How is an adolescent inguinal hernia treated?

  1, adolescent inguinal hernia is formed by congenital abdominal wall development defects as the main cause, and also the influence of acquired abdominal pressure increase factors.  Therefore, when you go to the hospital to see a hernia in the future, parents who have read the article should stop wondering if the hernia is a congenital disease or if something went wrong during pregnancy. Doctors will not use words like “congenital” in medical records and diagnoses, so feel free to make a claim with your insurance agent.  The article presents a newer view on the timing of inguinal hernia surgery in infants and children: it should be done as early as possible!  For those who have not had an incarcerated hernia, surgery can be performed when the age reaches 6 months; for those who have had an incarcerated hernia and have successfully repositioned it by manipulation, regardless of age, surgery is recommended for a short period of time. Another prerequisite here is that the anesthesiology department of the hospital you choose is competent enough to guarantee the safety of anesthesia for infants and children. My own baby’s hernia is always protruding and stuck, so I can’t eat or sleep well, but I am worried about the risk of surgical anesthesia for children who are too young, so I am very uncertain whether to do the surgery or not.  I think it is good to do the surgery as soon as possible, but I have to choose a hospital with experience and ability. However, the principle of hernia treatment is not a trick to delay the operation. Delay will only increase the pain of intussusception and the chance of intestinal necrosis and intestinal perforation, and then the small disease will really become a big disease and leave sequelae that will affect the whole life.  The choice of inguinal hernia surgery for adolescents now has a new option: biological patch repair.  Inguinal hernia surgery in adolescents requires a balance between preventing recurrence and protecting fertility, which requires an individualized choice of surgical approach. It can be seen that biopatching is still preferred, but it is only mentioned that “a small hernia ring defect can be repaired by high ligation of the hernia sac with an internal ring” and “if the internal ring defect is large, biopatching can be repaired”, without providing a quantitative There are no quantitative indicators.  According to the existing inguinal hernia surgical guidelines at home and abroad, we propose our own opinion based on our personal experience for your reference: based on the diameter of the internal ring orifice measured during intraoperative exploration, inguinal hernia in adolescents with a diameter of less than 2 cm can be repaired by simply suturing the internal ring orifice, while larger inguinal hernia with a diameter of 2 cm or more can be repaired with a biopatch. However, the types of biopatch available in China are limited and the material technology is not very mature. The article mentions a more ideal state and many aspects of the actual clinical application are still more controversial and expensive.