There are many types of hernias, including inguinal, umbilical, incisional, etc., which occur at different ages and are operated on in various ways, so although hernias are small, there are still “big questions” about their treatment. First of all, it must be clear that no medicine is effective for hernia after its appearance, therefore: any statement or advertisement saying that “small intestine gas” can be cured with such and such oral medicine or topical medicine is a lie. Despite the speed of drug development, there is no drug that can cure hernia. Secondly, only infant hernia has the possibility to heal on its own, and this refers specifically to congenital inguinal hernia and umbilical hernia, where the local tissue is not well developed and weak at birth, especially in premature babies. Other than that, and this is important to say three times, other than that, other than that, pediatric hernias over one year of age and all adult hernias (whether congenital, acquired, or acquired such as incisional hernias) are not likely to heal on their own and must, please listen carefully, be treated. We have always compared a hernia to a hole in a garment, and the only two treatments are “plugging” and “repairing”. The only two treatments are “plugging” and “patching”. “Plugging” is to physically hold the hernia hole to stop the intestines in the stomach from protruding through the hernia hole, and the main treatment for inguinal hernia in clinical practice and in life is the hernia belt (or hernia belt or hernia brace, see the article “Proper use of hernia belt” for detailed usage) and the lap band for incisional hernia and lumbar hernia. This is like putting a piece of rubber plaster on a hole in your clothes, which temporarily seals it, but the “hernia hole” will not disappear and the intestines will still fall out when the rubber plaster is torn off. The “plugging” is a conservative treatment and is only used clinically for elderly patients who do not have surgical conditions and for patients waiting for surgery. In addition, there is another plugging method that was popular in Europe and the United States in the 1930s and 1940s: inguinal hernia injection therapy, which involves injecting a sclerosing agent or medical adhesive into the hernia hole and inguinal canal to block the protrusion of the hernia contents by hardening the local tissue. However, doctors soon discovered its various disadvantages, such as extremely high recurrence rate, spermatic cord testicular damage caused by injection affecting fertility, and even serious complications such as fatal intestinal and vascular damage caused by misuse, so it was banned abroad very early. The actual fact is that there are still informal medical institutions in China today under the guise of “one shot”, “no surgery for small intestine gas” and its variant “** hernia ring closure therapy”. Please do not be fooled. ”The clinical practice is to repair and strengthen the hernia hole and the surrounding tissues through various surgical methods, and we often emphasize the phrase “surgery is the only effective means to cure a hernia” (except for the above-mentioned infantile hernia, of course). Only surgical repair can solve the problem at its root. “It sounds very simple, but there is a lot to learn in clinical practice about how to repair a hole. Here we will focus on the most common inguinal hernia. In pediatric inguinal hernia, a simple “high ligation of the hernia sac”, that is, tying up the hernia hole, is all that is needed, and the subsequent growth and development of the child will strengthen the abdominal wall, usually without additional strengthening. In adults, because growth and development have ended and later tend to age with increasing age, a reinforced repair is necessary. There are two types of mending: direct suturing and patching. In the past, the surgical approach was direct suturing, which means that the relatively healthy tissue at the edge of the hernia hole is forcibly butt-sewn together, but this results in high local tension, significant and continuous postoperative pain in the patient, a long recovery period, and an impact on work and life, in addition to a recurrence rate of up to 15%. In the past two decades, with the advancement of material science, we have switched to using materials for repair, just like patching clothes with “patches”, instead of forcibly sewing up the hernia hole, the “patch” will cover the defect. This polymer material, which is compatible with human tissue, is also commonly known as a “patch”. The use of the patch is also known as “tension-free repair” because there is no tension in the repair area. It overcomes many disadvantages of traditional surgery such as high recurrence rate, pain and slow recovery, and has replaced traditional suture surgery. In addition, in the last decade, minimally invasive laparoscopic surgery has been introduced into the field of hernia repair, which further reduces surgical trauma and accelerates postoperative recovery, and is favored by more and more doctors and patients. After reading the above text, do you think there is a lot to learn about the treatment of small bowel gas, a small disease! With so many different types of treatment, you may feel dazzled! In fact, you don’t have to worry about it, because no matter what kind of surgery you take, in most cases, hernia repair is a safe and reliable minor surgery, so just leave it to your doctor.