Hernia, commonly known as “small intestine gas”, is one of the most common diseases in surgery. The occurrence of hernia brings great inconvenience to people in modern life and seriously affects the quality of life of patients. In particular, inguinal hernia is a common and frequent disease among the normal population, and its high incidence has attracted more and more attention from doctors and patients. Huang Hai, General Surgery Specialist, Hangzhou Hospital of Traditional Chinese Medicine
Adult hernias and abdominal wall defects do not heal themselves over time, that is, they do not disappear on their own, and there is no drug that can provide effective treatment. The only effective and reliable treatment for hernias recognized worldwide is surgery. If a hernia is left untreated for a long time and develops for too long, it can cause the hernia ring opening to relax and enlarge, resulting in more hernia contents (intestines, organs) protruding outside the body, abdominal pain, bloating and other gastrointestinal symptoms, which can seriously affect the quality of life. Some patients often delay treatment because they do not want to operate or are afraid of anesthesia. Once the hernia is embedded, it can lead to intestinal obstruction, and furthermore, it can cause ischemic necrosis of the hernia contents (intestinal tubes and organs), thus endangering the patient’s life with a mortality rate of up to 15%. Therefore, regardless of the type of adult hernia, once diagnosed, surgery should be performed immediately if there are no contraindications.
Hernia repair is one of the most routine and important procedures in general surgery, but it is not a “minor surgery”, it is a typical anatomical procedure, which is regarded as a model of perfect combination of anatomy and surgery and must be performed by a trained surgeon. In the 21st century, with the rapid development of synthetic material science, the patch material has reached the ideal requirements. This has allowed surgeons to achieve a holistic repair of the three potential defects of the internal ring, the rectus hernia triangle, and the femoral ring in the anterior peritoneal space, which is the concept of total inguinal zone repair. Laparoscopic hernia repair is currently the most advanced hernia repair procedure, with the advantages of being able to perform bilateral hernia repair at the same time, detecting contralateral occult hernia, faster postoperative recovery, and no local surgical scar, making it the best choice for patients with bilateral inguinal hernia, recurrent hernia, and aesthetic requirements.
Since the 1990s, the general surgery department of our hospital has carried out tension-free repair of inguinal hernia earlier in the province, and since 2000, Lichtenstein operation, hernia ring-filled tension-free repair, PHS anterior peritoneal space tension-free hernia repair and laparoscopic hernia repair have been gradually carried out. At present, our department adopts various surgical methods, including open and lumpectomy, and follows the principle of “individualized” treatment to select the safest and most effective repair material and surgical plan to treat different types of hernia patients with tension-free hernia repair. The surgical results are good, the postoperative pain is light, the recovery is fast, the hospital stay is short, and the postoperative complications, adverse reactions and recurrence rates are low. Postoperative treatment combined with Chinese herbal medicine to tonify the middle and benefit the qi and lower the abdominal pressure can further reduce the postoperative recurrence rate and achieve better treatment results.
In response to the demand of hernia patients, the hospital has opened a hernia surgery specialist clinic with the following schedule
Li Ye: Chief surgeon, outpatient time: Thursday morning
Chen Haiping: Chief surgeon, outpatient time: Friday morning
Huang Hai: Associate Chief Physician, Doctor of Surgery
Outpatient time: Tuesday afternoon
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