Li old uncle in half a year ago on both sides of the lower abdomen near the root of the thighs have a feeling of swelling discomfort, soon swelling place in standing when there is soft things protruding, lying down is gone, Li old uncle at first also did not take it seriously, but recently the protruding things gradually increased, now each side are duck egg size, and also affect life, walking a lot of uncomfortable, originally in the park every day for two or three hours, playing The original can turn two or three hours a day in the park, playing tai chi and dancing, but now it can not. The neighbors who play boxing together, old man Zhang said that this is small intestine gas, is a common disease of elderly men, they did the right side of the small intestine gas surgery three years ago, the effect is good, suggest that the old man Li to the hospital to see. After the doctor looked at him, he diagnosed that he had bilateral inguinal hernia, which is commonly known as small intestine gas, and needed surgery to repair the inguinal area on both sides. He was not in good health, so he thought a knife on his left side and right side would be a big injury. The doctor said that more than a decade ago, if this is the case, it is true that you have to do two surgeries, the interval in six months to a year, the incision is also the left side of the right side of each one. But now with the development of medicine, Li Laobao do not need to receive two knives, surgery can be completed in one go, and do not have to do two incisions, as long as the laparoscope in the abdominal wall to punch a few keyhole-sized holes can be completed. The old man had only heard of gallbladder removal by laparoscopy, but can small intestine gas also be done by laparoscopy? The doctor explained with a smile that laparoscopy is actually just a tool and means of surgical treatment, the technology is now very mature and has a wide range of applications, including gallbladder, hernia and even gastrointestinal tumors, many diseases can be treated surgically through laparoscopy. So how is surgery for a hernia done? First of all, let’s talk about the mechanism of hernia. The formation of hernia is mainly due to the presence of abdominal wall defect in the patient, and the small intestine and other organs in the abdominal cavity protrude through the defect on the body surface. Once a hernia is formed in an adult, it is impossible to heal on its own and the only effective way is to treat it surgically. The basic principle of surgical treatment of hernia is to surgically repair the abdominal wall defect that exists, or to put it in layman’s terms, to “patch the hole”. It is like patching a garment, we can put the patch on the outside or the patch on the inside. If the abdominal wall is patched from the outside with a scalpel, then the laparoscopic patch is patched from the inside. In fact, the abdominal wall is a multi-layered structure, and the abdominal wall defect that forms a hernia is mainly in the inner layer, so it is theoretically more reasonable to patch from the inside. The laparoscopic patching is perfect for a case like Dr. Li’s, as it does not require a large incision, but only requires three 0.5-1 cm holes to implant the patch and perform a one-time repair of the hernia on both sides at the same time, without the painful incision caused by open surgery and with fast recovery, and the surgical result is exactly the same as that of open surgery. In addition, laparoscopy has the following advantages: it can explore the entire hernia-prone area, detect hidden hernias in time and avoid missing them; it can repair and reinforce the entire hernia-prone area; it can reduce the damage to the nerves, blood vessels and spermatic cords in the inguinal region, and postoperative pain and testicular complications are significantly reduced. Therefore, almost all hernias can be treated laparoscopically, especially in patients with bilateral hernias and recurrence of partial hernias after surgery. Mr. Li’s surgery went well and his recovery was good. He was out of bed less than 24 hours after surgery and was discharged on the third day after surgery with no obvious scars on his stomach. Now, three months later, Li has fully resumed his daily life, and he is more energetic in boxing and dancing without the drag of small intestine gas. Mr. Li is very happy and claims that this is the result of the laparoscopy. Of course, laparoscopy is not perfect, mainly because it requires general anesthesia, which is not suitable for some elderly patients with heart and lung problems, in addition to the cost is slightly higher than open surgery, and the surgical skills required for doctors are also higher than ordinary open surgery.