The scientific name for “small bowel gas” is “hernia”. The majority of hernias occur in the abdominal wall and are caused by a weakness or defect in the abdominal wall that causes organs such as the small intestine in the stomach to protrude outward through the weak or defective area. There are many types of hernias, including inguinal hernias, which are located between the lower abdomen and the base of the thighs, umbilical hernias, and incisional hernias, which occur after abdominal surgery when the incision heals poorly. It is also known as “incisional hernia”, which occurs after abdominal surgery. Hernia is a common disease that can occur in both men and women, young and old, weak and healthy. It is usually the result of a sudden increase in abdominal pressure caused by coughing, constipation, anger, heavy physical labor, difficulty in urination, etc. that breaks through the hernia ring peritoneum. Inguinal hernia is the most common: inguinal hernia accounts for more than 90% of all types of hernias. It is also one of the four most common diseases in surgery and has the highest incidence in older men. The inguinal hernia is the lowest part of the abdominal cavity, where the abdominal wall is under the most pressure; at the same time, the inguinal region lacks muscle coverage and is passed by the spermatic cord or the uterine ligament, which makes it easy to form a hernia. Acquired causes of inguinal hernia: chronic cough, constipation, prostatic hypertrophy, difficulty in urination or cirrhosis of the liver with ascites are more likely to occur when the abdominal pressure is increased. The main manifestation of inguinal hernia is a lump protruding from the inguinal region when standing, and the lump protrudes more obviously when exerting force, which mostly disappears on its own after early lying down, often accompanied by local not or pain; later the lump gradually increases in size, and some patients can even enter the scrotum, which seriously affects life. Since small intestinal gas is not uncommon, many people think it is just a minor problem. Some think it is not a big problem to treat or not to treat, while others think it is the same to treat early or late. In fact, once a hernia is found, it must be treated in time, and delaying treatment will only have two results: 1. We have met many patients who are afraid of surgery and do not come to surgery until the hernia grows to the size of a skin ball, which makes surgery much more difficult, just like the saying “a small hole is not mended but a big hole suffers”. 2. There is a possibility of acute complications of hernia, as a result of forceful factors such as coughing and stooling, more intestinal segments cannot be protruded back into the abdominal cavity, leading to acute intestinal obstruction and severe abdominal pain, which may eventually cause intestinal necrosis, perforation and even death from peritonitis if medical treatment is not sought in time. Therefore, we often say that having a small intestinal gas is like having a landmine on your body and should not be ignored! Surgery is the only way to cure a hernia in adults who have a hernia, and surgery is the only way to cure it. There are various types of hernia surgery, but the basic principle is the same. To use an analogy, a hernia is like a hole in a garment, so surgery for a hernia is actually a process of “patching” the hole. In recent years, most of them adopt “patch”, a polymer material that is compatible with human tissues, to perform tension-free repair, which overcomes many shortcomings of traditional surgery, resulting in good repair effect, low recurrence rate, fast recovery and less postoperative pain and other complications. Men are not the only ones who get “small intestine gas”, women also suffer from this disease, but the incidence is not as high as that of men. Common hernias in women include umbilical and femoral hernias, which are rare in men, and are even more likely to have acute complications than male hernias. In fact, most surgeries for female hernias are not complicated and are very safe and reliable. Surgical outcomes for hernias have improved significantly in recent years, and the quality of life of patients after surgery is similar to that of normal people, so there is no need to delay treatment for fear of surgery. For example, traditional umbilical hernia surgery requires removal of the navel, which is not easy for patients to accept. Nowadays, minimally invasive laparoscopic surgery is used, which not only preserves the navel without affecting the aesthetics, but also solves the surgery in a few keyholes with little trauma, fast recovery and almost no recurrence. Incisional hernia occurs after abdominal surgery, due to factors such as incision infection and poor healing, resulting in the failure of good alignment of the musculotendinous tissues that play a major supporting role in the abdominal wall incision and the formation of intestinal tubes and other intestinal tubes in the abdominal cavity protruding outside the abdominal cavity through these poorly healed areas. In recent years, the incidence of incisional hernia has increased significantly with the widespread implementation of major surgery and surgery in elderly patients. Many patients delay treatment because of fear of reoperation or because the patient has other medical conditions, and some do not seek treatment until a giant incisional hernia has formed. The treatment of giant incisional hernia is different from that of common hernia in that it is difficult to operate, prone to complications, and has a high recurrence rate. However, with the development of minimally invasive technology in recent years, our hospital has been using laparoscopic technology to perform minimally invasive treatment of incisional hernia with remarkable efficacy, low recurrence rate and less pain for patients.