Hernia is the most common surgical procedure. It must be very worrying for patients and their families to be admitted to the hospital for surgery. We hope the following information will help you, it is mainly a personal practice, each doctor is a little different.
1. Do wounds get inflamed easily in hot weather?
Nowadays, most hospitals and homes are air-conditioned. Generally, sweating will not cause wound inflammation.
2.Is general anesthesia harmful to the child’s brain development?
There is a review paper in British Journal of Anaesthesia (British Journal of Anaesthesia, 2013 June), which concluded that there is no evidence that general anaesthesia is harmful to the brain development of children. Personally, I think that all treatments have risks, but the question is how to minimize them. We should not be worried about anesthesia and wait for intestinal obstruction, emergency, and have to operate, so that the risk and complications are maximized.
3, open surgery or lumpectomy minimally invasive surgery is good?
Both surgical methods are good, but personally I prefer laparoscopic minimally invasive surgery, which requires slightly higher technology and instruments. It depends on the skills of the local surgeon, how good is his laparoscopic technique? What is the patient’s personal condition? (For more details, please refer to the scientific article by Director Sanxiong Huang) 4. Should the other side be done at the same time when performing hernia surgery?
Although there are more chances of hernia occurring on both sides at the same time, especially in elderly people with occult hernia, which is not visible on the outside. I have to experience: routine preoperative talk, open surgery, no clinical evidence, no surgery on the other side. If it is a lumpectomy and I see a hernia on the other side, I will repair it at the same time without additional incisions.
5. What are the complications of hernia surgery?
Complications are higher with an incarcerated hernia, emergency surgery, and other medical conditions (heart disease, diabetes, history of surgery and other chronic conditions, etc.).
Common complications of traditional open surgery: swelling and fluid accumulation in the incision area; chronic pain in the incision area; wound inflammation; recurrence rate or new hernia after hernia surgery; damage to the spermatic artery, vas deferens; patch infection; patch rejection. The first 4 are more common.
Common complications of laparoscopic surgery: seroma; subcutaneous emphysema; hernia recurrence; neuralgia: spermatic artery, vas deferens injury; patch infection; patch rejection. The first 2 are more common.
6.How long does the surgery take?
Adult laparoscopic surgery is usually about 1 hour/side. Laparoscopic surgery for hernia in children is usually about 20 minutes. Open surgery time is about the same for adult surgery and slightly longer for children. Anesthesia, sterilization, and awakening add up to about a few hours.
7.How long do I stay in the hospital?
For laparoscopic surgery in children, general anesthesia is used for observation until the next day. For open laparoscopic surgery, the postoperative observation is usually 2-3 days, considering the pain of the incision.
For adult laparoscopic surgery, you can walk out of the hospital 2-3 days after surgery. Open laparoscopy depends on the patient’s recovery.
Laparoscopy is usually performed with absorbable threads, which do not need to be removed after surgery.
8.Do I need to rest in bed after surgery?
You can walk on the ground after the anesthesia wakes up after surgery. After hernia surgery, physical labor, especially heavy labor, should be avoided. Avoid all things that involve prolonged abdominal exertion, such as: chronic cough, constipation, prostate enlargement, etc. General daily activities will not easily lead to recurrence. Children should avoid sports for two to three weeks.
9. How long should I use antibiotics?
Hernia surgery is a clean procedure and antibiotics are usually not used. In the case of an incarcerated hernia combined with other high-risk susceptibility factors, the doctor will use them for a short time depending on the patient’s condition.