An umbilical hernia is a weakness or defect in the umbilical ring that causes a hernia in the abdominal wall, which looks like a small bulge above the belly button. Yes! Congratulations, you got it right!
The following content is in the form of Q & A for patients to read
Q: What is the biggest danger of umbilical hernia?
A: Ingrowth! Ingrowth! Ingrowth! Say the important thing three times!
Q: What are the dangers of intussusception?
A: Strangulation of the intestine, intestinal necrosis! Intestinal necrosis! Intestinal necrosis! Intestinal necrosis! More important things to say once more. Once the intestinal necrosis intestinal perforation, toxic shock, it is life-threatening!
Q: Why does intussusception of umbilical hernia cause intestinal strangulation and intestinal necrosis?
A：Please strangle any finger with a monkey skin band for one minute to understand
Q: Why is it easy to be embedded?
A: The hernia ring is often small, so the intestine can’t come out easily when it goes in, so it gets stuck inside the hernia ring
Q: But my umbilical hernia only appears when I stand up, but it goes back when I lie flat? It shouldn’t be ingrown, right?
A: Well, that’s what all patients with an incarcerated hernia think. When there is a sudden increase in intra-abdominal pressure, such as a violent cough, dry stool, or other factors that increase abdominal pressure, a bunch of intestines can be “pushed” into the hernia sac, but it’s hard to get out. Why is that? As we said before, the hernia ring of umbilical hernia is usually small, so it is possible to squeeze in by huge pressure fluting, and then get stuck by the narrow hernia ring. The reasoning is similar to that of a ring that cannot be taken off when worn.
Q: What should I do in case of impaction?
A: Do not hesitate to go to the emergency surgery of the hospital without a minute’s delay! Don’t put your hope in unrealistic fantasy and hope it will go back by itself, don’t wait for it to go back at home, once the umbilical hernia is embedded, it is basically impossible to go back by itself! So don’t waste all your time waiting, a minute sooner you get to the hospital you have a chance of saving your intestinal tube and rope life! Do not wait! Do not wait! Do not wait!
Q: So what do I do now?
A: Grab the surgery while you’re young, tomorrow you’ll have to be another day older than today.
Q: How is the surgery done?
A: There are two types of surgery, one is traditional open surgery and the other is laparoscopic (also known as minimally invasive), each has its own advantages and disadvantages and needs to be chosen according to the condition and personal circumstances.
The advantage of open surgery is that it is cheaper than laparoscopic surgery, which is more expensive because it requires special patches and a fixed nail gun. In addition, some patients who are weaker and not in good health are more suitable for open surgery.
The disadvantage of open surgery is that recovery is slower than laparoscopic surgery, and the risk of patch infection and wound infection is greater than laparoscopic surgery. Patch infections are so troublesome that when I come back I will have time to write about those patch infections.
The advantage of laparoscopic (minimally invasive) surgery is that recovery is fast and the chance of patch infection and incisional infection is greatly reduced.
The disadvantage is that special patches and staple guns are used and are more expensive than open surgery. Also, if the patient is not in good physical condition, it is not suitable for laparoscopic surgery.
So, you can’t do laparoscopic surgery just because you have the money, but you need a professional assessment from your doctor.
The other day I had two patients with umbilical hernia inlay in a row, which is why I had the idea to write this article.
An old lady in her 80s came to the hospital only after 12 hours of her umbilical hernia was embedded, her intestinal tube was necrotic at the time of surgery, she was in toxic shock, her heart rate went up, her blood pressure went down, her electrolytes were disturbed, and nearly 1.5 meters of intestinal tube was cut.
Another male patient, weighing 300 pounds, was too fat to be operated on anywhere, so he was also delayed, delayed, delayed, and became an umbilical hernia incarcerated, but the good thing is that this patient’s intestinal tube is not necrotic. If the intestinal tube is necrotic, if all the intestines, if the wound is infected, if the wound is changed every day to such a thick belly wound, think of all the sour death.