Laparoscopic treatment of inguinal hernia

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Inguinal hernia is a hernia, commonly known as "small intestine Qi" and "Qi" eggs, is a common surgical disease. If not treated, can appear

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Inguinal hernia is a hernia, commonly known as "small intestine Qi" and "Qi" eggs, is a common surgical disease. If not treated, can appear incarcerated, is in the intestine and other organs hernia is stuck, this situation can easily lead to intestinal or other visceral ischemia, necrosis and perforation, if not timely surgery will endanger life. From a medical point of view, in addition to a small number of children may have a chance to heal the hernia (generally less than 1 year old children can observe), need surgery can be cured by hernia. Maybe you want to know:

The hernia surgery method?

There are a lot of hernia repair methods, there are some major categories:

This is the classic 1 tissue repair, hernia repair is the earliest, the defects on both sides of forcibly suture, but there is a high tension, postoperative wound long time pulling discomfort, pain, weakness and poor healing of tissue repair, the recurrence rate is high, so it is gradually out of the trend, but in some the smaller the hernia may be used.

2 open tension-free hernia repair, modern hernia surgery emphasizes suture without tension case, the method of using artificial synthetic patch to repair the defect of inguinal region, not only greatly reduce the recurrence rate, and less pain, faster recovery. This concept has become the mainstream of the repair of abdominal wall hernia.

3 laparoscopic hernia repair, with the increasing demand for aesthetic and experience, laparoscopic hernia repair came into being, and gradually show a huge advantage. Of course, laparoscopic repair is also a method of artificial patch. In short, according to the different approaches of the repair, it can be divided into 3 kinds of surgical procedures: (TAPP); totally extraperitoneal (TEP); and intra peritoneal (IPOM). These methods have advantages and disadvantages, and the abdominal wall openings are basically the same, two 5 mm, a 10 mm hole, less pain, faster recovery, but also can repair complex hernia, hernia repair is an ideal method in the present.

So many ways, as patients, we will

What kind of operation is better?

In principle, in addition to children and a few lighter hernia, tension free repair of open and laparoscopic is a good choice. Open tension-free repair, patients 1 to 2 weeks after surgery can return to normal work, treatment costs are not high. Laparoscopic repair is suitable for various types of inguinal hernia, especially suitable for open surgery without destroying the preperitoneal space after the operation of recurrent hernia, bilateral hernia. The disadvantage is that patients need general anesthesia, the cost of treatment is high, but it is the pain and appearance of patients with high demand. And the recurrence rate, not much difference between open and laparoscopic surgery.

The eighty-eighth Hospital of PLA general surgery since 1999 began to work without clinical hernia repair, laparoscopic hernia repair from 2008 to start, so far has been for more than 5000 abdominal wall hernia patients relieved pain, recurrence rate of less than 0.1%, far lower than the average recurrence rate of 1%. Patients with this demand can come to counseling, diagnosis and treatment.

 

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