An Indirect Inguinal Hernia Repair after Nitya Virechana a Case Report

Dr. Neelkumar B. Patel, Dr. Rajesh Kumar Sharma, Dr. Hardik Desai
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Abstract

Over time, an inguinal hernia may develop due to increased pressure on the walls of the abdominal muscles from activities such as straining, prolonged coughing, being overweight, or lifting heavy weights. Acharya Sushruta referred to inguinal hernia as Antravridhhi[1]. This condition may be associated with symptoms such as dragging pain and discomfort. Paresthesia may occur in some patients due to compression or irritation of the inguinal nerves by the hernia. An indirect inguinal hernia which does not extend to the scrotal sac should be managed as vata vridhhi[2]. In describing the operative management of vata vridhhi, Acharya Sushruta recommended certain therapeutic procedures as a purvakarma of Vatavridhhi chikitsa. The patient undergo Nityavirechana karma with Eranda taila and Milk for 7 days, followed by hernioplasty on the 8th day. Tension-free mesh hernia repair has become the predominant method for treating inguinal hernias.    
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Nitya Virechana 术后腹股沟疝间接修复术病例报告
随着时间的推移,腹股沟疝可能会因为腹肌壁受到的压力增大而形成,如用力、长时间咳嗽、超重或举重等活动。Acharya Sushruta 将腹股沟疝称为 Antravridhhi[1]。这种情况可能伴有拖曳疼痛和不适等症状。由于疝气压迫或刺激腹股沟神经,一些患者可能会出现麻痹。未延伸至阴囊的间接腹股沟斜疝应被视为 "vata vridhhi"[2]。Acharya Sushruta 在描述 vata vridhhi 的手术治疗时,建议将某些治疗程序作为 Vatavridhhi chikitsa 的 purvakarma。患者接受为期 7 天的 Nityavirechana karma 和 Eranda taila 以及牛奶治疗,然后在第 8 天进行疝气成形术。无张力网状疝修补术已成为治疗腹股沟疝的主要方法。
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