Hernia is a very common disease, in folklore there are various ways to call it, in children when crying when the testicles bulge a bag, people call it “gas egg”; in adults is called hernia. In medicine, according to the site of occurrence, the formal name for inguinal hernia, umbilical hernia, incisional hernia and so on. Among them, inguinal hernia is the most common, divided into inguinal hernia, inguinal hernia, femoral hernia and so on. It is due to congenital or acquired defects in the abdominal wall muscles in the groin area, under the action of factors that increase intra-abdominal pressure (such as crying, constipation, etc.), the abdominal organs (such as the small intestine, the greater omentum, the colon and the appendix, the bladder, etc.) protruded from the defects and formed. Clinically, it can be divided into several types, which can start with this type or be a pathological process formed by the gradual development of the condition. I. Pediatric hernia: caused by congenital dysplasia, it is the result of the peritoneal sheath protrusion (the channel through which the testicle descends in the embryo) remaining unclosed after birth. Whenever a child cries, he or she will see a localized swelling into a gas egg. It can be described as “pediatric gas egg”. Second, reversible hernia: hernia in standing, when lying down or hand push can be easily retracted hernia. It can be understood as “up and down”. Third, difficult to recurring hernia: due to hernia for a long time, the hernia inside the things (medically known as hernia content), back and forth, up and down, resulting in the hernia content and hernia sac adhesion together, then it is not easy to also be included in the abdominal cavity. It can be understood as “difficult to go up and down”. This time the small intestine and other hernia contents did not necrosis. Third, incarcerated hernia: sometimes violent coughing, bowel movement, urination after exertion caused by intestines, omentum and other hernia content protrudes more, by the hernia ring stuck. Need the doctor to return to the, part of the can also be incorporated into the abdominal cavity. It can be understood as “can not go up, can not come down”. Fourth, strangulated hernia: incarcerated hernia stuck for a long time, stuck powerful, the blood vessels of the inside things are also closed, resulting in hernia content of the blood flow, serious hernia content (intestines, omentum, etc.) can cause necrosis. It can be called “hernia necrosis”. The consequences can be very serious. When a hernia occurs, it should be repaired, which in layman’s terms means that the defect should be filled. There are many different methods of repair, the most common being Ferguson’s method, Bassini’s method, Halsted’s method, Schouldice’s method, Hotchkiss’s method, tension-free filling and laparoscopic repair. Are you confused? In fact, the choice of hernia repair method is based on the patient’s specific situation. It is nothing more than the choice of repair material and the choice of repair method. There are two types of repair materials, one is to use the patient’s own body tissue (autologous tissue) repair; the other is to use foreign biological tissue (commonly known as patch) repair. Below is a discussion of what repair method to choose for what situation. For your reference. 1, pediatric hernia repair: found that babies cry with “gas egg”, if there is no symptom can not care about it, with the development of 2 to 3 years after a large part of the automatic long closed and disappeared; on the symptomatic, after 3 years of age hernia is not disappeared, then we should consider surgery. The hernias of children do not need to be repaired, just do the hernia sac high ligation can be. 2, adolescent hernia: due to the strong self-tissue, it is suitable for the repair of strengthening the anterior wall of the inguinal canal with autologous tissue. Ferguson’s method is chosen, and patch repair is generally not necessary. 3, middle-aged and elderly hernia: middle-aged and elderly friends autologous abdominal wall tissue is weak, hernia sac is large, and most of the posterior inguinal canal wall defect. Because the autologous tissue is a different level of different tissue repair, its healing strength is slightly worse, but if the patient taboo patch, then, the inguinal Department of the general surgeon is very familiar with the anatomical structure, pro Bassini’s method of repair or modified Halsted’s method of repair, the effect is very satisfactory, almost no recurrence, but now too young doctors will rarely do this kind of surgery. After this kind of surgery, patients have pain in the surgical area and need to stay in bed for 3~5 days. At present, the use of biological patch filling type tension-free hernia repair. 4. for incarcerated hernia: do not pinch the return, you should take the time to go to the hospital to find a doctor, some incarcerated hernia will be returned by the doctor, if necessary, can be used to pain injection with the return. Do not operate immediately after the return, because hernia incarcerated hernia caused by edema and even inflammation of the surrounding tissue, if the immediate operation will cause local inflammation and make the surgical repair failure. You should use anti-inflammatory drugs for a few days, until the edema and inflammation subside, then repair surgery. If the maneuver also fails, surgery should be performed immediately! Depending on the actual situation, if the inflammation and edema are not too severe, one-stage repair is possible, but try to use autologous tissue repair (Bassini’s method, Halsted’s method) instead of biopatch repair, because, after all, the patch is a foreign body, which is prone to infections or rejection reactions. If the localized infection is too severe, then only do the reduction, any kind of repair surgery is contraindicated! If you do it, it will fail! 5. Disposition of strangulated hernia: If the incarcerated hernia leads to necrosis of intestinal or omental hernia contents, the necrotic intestinal tube should be resected and anastomosed firstly, the necrotic omentum should be resected, and then according to the condition of inflammation and edema of the local tissues, whether to do the repair at the same time or not should be decided, but it is only limited to the use of autogenous tissues to repair the hernia (e.g., Bassini’s method, Halsted’s method), and the use of padded tension-free hernia repair is contraindicated! Herniorrhaphy is contraindicated! Tension-free hernia repair with padding can be considered after 1-2 months! Herniorrhaphy should always be done extraperitoneally, as intraperitoneal hernia repair is associated with a high incidence of intestinal adhesions! The use of laparoscopic hernia repair is an emerging technology, inguinal hernia repair would have been a very small incision, this place is hidden, whether the need for minimally invasive surgery, in addition, laparoscopic hernia such a small operation but increased the patient’s burden, whether it is worth it is still controversial. It always feels like an anti-aircraft gun hitting a mosquito.