Nursing Care Plan for Inguinal Hernia . Hernia is a protrusion or projection of an organ o rgan ororgan part through an abnormal ab normal opening in the containing wall of its cavity, a hernia results. Aninguinal hernia occurs when the omentum , the large or small intestine, or the bladder protrudesinto the inguinal canal. In an indirect inguinal hernia, the sac protrudes through the internalinguinal ring into the inguinal canal and, in males, may descend into the scrotum. In a directinguinal hernia, the hernial sac projects through a weakness in the abdominal wall in the area of the rectus abdominal muscle and inguinal ligament. Strangulated, if part of the herniated intestine becomes twisted or edematous and causingserious complications, possibly resulting in intestinal obstruction and necrosis.Inguinal hernias can be direct which is herniation through an area of o f muscle weakness, in theinguinal canal, and inguinal hernias indirect herniation through the inguinal ring. Indirecthernias, the m ore common form, can develop at any age but are especially prevalent in infantsyounger than age 1. This form is three times more common in males. Causes for Inguinal Hernia An inguinal hernia is the result of either a congenital weakening of the abdominal wall, traumaticinjury, aging, weakened abdominal muscles because of pregnancy, or from increased intra-abdominal pressure (due to heavy lifting, exertion, obesity, excessive coughing, or straining withdefecation).Inguinal hernia is a common congenital malformation that m ay occur in males during the seventhmonth of gestation. Normally, at this time, the testicle descends into the scrotum, preceded bythe peritoneal sac. If the sac closes improperly, it leaves an opening through which the intestinecan slip, causing a hernia.
