Part 1 of 4: Recognizing the Symptoms
To reduce the risk of inguinal hernia as an adult, you can:
You could have a direct inguinal hernia if you:
ICD-10-CM Code for Unilateral inguinal hernia, with obstruction, without gangrene K40. 3.
ICD-10 code: K40. 90 Unilateral or unspecified inguinal hernia, without obstruction or gangrene Not specified as recurrent hernia.
A direct inguinal hernia shows a bulge from the posterior wall of the inguinal canal, whereas an indirect inguinal hernia passes through the inguinal canal or the groin. In the indirect inguinal canal, it is difficult to feel the defect as it occurs behind the external oblique muscle fibers.
A hernia can develop in various places in the abdomen. Inguinal hernias are the most common type of hernia. They form when there's a thin spot on your abdominal wall. An inguinal hernia can be labeled “direct” or “indirect” depending on how and when it forms.
3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene.
9 for Unspecified abdominal hernia without obstruction or gangrene is a medical classification as listed by WHO under the range - Diseases of the digestive system .
An inguinal hernia is a hernia that occurs in the abdomen near your groin area. It develops when fatty or intestinal tissues push through a weakness in the abdominal wall near the right or left inguinal canal. Each inguinal canal resides at the base of the abdomen.
Indirect hernias are more common on the right side because of delayed descent of the right testicle. Hernias are present on the right side in 60% of patients, on the left in 30%, and bilaterally in 10% of patients.
Inguinal hernias come in two types:Indirect inguinal hernia. This is the most common type, and a type of hernia that you may be born with. ... Direct inguinal hernia. This type of hernia is caused by weakening of your abdominal muscles over time and is more likely to be seen in adults.
While indirect inguinal hernias travel along the inguinal canal, the DIRECT inguinal hernias occur DIRECTLY through the medial inguinal wall. So, I explain to patients what we see at operation, that the DIRECT inguinal hernias occur “DIRECTLY” through the inside wall of the groin.
Direct inguinal hernias are often caused by age-related stress and weakened muscles in the inguinal canal. Indirect inguinal hernias are caused by a persistent opening that does not close during fetal development. The only way to repair an inguinal hernia is through surgery.
Because the sac emerges through the deep inguinal ring and passes through the inguinal canal, it is an indirect type and because it passes beside the spermatic cord we call it juxtacordal hernia. Because of the thick extraperitoneal fat layer over the sac, we think this hernia is acquired.
Indirect inguinal hernia. Although it can occur in men and women, it is much more common in men. This is because the male testicle starts inside the abdomen and has to go down through an opening in the groin area to reach the scrotum (the sac that holds the testicles).
When both direct and indirect hernias are present, it is called a pantaloon hernia. Femoral hernias occur when intraabdominal contents pass beneath the inguinal ligament and through the femoral canal medial to the femoral vein.
PREOPERATIVE/POSTOPERATIVE DIAGNOSIS: Recurrent right inguinal hernia.
Rationale: The codes for hernias in ICD-10-CM are broken down by type, laterality, with/without obstruction, with/without gangrene, and whether or not the hernia is recurrent. In this scenario, the patient presented with a right (laterality) inguinal (type) hernia that was recurrent.
A protrusion of abdominal structures through the retaining abdominal wall. It involves two parts: an opening in the abdominal wall, and a hernia sac consisting of peritoneum and abdominal contents. Abdominal hernias include groin hernia (hernia, femoral; hernia, inguinal) and ventral hernia.
Hernia with both gangrene and obstruction is classified to hernia with gangrene. A protrusion of abdominal structures through the retaining abdominal wall. It involves two parts: an opening in the abdominal wall, and a hernia sac consisting of peritoneum and abdominal contents.