscopic Surgery.
Causes of groin to women
However, they sometimes develop in women groin. Causes and predisposing factors include:
- Relative (birth) weakness in the abdominal wall
- Chronic increased intra -abdominal pressure from:
- weight lifting
- Chronic cough
- Obesity
- Constipation
- Pregnancy (usually multiple pregnancies)
- Previous abdomen or wound surgery that weakens muscle layers of abdominal wall
Symptoms in women
Groinisms in women can be more difficult to diagnose because symptoms are often less obvious than in men. The most common symptoms include:
- Pain or discomfort in the groin, especially when the legs bend, when they lift weights or when they cough
- Pigma or Prophecy in the groin (less common)
- Feeling weight or pressure in the lower abdomen or pelvis
- Intense pain with nausea or vomiting if the hernia is peeled or strangled
- Pain during menstruation or sexual intercourse (in rare cases)
Attention: “In woman, where there are inner genitals (uterus – trumpets – ovaries) all the above symptoms may be due to other situations or resemble other pathological entities such as ovarian cysts, fibroids, trumpets or endometriosis. Consequently the incorrect diagnosis is not uncommon. The specialized surgeon should carefully examine the woman and rule out a possible groin so that the patient can then turn to her gynecologist for further control of gynecological pure diseases. “
Groin differences between men and women
- Characteristically to men
- Frequency of appearance: Great
- Anatomical differences: spermatic testicular tone
- Symptoms: Frequently Showing Bloc in the groin
- Risk of serious complications: moderate
- Diagnosis: Easy with simple clinical examination
- Features to women
- Frequency of appearance: small
- Anatomical differences: Round uterine
- Symptoms: often annoyance or pain with no visible zest
- Risk of serious complications: High due to delayed diagnosis
- Diagnosis: More difficult, which often requires ultrasound or computed tomography
Important: Women are much more likely to develop thighs, which occurs just below the groin, in the part where the thigh is joined to the abdomen. Often a thigh can be confused with groin, but it requires even more immediate treatment.
Diagnosis
The diagnostic access of a groin to a woman usually includes:
- Clinical examination: The doctor can check for bumps when the patient is coughing or tightened.
- Imaging: For the reasons mentioned above, the visualization of the female patient is used more often and includes:
- Ultrasound Soft Molecule Molecule
- Computed tomography of the lower abdomen
- Magnetic tomography (especially for small or hidden hernias)
Treatment
“The only, definitive, and effective treatment for a groin is hernia rehabilitation surgery. Without surgical treatment, there is always the risk of resignation (where intestinal content cannot be reversed back to the abdomen and remain out) or strangulation (where blood supply to the gut is now interrupted and in a few hours there will be necrosis and perforation of the bowel), which can be performed.
Surgical techniques
- Open Benry Repair
- It is made with a cut in the groin.
- There are more than 5 different techniques, depending on the surgeon’s knowledge and the needs and specifics of the patient (Lichtenstein, Amid, Onstep, Shouldice, Desadra, Basini, etc.)
- The contents of the hernia is pushed backwards, again in the abdomen, where it belongs, the gap and the abdominal wall is usually reinforced with a synthetic grid
- The procedure can be done with local, general, drunkenness or epidural anesthesia.
- Laparoscopic recovery (Tapp method)
- Minimally invasive technique using small incisions and camera
- The camera and laparoscopic tools enter inside the abdomen
- Faster recovery, less post -operative pain, faster mobilization than open surgery
- It is usually preferred in women, especially if the diagnosis is uncertain, and at the same time being investigated by genitals and the internal abdomen. This technique is at the same time restoring a femoral existence.
- Endoscopic recovery (TEP and ETEP techniques)
- Minimally invasive technique using small incisions and camera
- The camera and the endoscopic tools do not enter the inside of the abdomen, but in the extraperienced area, that is, under the muscles. This avoids entry into the peritoneal cavity (with all possible complications that this entry may bring about)
- Faster recovery, less post -operative pain, faster mobilization than open surgery
- It is usually preferred in women if the diagnosis is certain, and at the same time it is not necessary to investigate the inner genitals and the abdomen of the abdomen
- This technique is also restoring at the same time and any femoral existence or any other coexisting hernia.
- Robotic surgery (Tapp and TEP techniques)
- Advanced form of minimally invasive surgery, with minimal incisions and use of robotic surgical systems
- It offers excellent precision of movement and surgical manipulations, three -dimensional surgical depiction, incomparable security
- Particularly useful for complex or recurrent hernias
- A more accurate method, not accessible everywhere – the hospital has to have a robotic system – and the surgeons are trained and certified in the use of robotic systems.
After surgery
- The recovery time varies: 1–2 weeks for a laparoscopic, endoscopic and robotic surgery of the patient on the same day (within a few hours), and after 2 days of complete mobilization.
- 3–4 weeks for open surgery
Exit within 24 hours and complete mobilization after 4-5 days. - Reconstruction rates are very low with the use of a grid (0.3-1.5 %).
“Grocer in women are less common but potentially more dangerous due to diagnostic challenges and delayed treatment. Women with unexplained pain in the groin or pelvis should be evaluated for hernias, especially when other causes have been ruled out. Progress in imaging and minimally invasive surgery has greatly improved the results and has reduced complications. Early diagnosis and personalized surgical intervention is the key to effective management, ”concludes Mr. Archontovasilis.