The choice of hernia repair requires an eye of the doctor

At present, there are many kinds of surgical methods for treating inguinal hernia in China, which are generally divided into two main categories, open traditional repair and minimally invasive laparoscopic repair. From the level of repair, it is further divided into intermuscular and post-muscular retroperitoneal repair modalities, etc.. There is also a wide choice of types of patches, ranging from single-layer to double-layer. Different modalities and patches have their own advantages and disadvantages, and should be individualized for different patients with different hernia defect sizes in order to achieve the best treatment results for the patient. Exactly how to choose requires the surgeon’s years of accumulated experience and a pair of discerning eyes. Patient Han, 42 years old, was found to have a right inguinal hernia for 1 month, and was previously in very good health, and the hernia was not large. The patient was at a critical time for starting his own business, and therefore had very high requirements for his quality of life after surgery. After diagnosis, Director Wang Yong decisively chose minimally invasive laparoscopic hernia repair for the patient, placing the patch behind the muscle so that when the muscle contracted, the patient did not have any discomfort, the patient got out of bed 6 hours after the operation and moved around freely, taking care of himself, and was discharged from the hospital 24 hours after the operation. The patient, father Luo, 84 years old, found that the right inguinal hernia 3 years, previous hypertension, diabetes, renal insufficiency, coronary heart disease, prostate hyperplasia, constipation and so on. It can be said that many diseases. The hernia is also more obvious. After seeing the patient, Director Wang Yong concluded that the patient’s hernia repair surgery should be based on local nerve block anesthesia with low anesthetic risk. The patch is placed as a double-layered preperitoneal filled patch and anterior flat muscle patch. This will prevent recurrence even if the patient has increased abdominal pressure postoperatively. The whole operation Daddy Luo is awake, no need to fast before the operation, 2 hours after the operation can enter the liquid diet, get out of bed activities are no problem, the family is very surprised, hesitation for many years do not dare to treat the hernia, finally winded through. Since 1997, when open tension-free hernia repair was introduced to China from abroad, the recurrence rate of hernia surgery has been reduced to 2%, and recurrence is even rarer among patients specialized in hernia surgery in our hospital. Nowadays, patients and doctors are more concerned about early recovery after surgery, no pain, freedom of movement and so on, that is, the quality of life after surgery is more demanding. Choosing a more minimally invasive, high quality surgical procedure can lead to a better quality of life for the patient, all of which requires experience and discernment on the part of the doctor. Therefore, although hernia is a minor disease, it is necessary to choose a specialist to treat it.