Hernia Meaning & Hernia Definition
The term “hernia” means “rupture” in Latin. A hernia is a condition where an organ or other body parts push through and protrude against a weak muscle or surrounding tissue.
There are different types of hernia based on their location in the body and their type (direct or indirect). Pantaloon hernia is one such type of hernia.
In this article, let’s look into detail about pantaloon hernia, starting from its causes and symptoms to its treatment methods.
Pantaloon hernia meaning
A pantaloon hernia is a combination of both direct and indirect hernia. Here, two hernia sacs from the inguinal and femoral areas are on the same side.
The sacs push through both sides of the inferior epigastric vessels. Over the years there have been medical experts who have classified Pantaloon Hernia in their classification ( Ex. Nyhus Classification of Hernia, Gilbert Classification of Hernia.)
It is called a “pantaloon” because it is divided by the epigastric vessels, which makes them look like “pants.” It is referred to by many names: Romberg’s hernia, saddlebag hernia, and dual/double hernia. It can be diagnosed through an abdominal CT scan.
Pantaloon Hernia in a Female
You may be wondering whether Hernia occurs in Females, According to studies, the chances of pantaloon hernia are 5.6% in males and 1.8% in females.
That is, a pantaloon hernia is three times more likely to happen in males than females.
Almost all inguinal hernias women would get are indirect. So, the chances of them having both direct and indirect hernias are very rare.
This resistance to direct hernia in females is mainly due to the strong transversalis fascia in the floor of the inguinal canal.
Most hernias in women are treated as indirect hernias unless the diagnosis proves them to be direct hernias.
Pantaloon Hernia Symptoms
Below are some symptoms patients may feel when they have pantaloon hernia.
- Localized pain and tenderness in the lower parts of the abdomen
- Recurrent UTIs (Urinary Tract Infections)
- Irreducible swelling that worsens over time
Pantaloon Hernia Complications
Bowel obstruction
Bowel obstruction is where there are blockages in the small or large intestine that block food or liquids from passing through. This can be very painful and lead to serious medical conditions.
Strangulation/incarceration
Strangulation or incarceration in a hernia occurs when the hernia sac constricts the blood supply to the arteries.
This can eventually lead to necrosis (tissue death). It is also a serious issue and needs immediate medical assistance.
Renal failure
Renal failure happens when one or both kidneys are unable to perform their excretory functions and expel waste from the blood. This can lead to issues like diabetes, high blood pressure, etc.
Bladder rupture
Bladder rupture happens when the hernia sac pushes through the bladder and causes a teat in the bladder. This is a very serious condition and can cause death if left untreated.
Pantaloon Hernia Treatment
The primary treatment for pantaloon hernia is laparoscopic surgery. It involves the following surgeries.
- Total Extra-Peritoneal Repair surgery (TEP)
- Transabdominal Pre-peritoneal Repair surgery (TAPP)
The TEP hernia repair surgery is a minimally invasive laparoscopic surgery that is done from outside the abdomen without entering the peritoneum.
The TAPP hernia surgery is performed by making an incision on the peritoneum and placing a mesh over the hernia sites.
Conclusion
Pantaloon hernia is a serious condition where the patient has both direct and indirect hernia. It is best to visit the Best Hernia Surgeon and get treated immediately.
FAQs
According to studies, men have a 5.6% chance of getting a pantaloon hernia, while women have a 1.8% chance of having this hernia. That is, men are three times more likely to get pantaloon hernia than women.
There are different types of hernia based on the location of the hernia and the type (direct or indirect). Some major types of hernia are
- femoral hernia,
- Inguinal hernia,
- Hiatal hernia,
- Scrotal hernia and
- Umbilical hernia.
The triangle of doom is an anatomical triangle that is bound by the peritoneal sac, vas deferens, and testicular vessels. The external iliac artery and vein can be found in this area.
