What to look for in pediatric inguinal hernia surgeryWhat to look for in pediatric inguinal hernia surgery

Pre-operative Precautions

1. Your supervising physician will ask you about your medical history and conduct a physical examination.

2. A fasting blood test will be performed at 6:00 am on the day of admission or on the second working day after admission, so please avoid eating after 10:00 pm the day before.

3. In addition to blood and urine tests, chest X-ray, electrocardiogram, cardiopulmonary function and ultrasound will be performed for elderly patients, and other related tests and treatments may be required for other diseases.

4. Before the surgery, the doctor in charge and the anesthesiologist will talk and sign with the patient himself or his client, informing him of the surgical plan, anesthesia plan, risks and costs related to the surgery and anesthesia.

5. Patients taking aspirin are advised to stop taking it 2 days before the surgery, or not stop if the condition requires, patients taking Polivir and Tega need to stop taking it for at least one week, patients taking warfarin need to stop taking it and then use heparin to replace it after the surgery, and don't take ginseng and other medicines for activating blood in order to minimize blood seepage from the surgical wounds.

6, 2 weeks before the operation, no smoking, pay attention to keep warm to avoid cold and cough.

7. Take a bath before the surgery and the medical staff will prepare your skin and hair on the morning of the surgery.

8. Fasting after 8:00 p.m. before surgery, please ensure adequate sleep, if difficult to give hypnotic sedative drugs, heart disease, high blood pressure patients need to take medication in the morning of the day of the surgery with a small amount of drinking water to send drugs, and then avoid entering water.

9, preoperative as much as possible to exhaust the stool, if difficult to ask the bed doctor to help.

10, before entering the operating room to wear a good hand ring, remove dentures and all ornaments, urinate.

11. Family members should wait in the ward or at the designated place for timely contact.

Post-operative precautions: the day of surgery

1, lying down for 6 hours after surgery, half anesthesia patients avoid lifting their heads and going down the bed for 6 hours.

2. Avoid eating for 6 hours after the operation, and then you can eat a moderate amount of semi-liquid.

3, after the operation, put soft pillows under the knees to reduce the tension of the wound, those with large hernia sacs should put a towel under the scrotum to lift up the scrotum to minimize the occurrence of scrotal hematoma and effusion, and some patients will be placed in the inguinal area for 6-12 hours of compression with sandbags.

4, the elderly and patients with prostate hypertrophy will be placed after anesthesia catheter, usually removed one to two days after the operation; not placed in the catheter patients should urinate as soon as possible, do not hold urine caused by urinary retention; individual patients due to anesthesia and other causes of urinary difficulties, first of all, can be used to hot compresses, ***, running water induced by other methods, such as can not be effective, then need to catheterization.

5, the day of surgery is the most significant stage of incision pain, you can ask the doctor to use pain medication, do not have to endure.

6, the day of surgery, if you need to get off the bed activities must be accompanied.

Post-operative precautions: the first to third day after surgery

1, one day after the operation, you can get out of bed to do a moderate amount of activities (such as going to the toilet, short-distance walking, etc., the elderly need to be accompanied), usually get up with pain, do not worry, it is recommended that the action is slow, and the next day, you can gradually increase the amount of activity, but please do it according to your ability.

2, can continue to eat half-flow or return to normal diet, it is recommended to eat more vegetables and fruits and other foods conducive to defecation, in the absence of defecation to avoid eating milk, soymilk, soy products and other easy to cause abdominal distension of food, such as defecation can be difficult to ask the bed doctor to apply corkscrew or laxatives.

3, postoperative swelling of the surgical area and scrotum is generally normal, some patients need to wear tight pants to elevate the scrotum.

4. Postoperative low fever within 38℃ is normal.

5. On the second to third day after the operation, the patient will be discharged from the hospital without any special condition.

Post-discharge precautions

1, most patients do not need to remove the stitches, when the doctor agreed to take a bath, but should avoid the basin bath and soap rubbing the wound, please keep the wound dry after washing. If the wound is coated with a layer of protective adhesive, it is normal for the adhesive film to peel off around the wound after discharge, please do not force it off. If you need to remove the stitches, the doctor will make an appointment with you.

2. A low-grade fever of 38℃ or less within one week after surgery is normal, and if you have a high fever or fluid flow from the wound, please come to the hospital for consultation

3. A few patients will have localized and scrotal lumps due to the accumulation of fluid, so please don't be nervous, and most of the patients will have their fluid disappear within 2-3 months, and some of them will need to be evacuated by puncture to get rid of the accumulated fluid.

4, two weeks after the operation, one month to the surgeon's clinic follow-up, and then every six months follow-up.

5, about two weeks after the operation can resume basic daily life and work (mental labor), one month after the operation to avoid more than 5 kilograms of weight-bearing, long walks, repeated walking up and down the stairs, bicycling, driving and physical exercise, and then the amount of activity can be gradually increased to three months after the operation can be fully returned to normal life and work.

6. Minimize the factors that increase the abdominal pressure in three months after surgery, such as coughing, sneezing and constipation caused by colds, etc. If you can't avoid it, please press the wound gently to minimize the effect of increased abdominal pressure on the wound.

7. In order to avoid postoperative recurrence, please minimize the factors that increase the abdominal pressure in the future daily life, such as lifting heavy objects, constipation, chronic cough, repeated sneezing, difficulty in urination, etc., and go to internal medicine and urology for treatment in the latter cases.

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