What are the treatment methods of umbilical hernia?

The hernia that comes out through the umbilical ring is called umbilical hernia.

Umbilical cord is located in the middle of abdominal wall, which is the latest part of abdominal wall to close during embryonic development. At the same time, the navel lacks adipose tissue, which makes the skin, fascia and peritoneum on the outermost layer of abdominal wall directly connected together, becoming the weakest part of all abdominal walls, and the contents of abdominal cavity are easy to protrude from this part, forming umbilical hernia. In human fetal period, there are two arteries, one vein, yolk duct and urachal duct connected with the mother through umbilical ring to obtain nutrition. Before and after the birth of the fetus, the above structures are gradually locked, and the umbilical ring is locked to form the umbilical depression. If the atresia is incomplete or delayed, the fetus will be deformed after birth. Hernia protruding from the umbilical ring is called umbilical hernia. There are two kinds of umbilical hernia in clinic: infant umbilical hernia and adult umbilical hernia. The former is far more common than the latter.

Adult umbilical hernia: relatively rare. It may be related to the weakening of umbilical ring scar tissue. The inducement is pregnancy, chronic cough, ascites and so on. What is in a hernia is mostly omentum at first, followed by small intestine and colon. Often due to extensive adhesion with the wall of hernia sac, a multilocular space is formed.

For patients with umbilical hernia without complications, the main examination item is "A";

2. For patients with other lung and abdominal diseases and unknown diagnosis, the examination items may include "A" and "B".

treat cordially

Adult umbilical hernia should be treated by surgery as soon as possible, and emergency surgery should be performed immediately after catgut embedding. Make a transverse oval incision around the navel, separate the hernia sac to the neck, carefully separate the adhesion, cut it off at the neck of the hernia sac, and remove the hernia together with the omentum and excess skin that are difficult to separate from the tight adhesion. So free the transverse fascia and peritoneum around the hernia ring as much as possible. The rectus abdominis and its aponeurosis are separated up and down, and can be overlapped and sutured if necessary.

Medication principle

1. Selective umbilical hernia surgery generally does not require antibiotics.

2. When the hernia is incarcerated or strangulated, or the hernia is not incarcerated or strangulated, but complicated with respiratory and urinary system infection, the drugs to be used include drug restrictions "A" and "B".

3. In case of postoperative complications or physical weakness of strangulated hernia, besides "A" and "B" after operation, new specific drugs and symptomatic treatment can be considered.

Umbilical hernia folk prescription

1. Stir-fry fennel seeds, wrap them in gauze, and iron the affected area. Two packs can be replaced at the same time.

2. After grinding Rhizoma Typhonii into powder, adjust it with water and apply it on the navel, and then use moxibustion to assist. Note: If this method is not well mastered, it is easy to cause burns to patients.

3. Take one or two pieces of hawthorn meat and fennel seeds (after frying), grind them into powder, paste them into balls, and take them with boiling water every time on an empty stomach.

4. Mash the scallion with salt and apply it to the affected area.

5. Stir-fry 60 grams of Evodia rutaecarpa with 60 grams of salt, wrap it in gauze and iron the navel. When it is cold, you can add a hot water bottle to scald it 1-2 hours.

Curative effect evaluation

1. Umbilical mass did not appear after non-surgical treatment.

2. The umbilical defect was repaired by operation, and the incision healed.