Inguinal hernia: surgery is necessary

Inguinal hernia: surgery is necessary
As shown
Treatment
Women

inguinal hernia As you know, an inguinal hernia is a protrusion in the groin area due to the presence of a weakened abdominal wall in the inguinal canal. Inguinal hernia occurs in both men and women. Treatment of inguinal hernia only operative, there is no way to remove the conservative inguinal hernias. But surgery for inguinal hernia repair can not be carried out in all patients.

In case of severe somatic pathology, the weakness of the sick or the elderly it is recommended to wear a special bandage, whose task is to prevent the infringement of a hernia Hernia: Types and symptoms - which are the most dangerous? . Operation inguinal hernia repair may be performed in various ways and depends on the condition of the patient and on the skill of the surgeon.

Surgery for inguinal hernia

Surgery for inguinal hernia is called a hernia repair, or hernia repair. The essence lies in the hernia repair reposition organs that are in the hernial sac in the abdominal cavity, removing the hernia sac and strengthening the abdominal wall in the hernial ring.

The operation in the presence of inguinal hernia repair can be carried out as a way to open and laparoscopically. Plastic (strengthening the abdominal wall) can be produced as a patient's own tissue, and with the help of additional materials.

Preparing for surgery

Preparing the patient for surgery hernia repair include:

not smoking, alcohol and drugs for a few weeks before surgery;
to refrain from taking drugs (aspirin, antihypertensives, tranquilizers) three days before surgery;
prohibited from eating before surgery (at least eight hours);
before surgery bowel and bladder must be emptied;
before the operation the patient should take a shower;
if necessary, the patient is assigned to enema;
examination of the patient before the operation include: the appointment of the common blood and urine tests, biochemical blood tests, electrocardiograms, and if necessary, ultrasound hernia.

Pain during hernia repair

Anesthesia during surgery to remove a hernia can be of three types:

local anesthesia (carried out by administering to herniation of novocaine or lidocaine);
spinal anesthesia (injection of lidocaine into the spinal canal);
intravenous anesthesia (intravenous special preparations - relaxants and intubation of the patient).

Preferably local anesthesia, during which the patient is conscious and if necessary, may help the surgeon (tighter to determine the place of localization of the hernia).

Operation herniotomy

Operation hernia repair consists of several stages. The groin incision is carried length of 10-12 cm, and then dissected subcutaneous fat and excreted hernial sac. Hernial sac carefully opened at the thinnest point, examines the internal organs and placed back into the abdominal cavity. After that the stitching and remove the hernia sac.

The next step is a plastic surgery hernial ring. It is performed either by the creation of the fascia (connective abdominal wall) duplikatury or special overlay grid. Then the incision is sutured.

The postoperative period

Postoperatively, the patient is assigned to bed rest for two or three days. After this time, the patient can walk. Ligation of the surgical wound is on the day after surgery and repeated after seven days. Within two weeks after the surgery the patient is forbidden to lift weights (no more than three kilograms).

Full recovery of the patient takes place a month later. But within six months after the surgery the patient must restrict physical activity or heavy lifting.

Stitches are usually removed on the eighth day. Within two weeks, the patient is assigned to sexual rest (as the sex life can lead to an increase in intra-abdominal pressure and relapse hernia).