What Should I Expect from Inguinal Hernia Repair?

Inguinal hernia repair (including inguinal hernia repair) is one of the most commonly performed procedures in surgery. Humans began to perform inguinal hernia repairs around the year AD, but it was not implemented until 1884 by the Italian medical scientist Bassini. Approach, inguinal hernia repair has become a highly successful operation.

Basic Information

Chinese name

Inguinal hernia repair

Visiting department

General surgery

Anesthesia method for inguinal hernia repair

It mainly includes the following methods:

(1) General anesthesia;

(2) continuous epidural or subarachnoid anesthesia;

(3) Local nerve block anesthesia.

Preoperative preparation for inguinal hernia repair

(1) Physical examination and necessary auxiliary examinations should be done before surgery. Elderly patients should pay special attention to important organ functions such as heart, lung, liver and kidney;

(2) Quit smoking before surgery;

(3) Complete skin preparation on the day before or on the day of surgery;

(4) Patients taking aspirin should discontinue or adjust the medication regimen under the guidance of a physician;

(5) If there is an upper respiratory tract infection, chronic cough, chronic constipation, or other conditions that continuously increase intra-abdominal pressure, it should be controlled or improved before surgery.

Indications for inguinal hernia repair

Applicable to various types of oblique inguinal hernia, straight hernia and femoral hernia, including various primary and recurrent hernias.

Incontinence of inguinal hernia repair

Patients with inguinal hernias who do not have incarceration or strangulation should not undergo surgery in the following cases.

1. Suffering from serious cardiopulmonary, liver, kidney and other important organ diseases, other acute diseases, or persistent intra-abdominal pressure such as severe cough;

2. Elderly hernia patients with a short life expectancy and no severe symptoms.

Inguinal hernia repair procedure

The general steps are as follows:

1. Open surgery to make an incision in the groin area, laparoscopic surgery to create pneumoperitoneum, and establish an operation hole;

2. Separate the gap and repair the gap and handle the hernia sac (there are great differences between different surgical methods)

3. Repair the defect by manual suture or implantation of patches;

4. Close the incision or puncture hole.

Postoperative care for inguinal hernia repair

1. Postoperatively supine temporarily, avoid raising head and getting out of bed within 6 hours for patients with half body anesthesia. There is no special restriction on the postoperative position of patients with local anesthesia. If there is nausea and vomiting, the head should be tilted to one side to prevent aspiration during vomiting. Patients with tension repair can take a semi-recumbent position after 6 hours. A soft pillow is placed under the knee to slightly flex the hip joint to reduce abdominal wall tension. Postoperative activities vary according to different methods. After tension repair, they also lie supine for 3 to 7 days. After tensionless repair, they can usually get out of bed at 6 hours. However, if they need to get out of bed on the day of surgery, they must be accompanied by them. You can gradually get out of bed to do a proper amount of activity and gradually increase the amount of activity, but you need to do what you can.

2. Usually after 6 hours of fasting, you can eat a moderate amount of liquid as appropriate and gradually transition to general food. There is no special restriction on postoperative diet for patients with local anesthesia. It is recommended to eat more foods such as vegetables and fruits that are conducive to defecation, and avoid eating foods that cause bloating, such as milk, soy milk, soy products, without defecation. If you have difficulty defecation, please ask the bed doctor to apply Kaisailu or laxatives.

3. Elderly and patients with enlarged prostate will be catheterized after anesthesia, usually removed one to two days after surgery. Patients who do not have catheterization should urinate as soon as possible, and do not hold urine to cause urinary retention; individual patients may Anesthesia and other problems lead to difficulty in urination. First, hot compresses, massage, running water induction and other methods can be used. If it does not work, catheterization is required.

4. The day of surgery is the most significant stage of incisional pain, and doctors can be asked to use painkillers.

Precautions for inguinal hernia repair

Basic daily life and work (mental work) can be resumed 1 to 2 weeks after surgery. Factors that increase abdominal pressure, such as cough, sneezing and constipation caused by colds, should be avoided within two months after surgery. Repeatedly going up and down, cycling, driving, and physical exercise, the amount of activity can gradually increase in the future, to 2 to 3 months after surgery can fully resume normal life and work.