What is “small bowel gas”? ”Pneumonia is actually a medical term for a hernia, which is a mass formed when an intra-abdominal organ protrudes from its normal position through an orifice or weak point in the abdominal wall, and is also called “small bowel pneumonia” because it is often the result of a slipped small intestine. It is usually caused by a sudden increase in abdominal pressure due to excessive force, which in turn breaks through the hernia ring peritoneum. What are the manifestations of “pneumomediastinum”? Patients with “small intestine pneumonia” commonly have a bulge in the groin, the root of the thigh, the lower part of the abdomen, the abdominal wall, the belly button, the scrotum, etc., and are prone to strain when standing or walking for a long time. Children feel uncomfortable and cry a lot. When coughing hard and moving vigorously, the bulging mass is more obvious, and it can partially disappear or disappear completely when lying down and pressing, and this kind of hernia is reversible. It is accompanied by different degrees of discomfort such as soreness, swelling and pain, and some patients do not have pain and discomfort. In pediatric “small intestine gas”, mainly in boys, the scrotum is obviously enlarged when crying, and there are also difficult to reset, this is a difficult to regain hernia. ”Once the symptoms of hernia appear, conservative treatment can reduce the pain, but the root cause must rely on surgery.” The slipped small intestine is reset through surgery. However, once the peritoneum of the hernia ring has a history of being ruptured, then even if the surgery is successful, a lot of attention needs to be paid, most crucially to avoid strenuous exercise. ”What are the risks of small bowel pneumothorax? ”The incidence of small bowel gas is extremely common in today’s society, and the majority of hernia cases are in children and the elderly. All adults with “small bowel gas” need timely surgery. Some patients with small bowel gas do not feel much discomfort and ignore it. As a result, the neck of the hernia sac is repeatedly rubbed and becomes thick and tough, which can easily lead to adhesion of the hernia sac, forming an incarcerated hernia or even developing into a strangulated hernia. Once a hernia is converted into an incarcerated hernia, it has less chance to retract on its own, and the condition of most patients gradually worsens and can further develop into a strangulated hernia if not treated in time. The clinical symptoms of strangulated hernia are more severe. The hernia can be infected secondary to necrotic intestinal tube and other hernia contents, resulting in peritonitis and septic sepsis, which can be life-threatening if not treated in time. Is surgery necessary to treat “small bowel hernia”? Surgery is the only reliable way to cure inguinal hernia in adults. The previous method of hernia repair was to forcibly suture the muscular tissue and ligaments at different anatomical levels of itself to strengthen the inguinal weakness, called a tension hernia repair. Since the sutures are forcibly pulled together during surgery, the postoperative wound pain is more pronounced and lasts longer, and the recurrence rate after surgery is high. Conservative treatment may provide relief for some patients who are temporarily inoperable, but surgery is necessary to completely resolve the problem. The traditional method of open incision and high ligation of the hernia sac is more traumatic, with the possibility of accidental injury to the nerve vas deferens and scarring, and the operation takes a relatively long time. At present, we adopt “laparoscopic high ligation of hernia sac”, which is performed by applying pediatric laparoscope and a special puncture needle to suture the high hernia ring, and the operation only takes about 5-10 minutes, with short time, little trauma, no obvious scar, good effect, and can be discharged within 48 hours. Laparoscopic treatment of pediatric hernia is the most ideal minimally invasive method. Clinical practice has proved that it is effective, simple and easy to perform, and is welcomed by the families of children. Tension-free repair of adult inguinal hernia and incisional hernia can be performed laparoscopically by TAPP, IPOM, TEP and other methods, which are effective and have the advantages of minimally invasive and cosmetic. ”Daily precautions for patients with small intestine hernia 1. Confidence, patience, care and attention are needed to maintain an optimistic and happy mood, which is beneficial to the care of hernia; 2. With daily walking and activities, habitual falling will occur, and once it is stuck at the ring mouth and cannot be reset, it will cause intestinal necrosis, which should be prevented; 3. insist on suitable, appropriate and timely exercise to enhance physical fitness and improve resistance to disease, and do not do strenuous activities such as bouncing, jumping, stretching, pulling and weight-bearing, which are very unfavorable to the normal maintenance of hernias; 4. pay attention to dietary conditioning. It is advisable to eat warm, cooked and soft food, and avoid eating raw, cold and hard food. Take less and more meals to prevent overfilling. Choose foods rich in nutrition and easy to digest and absorb to reduce the burden on the stomach and intestines and also to reduce the pressure on the hernia body; 5. Treating chronic cough, preventing constipation and keeping the bowels open is the key to prevent and protect the hernia. The abdominal wall is weak in the elderly, and due to constipation, the force of defecation increases the abdominal pressure, prompting the hernia body to move downward, which is difficult to grasp for the normal maintenance of the hernia. Some elderly people who have “small intestine gas” do not go to the doctor for a long time because they are embarrassed, and even their family members do not know about it, and some people do not consult a doctor because they often return the intestine to the abdominal cavity by hand. very dangerous. 2. The recurring “small intestine gas” can be stuck outside the abdominal cavity and cannot be returned by hand. This type of hernia is called an “incarcerated hernia”. It can cause severe pain and over time can lead to serious consequences such as intestinal obstruction and intestinal necrosis. 3. Elderly people should actively treat coughing and asthma, poor urination, constipation and other diseases. At the same time, from time to time, we should exercise properly to increase the strength of the abdominal muscles to prevent the recurrence of “small intestine gas”.