The medical definition of a hernia is the displacement of normal tissue or organs from their original location to another location through a potential cavity. In fact, what people call hernia is mainly inguinal hernia. Hernias are more common in children and the elderly. Hernias in children may heal on their own within one year of age, but hernias after one year old are unlikely to heal on their own and require surgical treatment. All adult hernias require prompt surgery.
How to perform hernia surgery? With the development of laparoscopic technology, laparoscopic technology has been used to diagnose and treat hernias in the past two years. It has shown the advantages of small trauma, clear diagnosis, thorough repair and fast recovery, and is the best choice for modern hernia treatment.
Laparoscopy can easily and comprehensively view both groins from the abdominal cavity, and can promptly detect contralateral occult hernias (about 20%) that are usually missed because there are no attacks. In this way, one operation can Bilateral hernias are solved at the same time, avoiding the pain of another operation for the contralateral hernia 1 to 2 years after the first operation using traditional surgical methods.
Children with hernia only need to make 1 to 2 finger-sized holes in the abdomen, and they can move about and be discharged from the hospital one day after the operation. For adult hernias, only three small holes need to be made in the abdominal wall. Patients can usually be discharged from the hospital 2 days after the operation, and can resume daily activities after an average of 5 days. In addition, laparoscopic technology can repair indirect hernia, direct hernia and femoral hernia area at one time. Therefore, compared with other surgical methods, laparoscopic repair is more thorough, achieving "one operation for life". Laparoscopy is even better news for patients whose hernias recur after traditional hernia repair, because laparoscopy avoids the previous surgical area and resolves the difficulty of reoperation for recurrent hernias.
Hernia, also known as small intestinal gas, is a mass formed by the protrusion of abdominal organs from their normal position through the holes or weak points in the abdominal wall. It is generally caused by factors such as coughing, constipation, anger, heavy physical labor, difficulty urinating, etc., which cause a sudden increase in abdominal pressure and break through the peritoneum of the hernia ring. Children often suffer from crying.
Hernias can be divided into two major categories, namely water hernias and small intestinal hernias.
Water hernia: divided into testicular hydrocele and spermatic cord hydrocele. At the same time, it is divided into two types: transportation and non-transportation.
Symptoms: Gradually increase in size, not disappearing when pressed, no pain.
Small intestinal hernia: divided into direct hernia, indirect hernia, femoral hernia, umbilical hernia, linea alba hernia, incarcerated hernia, strangulated hernia, incisional hernia, etc.
General symptoms: protrudes when standing, disappears after lying on your back, and can return to the abdominal cavity when pressed. However, incarcerated hernias and strangulated hernias are painful and difficult to push back into the abdominal cavity. Small intestinal hernia is prone to adhesions and incarceration if left unchecked, so it should be treated as early as possible.
The dangers of hernia are obvious. Regardless of one's own pain and inconvenience, and more importantly, the destructiveness to one's own health, everyone must know that discrimination and misunderstanding from people around them, difficulties in life, one's own pain, and even causes infertility, low self-esteem and depression. Unhealthy psychology, defective character, etc. make patients miserable. If hernia is not treated in time, it will cause damage to the sac neck, resulting in adhesions, leaden hernia, strangulated hernia, decreased autoimmune regulation ability, poor blood circulation, which can lead to intestinal necrosis, intestinal obstruction, peritonitis, toxemia, etc. , even life-threatening!
If the inguinal hernia is not treated in time, the hernia mass can gradually increase, which will eventually increase the damage to the abdominal wall and affect the labor force. If the inguinal hernia is long, it can cause incarceration or strangulation and threaten life. How children should show their filial piety and how they should face it. Especially for hernia in children, because the body is relatively immature and the organs are not fully developed, parents must weigh it when choosing a treatment method.
The following are the causes, clinical manifestations and treatments of hernia in children
Hernia in children
1. Introduction
Pediatric hernia is inguinal hernia in children. Commonly known as "collapse", it is the most common disease in pediatric urology surgery. During the embryonic period, there is an "inguinal sheath" in the groin, which can help the testicles descend into the scrotum or fix the round ligament of the uterus. After some children are born, The incomplete closure of the sheath causes the small intestine, omentum, ovary, fallopian tube, etc. in the abdominal cavity to enter the sheath, which is a hernia. If only peritoneal fluid enters the scrotum, it is scrotal edema.
The general incidence of hernia is 1-4%, 10 times more common in boys than in girls, and even higher in premature infants, and may occur on both sides.
2. Symptoms
Hernia may occur a few days, months or years after birth. Usually, there will be a sensation in the groin after the child cries, exercises, or defecates. The bulging lumps sometimes extend to the scrotum or labia, and may disappear on their own after bed rest or sleep. In severe cases, abdominal pain, nausea, vomiting, anorexia, or restless crying may occur.
