Characteristic technology of the first staff hospital in the eastern suburbs of Xi

First, minimally invasive hernia repair under local anesthesia during the day

Most hernia operations in China use compound anesthesia or general anesthesia, fasting before and after operation, lying in bed after operation, excessive infusion, severe postoperative pain, increased chances of systemic complications, long hospitalization time and high cost. Many patients can't operate because they can't stand half-body anesthesia or general anesthesia, and eventually lose treatment opportunities and even endanger their lives. Minimally invasive hernia repair under local anesthesia during the day is a clinical hernia doctor in Beijing. According to the advanced hernia treatment concept at home and abroad, we summarized the clinical experience of 10000 cases, and took the lead in breaking the inherent mode that conventional hernia surgery must be performed under general anesthesia and hospitalized.

Minimally invasive surgery under local anesthesia during the day has the following characteristics:

1, convenient and quick.

Admission, examination, operation and discharge can be completed within one day, and follow-up treatment can be carried out without hospitalization.

2. Minimally invasive safety

Visual microsurgery system, the incision is about 2cm, and the local nerve is not damaged.

3. Local anesthesia

The international advanced modern local anesthesia technology is adopted, and high concentration anesthetic is injected into the local nerve, with low dosage and good effect. No painkillers were needed after operation, normal diet before and after operation, and no indwelling catheter.

4, suitable for all ages

It has low requirements for patients' physical conditions, and is especially suitable for children and elderly patients with hernia.

Second, minimally invasive treatment of children-professional treatment of various types of hernia in children.

The minimally invasive therapy for children is named after the exclusive minimally invasive technology of Kong Baiquan, a famous hernia surgeon, and uses two high-tech equipment with national patent technology to treat various kinds of children's hernias. Micro-incision, no stitches, no stitches, safe and convenient, follow-up treatment.

Compared with other treatment methods, it has unique advantages:

1. Minimal trauma

There are only 1 micro-incision (only about 1 cm), the bleeding amount is only about 1 ml, and the wound is not sutured.

Step 2: Short time

The operation time only takes about 10 minutes, and the whole treatment process only takes about 30 minutes without hospitalization.

3. Less impact

It is convenient and safe without general anesthesia, and most patients do not need to use drugs to fight infection.

4. Low recurrence rate

Due to the use of state-patented high-tech special equipment and expert visits with rich clinical experience, the recurrence rate is less than 0.4% after verification by tens of thousands of hernia patients.

Third, laparoscopic hernia minimally invasive surgery

With the development of laparoscopic technology, the application of laparoscopic technology in the diagnosis and treatment of hernia in recent two years has saved patients from surgical pain, showing the advantages of less trauma, clear diagnosis, thorough repair and quick recovery, and is one of the best choices for modern hernia treatment.

Laparoscopic hernia surgery:

Laparoscopic hernia surgery is performed by laparoscopy and its related instruments: a cold light source is used to provide illumination, a laparoscopic lens (3- 10mm in diameter) is inserted into the abdominal cavity, and the images taken by the laparoscopic lens are transmitted to the post-processing system through optical fiber by digital camera technology, and displayed on a special monitor in real time.

Then the doctor analyzes and judges the patient's condition through the images of different angles of the patient's organs displayed on the monitor screen, and performs the operation with special laparoscopic instruments. Laparoscopic surgery often uses 2-4 holes, one of which is opened on the navel of human body to avoid leaving long scars in the abdominal cavity of patients. After recovery, only 0.5- 1 cm 1-3 linear scar is left in the abdominal cavity, which can be said to be a minimally invasive and painless operation, so some people call it "keyhole operation". The development of laparoscopic surgery has alleviated the pain of patients, shortened the recovery period of patients, and relatively reduced the cost of patients. This is a rapidly developing surgical project.

Advantages of laparoscopic inguinal hernia repair;

1, laparoscopic comprehensive examination of the condition can find the contralateral concealed hernia that is usually missed because of no attack in time, so that both hernias can be solved at the same time in one operation, avoiding the pain of reoperation due to contralateral hernia after the first operation by traditional surgical methods 1 ~ 2 years.

2. Advanced hernia repair technology has the advantages of simultaneous repair of bilateral hernia, discovery of contralateral concealed hernia, quick recovery and no local surgical scar.

3, there is no obvious scar after operation, which is safe and beautiful, does not destroy the normal inguinal canal anatomy, and leaves no scar on the incision.

4, minimally invasive surgery process, safe and rapid recovery: normal exercise can be resumed the next day after surgery, and the patient can be discharged in about 7 days.

Fourth, Lichtenstein hernia surgery

Lichtenstein operation, also known as flat hernia operation, is a tension-free hernia repair first proposed and applied by Lichtenstein 1986.

Surgical advantages:

This operation is suitable for flat hernia patch. The implanted synthetic mesh can cause fibrous tissue proliferation and form a solid tissue structure, thus effectively strengthening the posterior wall of inguinal canal, not only repairing the abdominal wall defect, but also preventing recurrence. This method has the advantages of no tension, low recurrence rate, light pain, few complications, quick postoperative recovery and low cost, and has been widely popularized.

Surgical indications and contraindications:

1. Adult hernia: the first indirect inguinal hernia and direct inguinal hernia in adults.

2. Recurrent hernia: recurrent indirect inguinal hernia and direct hernia with a defect of less than 3.5 cm.

3. If the system is weak and the cardiopulmonary function is poor, the patient cannot tolerate the operation.

Surgery:

Lichtenstein's operation is to bridge the patch between syndesmosis tendon and inguinal ligament to strengthen the posterior inguinal wall. The spermatic cord passes through the patch and through the front of the patch. Patches should be sewn and fixed. The medial lower side should be sutured to the pubic tubercle, which exceeds and covers the pubic tubercle 1.5~2.0cm. The medial upper edge should be sutured to the outer edge of the combined tendon and rectus abdominis sheath, and the lateral lower side should be sutured to the inguinal ligament and iliopubic tract.

Remarks: Only local anesthesia can complete the operation; Simple operation method and short operation time; Not nervous; No damage to local nerves; The infection rate and recurrence rate are low, averaging 0.5%; Postoperative pain is mild, and normal activities can be resumed in a short time; The operation cost is low, which is suitable for popularization in primary hospitals in China.