What Are the Different Types of Inguinal Hernia Procedures?

Hernia surgery, also referred to as hernia repair surgery, is the operation of forcibly pulling both ends of the defect with sutures to repair the defect; common hernias in surgery are divided into inguinal hernias (mostly caused by weak muscle fascia or congenital abdominal wall defects) And wound hernias (caused by infections caused by abdominal surgery wounds), so the treatment of hernias is mainly surgery, inguinal hernias are anesthetized locally or half-body, and wound hernias are more general anesthesia.

Hernia surgery

Hernia surgery, also referred to as hernia repair surgery, is the operation of forcibly pulling both ends of the defect with sutures to repair the defect; common hernias in surgery are divided into inguinal hernias (mostly caused by weak muscle fascia or congenital abdominal wall defects) And wound hernias (caused by infections caused by abdominal surgery wounds), so the treatment of hernias is mainly surgery, inguinal hernias are anesthetized locally or half-body, and wound hernias are more general anesthesia.
Chinese name
Hernia surgery
Function
Treatment of hernia
Category
Surgery
Nature
treatment approach
Local anesthesia was performed throughout the operation, and regional anesthesia was occasionally used. General anesthesia was rarely used. Many years of surgical application show that there are no further complications after the operation, no patients have severe or persistent postoperative pain, and the recurrence rate of the operation is low.
1. Examination before surgery: including
(1) blood,
1. The wound will be tight 1 to 2 weeks after the operation
Swelling of the scrotum
It is divided into hematoma and edema. The reason is that the hemostasis during the operation is not complete, and the hernia sac wall continues to secrete fluid, and there is a certain gap between the mesh and the abdominal transverse fascia or outside the membrane, which may easily cause hematoma or edema. The preventive method is fine anatomy during the operation, to completely stop bleeding, the small hernia sac should not be disconnected, and the stump of the large hernia sac should be fully opened to allow the secreted fluid to flow out and be absorbed subcutaneously. The problem of testicular ischemia and atrophy should be considered after operation; hemostasis is very important during operation, and the incision is compressed for 6 to 12 hours after operation.
Incisional seroma
Refers to the biological response of biomaterials that occurs early in the body after surgery, manifested as an acute non-bacterial inflammatory response in the surgical field, and causes edema fluid in the surgical field tissue. With the development of material technology, it has rarely occurred clinically; treatment Measures: Early use of hormones, anti-allergy, and external application with hypertonic fluid.
Local lumps and foreign body sensations
Causes include incomplete fixation of the mesh plug causing postoperative protrusion or partial protrusion; mesh curl during the operation; fibroblasts entering the mesh or mesh plug can cause local lumps; short-term mechanized absorption of postoperative hematoma; but with time The passage can disappear.
Refractory pain
the reason:
Injury or traction or iliac crest N, iliac inguinal N, reproductive thigh N;
stitched in
The traditional surgical method is to cut a wound on the affected part of the hernia. The hernia balloon is usually removed and the protruding tissue is pushed back into the abdominal cavity. Then work on abdominal wall repair. The doctor stretches the muscles around the opening or weak part of the abdominal wall to cover the defect, and uses several sutures to fix the muscles. This method sutures the tissue directly, after surgery
degree
Traditional suture
Laparoscopic hernia repair
Tension-free hernia repair with double-layer repair device
Principle of surgery
Tension surgery that directly pulls the damaged hernia tissue to each other with a thread
Laparoscopic instruments are placed through multiple tiny incisions, and artificial omentum is placed between the peritoneum and the abdominal wall to repair the gap
The integrated omentum can be used to repair all hernia gaps at the same time, and strengthen the ability to consolidate and repair the damaged abdominal wall.
other instructions
Suture tension is high, postoperative pain is more severe, and it is more likely to cause recurrence
Long operation time, highest self-pay, general anesthesia, long learning curve for physician, serious complications
The principle of tension-free surgery does not produce tissue tension, is not easy to relapse, and has the shortest recovery period, requiring only half body or general anesthesia
Recurrence rate
10-15%
Less than 1-1.5%
Less than 0.05%
Postoperative pain
More painful
Low pain
Low pain
Recovery period
More than 2 weeks
4-6 days
3-5 days

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