3. Treatment
Surgery is the best treatment for hernia in children. Generally, general anesthesia and high ligation are used. The operation is safe and does not take long. If a hernia occurs, , it is advisable to treat it as soon as possible to prevent the contents of the hernia sac from being clamped, which will increase the difficulty of the operation and the risk to life. As for scrotal edema, it can be observed until one year old. If it does not disappear, surgical treatment must be performed. However, careful follow-up inspection is required. Pay attention to Possibility of hernia formation.
4. Precautions after surgery
[1] Unless there are special medical instructions, eat and do activities as usual after returning home, but try to avoid excessive exertion.
[2] If vomiting occurs, fast for four hours temporarily.
[3] If the wound hurts, you can take painkillers according to the prescription.
[4] If the wound is bleeding, red, swollen, hot, painful, has exudate, or has a high fever, please return to the hospital for treatment immediately.
[5] The outermost layer of the wound is only covered with cosmetic tape, gauze and transparent membrane, while the inner layer is sutured with catgut, which can be absorbed by itself and does not require removal of stitches.
[6] Within four days after the operation, the wound should not be exposed to water. After five days, you can take a bath as usual. After six days, carefully tear off the transparent film and remove the gauze.
[7] If you have any questions, please return to the hospital for diagnosis and treatment immediately.
Self-treatment of hernia in children
Precautions for self-treatment
(1) Crying, coughing and constipation should be avoided and reduced as much as possible.
(2) Pay attention to rest. When falling, you can massage it with your hands and push it into the abdominal cavity.
(3) Try to reduce running and standing for too long, and pay appropriate attention to rest.
(4) Appropriately increase nutrition. You can usually eat some qi-tonifying foods such as yams, lentils, chicken, fish, meat, eggs, etc.
(5) Older children should exercise appropriately to enhance their physical fitness.
Autonomous therapy
1. Self-therapy with patent medicines
(1) Xianqi pills, take 2-6 grams each time, 2 times a day.
(2) Xianqi powder, take 1-2 grams each time, 2 times a day.
(3) Orange core pills, 2-3 grams per serving, 2 times a day.
2． Prescriptions for self-therapy
(1) 15 grams of lychee seeds and 6 grams of anise, grind into powder and drink.
(2) Bake 1 piece of old loofah, grind it into powder, take 2-6 grams each time, 2 times a day.
(3) 1 sunflower stalk, peeled, decoction in water, twice a day.
(4) Roast 3 eggplant pedicles and mix them into powder, 2-3 times a day.
(5) Grind 10 walnuts over charcoal and drink 10 times, twice a day.
3. Dietary self-therapy
(1) Appropriate amount of lean pork and 30 grams of duck seeds, cooked, and eaten with soup and pork.
(2) 1 squab, 10 grams of raw astragalus. Wash the squab, wrap the raw astragalus in cloth, put it into the squab, steam it in water and eat it.
4． External treatment and self-therapy
(1) Use an appropriate amount of cloves, grind the medicine into powder, sprinkle it on the lotus plaster, and apply it to the affected area.
(2) 30 grams of oysters, ground into powder, mixed with egg white into a paste, before going to bed every night, first use your hands to absorb the hernia, and then apply the paste to the scrotum of the affected side, once a day , used for 3 consecutive nights.
(3) 9 grams each of Polygonatum and Platycodon, add 2 grams of camphor to the medicine, soak in wine for half an hour, take out and pound into paste, apply to Qihai point.
Qihai point: located 1.5 inches below the navel.
5. Other self-therapy
(1) Hot fumigation method: 10 grams of tea leaves, 70 grams of orange leaves, 25 grams of old ginger, 30 grams of light tempeh, 1.5 grams of salt, decoct in water, fumigate and wash the affected area while it is hot Take it for more than 20 minutes, once a day, and use it 3-5 times to see the effect.
(2) Medicinal infusion method: Dip a small cup of fresh ginger juice into the scrotum. If there is a pinprick sensation in the scrotum, it will gradually shrink. It will shrink as usual in about 10 minutes.
(3) Hot ironing method: 60 grams each of Wuyu and salt are heated together, wrapped with cloth, and ironed on the navel and abdomen. If cold, iron with a heated water bag for 1-2 hours.
(4) Moxibustion method: 2 mm thick ginger slices, placed above the groin of the affected side, make the moxa velvet until it is as big as a jujube, moxibustion for 5 times, press the acupoint when it feels warm, and apply it every time 1-2 times a day.
(5) Bag method: Put moxa velvet into a cloth bag, use the bag to cover the scrotum, and replace it once every half month.
Avoid misdiagnosis
Usually avoid crying or getting angry, exerting too much force, or feeling damp and cold.
Regularly observe the activity of the mass. If severe pain occurs, it is not advisable to stop at self-treatment and should go to the hospital for diagnosis and treatment.