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Regarding Hernia, myths and facts

Hernia problem is that quite often asked and feared especially for athletes and lay people who regularly exercise weights.

A hernia is a condition in which the organ in the body out through the area that is normally closed.

There are several kinds of hernia related to a discharge that is:
  1. Inguinal hernia / scrotale: when the defect lies in the groin area
  2. Hernia femorales: if the defect lies in the upper thigh
  3. Umbilical hernia: if the location of the defect is in the navel
  4. Incisional hernia: if the defect lies in the place of the former operation

Still there are some other types of hernias but rare so do not need to be mentioned. Of the above four types of hernia, inguinal hernia is the most common followed by femorales hernia. Inguinal hernia affects more men with a ratio of 9: 1, while the hernia femorales more in women with a ratio of 3: 1. In this article the focus will be discussed on an inguinal hernia.

Inguinal hernia (HI) occurs through two road known as HI direk or indirect. At the time of fetal growth, testicular originally located in the abdominal cavity and then as they grow, the testes will descend into the pockets of the testicles (scrotum) which is below the penis. Along the way, will form a tunnel that connects the abdominal cavity where the original testes with a scrotal pouch final testes (inguinal canal). The tunnel is located right in the groin that normally would be closed as the growth of the baby.

In certain circumstances where the tunnel is not closed, then the abdominal cavity and the bag will remain connected to the testes into the driveway of the abdominal organs (such as the intestine) into the pockets of the testicles into the HI Indirect. When the abdominal organs out through the inguinal canal and continues until the testicle bag, then it is called as hernia scrotales which is a continuation of HI indirect.


HI direk occurs when the abdominal organs out of the abdominal cavity through an internal ring which is thinner than the area surrounding the abdominal wall. In HI direk, do not continue to have a hernia scrotales because no anatomical relationship.

HI indirect can occur at any age, but especially when the baby is due to disruption has occurred while closing it, while HI direk occurs mainly due to the weakness of the muscle wall of the affected age.

The actual number of inguinal hernia incidence is very low, in the United States reported only happen as much as 1 among 544 residents or about 0:18%, but why it becomes a big problem? This is because the hernia can become life-threatening condition when the gravity of the abdominal organs into the pockets of the hernia can not return to the starting position and pinched, causing pain and organ damage.

What are the risk factors in the occurrence of HI? What can be done to prevent it?
Medically, it can be divided into risk factors that can be prevented and can not be prevented. Factors that can not be prevented that male gender, older age. Medium preventable risk factors include being overweight, and weight loss as extreme as in the use of crash diets, smoking, lack of exercise and frequent straining during bowel movements.

So the main question that is often asked is whether people who often do lift weights at risk for experiencing HI answer is YES and NO. As already mentioned, a lot of factors that play a role in the occurrence of HI-2 and this factor does not stand alone but rather simultaneously. In people who regularly exercise load, increased abdominal muscle strength is to be a protective factor, but in particular those who have a congenital defect or defects in the abdominal wall or have risk factors such as smoking, poor diet settings and extreme, which in turn damages the abdominal belt, the HI can be triggered when lifting weights.

Another question is whether the elastic belt that is often used today in the gym can be prevented? There are no clinical trials to support or reject the use of this belt, and if my logic analysis of anatomical terms, I do not support the use of this belt. The first reason, this belt is not strong enough to withstand the pressure in the pressure of the abdominal cavity when we lift weights. As the second image, the inguinal canal surrounded by ligaments or connective tissue that would resist the pressure belt, and the internal ring where the discharge of HI direk has a small diameter and is located in an area that is deeper than the surrounding areas. The second reason, the location of the discharge HI is located in the central part of the groin is very low, while the elastic belt worn generally do not reach this area, so if you want to use it, should be used in a very low position anyway.

So, what if the hernia has occurred? The answer is only operation. Medically there any medicine that can close the door hernia, surgery to close is the only option.

Hopefully this article can be of little help to understand about inguinal hernia, hernia while for others, we will make in a separate article.