A hérnia inguinal bilateral (nos dois lados da virilha) voltou a ganhar atenção após reportagens da CNN Brasil e matérias publicadas no jornal Estadão e no portal Terra, nais quais o Dr. Paulo Barros foi entrevistado para explicar, de forma clara, o que é a hérnia inguinal, por que ela pode acontecer e em quais situações o problema costuma levar à indicação de cirurgia.
Aproveitando o tema em evidência, este post do Hernia Brasil reúne as informações essenciais com linguagem acessível, para que você reconheça sinais comuns, entenda os cuidados e saiba qual é o próximo passo mais seguro.
O que é hérnia inguinal?
Hérnia é quando existe um “buraco” (uma abertura ou fraqueza) na parede abdominal, permitindo que parte do conteúdo de dentro da barriga se projete para fora, formando um abaulamento. Quando isso ocorre na região da virilha, é chamada de hérnia inguinal.
É comum perceber:
- Um abaulamento (“bolinha”) na virilha, que pode aumentar ao tossir ou fazer esforço.
- Desconforto, queimação ou dor local, especialmente ao longo do dia e em atividades físicas.
- Sensação de peso na região, principalmente ao ficar muito tempo em pé.
Hérnia inguinal é frequente: quem tem maior risco?
A hérnia inguinal é uma condição muito comum, principalmente em homens. Em entrevista à imprensa, o Dr. Paulo Barros explicou que cerca de 30% dos homens podem desenvolver hérnia inguinal ao longo da vida, enquanto nas mulheres a condição é menos frequente (em torno de 3%).
Principais fatores que aumentam a chance de hérnia inguinal:
- Herança familiar: ter parentes de primeiro grau com hérnia aumenta a chance de desenvolver esta alteração;
- Ser homem: hérnias inguinais são de 8 a 10 vezes mais comuns em homens;
- Idade: a fraqueza muscular tende a aumentar com o envelhecimento;
- Alterações no colágeno: algumas pessoas têm predisposição a ter tecidos mais frágeis;
- Cirurgia prévia: a prostatectomia (retirada da próstata) é um fator de risco conhecido;
- Baixo peso (baixo IMC);
Se você se identificou com algum desses pontos ou percebeu um abaulamento na virilha, é importante buscar avaliação médica para confirmar o diagnóstico e discutir o melhor tratamento.
Quando a hérnia pode exigir cirurgia de urgência?
Na maioria das vezes, o tratamento é feito com calma, de forma programada. Ainda assim, procure atendimento imediato se houver sinais como:
- Dor súbita e intensa na virilha;
- Aumento rápido do abaulamento com endurecimento;
- Dificuldade de “reduzir” a hérnia (a saliência não volta);
- Náuseas, vômitos ou mal-estar associado.
Opções cirúrgicas: técnica tradicional e minimamente invasiva
Quando há indicação de cirurgia, existem diferentes formas de reparar a hérnia inguinal. Em geral, a escolha depende do tipo de hérnia, sintomas, histórico do paciente e perfil de anestesia.
1 – Cirurgia tradicional (aberta) – Técnica de Lichtenstein
Na técnica aberta, é feito um corte na região da virilha para corrigir a falha da parede abdominal. A técnica mais conhecida é a Técnica de Lichtenstein. No Hernia Brasil, temos ampla experiência em realizar essa técnica com anestesia local, o que pode ser uma excelente opção para pacientes que têm maior risco com anestesia geral.
2 – Cirurgia minimamente invasiva (videolaparoscópica ou robótica)
A técnica minimamente invasiva costuma ser feita por meio de três pequenos cortes na altura do umbigo. Ela pode ser realizada com o auxílio da plataforma robótica, que oferece mais precisão aos movimentos do cirurgião. A Dra. Natalia Pascotini e o Dr. Paulo Barros, fundadores do Hernia Brasil, são certificados para realizar cirurgia robótica.
Em muitos reparos de hérnia, o cirurgião pode indicar o uso de tela cirúrgica para reforçar a região enfraquecida da parede abdominal. A escolha da técnica e do material deve ser individualizada, considerando o tipo de hérnia, os sintomas, o exame físico e as necessidades de recuperação de cada pessoa.
Dr. Paulo Barros: cuidado dedicado as hérnias de parede abdominal
Além de contribuir com esclarecimentos na imprensa, o Dr. Paulo Henrique Fogaça Barros é Cirurgião Geral e do Aparelho Digestivo, com atuação focada em hérnias e parede abdominal.
Se você desconfia de hérnia inguinal ou já recebeu esse diagnóstico, uma avaliação com profissional capacitado ajuda a responder com segurança:
- Qual é a melhor conduta para o seu caso (acompanhar ou operar);
- Qual técnica tende a oferecer melhor recuperação e menor risco de recidiva;
- Como organizar o pós-operatório e o retorno gradual às atividades;
Mensagem final
Percebeu um caroço na virilha? Está com desconforto que piora com esforço? Você não precisa entrar em pânico, mas também não vale ignorar. Informação confiável e avaliação especializada são os caminhos mais seguros para decidir o que fazer.
Aviso importante: Este conteúdo é informativo e não substitui consulta médica.
Estadão: O que é hérnia inguinal bilateral, problema que deverá levar Bolsonaro a outra cirurgia
Terra: O que é hérnia inguinal bilateral, problema que deverá levar Bolsonaro a outra cirurgi
CNN Brasil: Médico explica cirurgia de hérnia inguinal de Bolsonaro
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