I have suffered from hernia for 20 years.

Hernia refers to a defect in the abdominal wall, that is, there is a hole in the abdominal wall with skin on it. When the abdominal pressure increases, such as defecation, cough and activity, the intestine will protrude from the defect, and the intestine will go back after lying down. So at first, an unnecessary lump appeared on the patient's abdominal wall and disappeared after lying down. This condition is almost certainly a hernia. Hernia is a common disease in the elderly, and there are many hernias in middle-aged and elderly people. Hernia is caused by the decrease of abdominal wall strength and the increase of intra-abdominal pressure. The elderly often suffer from chronic bronchitis, prostatic hyperplasia and hypertrophy, habitual constipation and other diseases; Long-term chronic cough, dysuria and strenuous defecation increase the pressure in the abdominal cavity, crowding out and oppressing the internal organs to transfer to the weak area of abdominal wall. In addition, ascites caused by heart and lung diseases and liver diseases will slowly cause abdominal pressure to rise. The degeneration and strength reduction of abdominal muscle tendons in the elderly, coupled with obesity or long-term illness in bed, can easily lead to abdominal muscle atrophy and hernia. According to relevant data, there are about 20 million cases of inguinal hernia in the world every year, about 800 thousand cases of inguinal hernia surgery in the United States every year, and the population of Australia is similar to that of Beijing, with about 80 thousand cases of inguinal hernia every year. It is conservatively estimated that there are about 2 million cases of inguinal hernia in China every year. In fact, about 80 thousand patients undergo inguinal surgery every year, so many patients are still suffering from various discomforts.

If the hernia is not treated in time, the abdominal wall defect will become bigger and bigger, and the intestinal tube will fall off more and more. It will be much more difficult to operate at this time. If the contents of hernia can't be recovered suddenly, those who have symptoms such as pain are called incarcerated hernia, which is a serious complication of hernia. Incarcerated hernia can occur when intra-abdominal pressure increases, such as strenuous labor, severe cough, defecation, etc., but there is no obvious inducement. The clinical manifestations are sudden enlargement of hernia mass, accompanied by severe pain, which can not be recovered by lying down or pushing the mass by hand, and the mass is tense, hard and tender. Severe cases may be accompanied by paroxysmal local colic, nausea, vomiting, constipation, abdominal distension and other acute intestinal obstruction symptoms. Once the hernia is incarcerated, there is less chance of self-admission. Most patients' symptoms get worse gradually, and if they are not treated in time, they can further develop into strangulated hernia. The clinical symptoms of strangulated hernia are more serious. Necrotic intestine can be secondary to infection, leading to peritonitis and septicemia. If not treated in time, it may endanger the life of patients, so hernia can not be ignored and should be treated as soon as possible. Traditional non-surgical treatments, such as traditional Chinese medicine, hernia support, hernia band, injection therapy and so on, are varied, but practice has proved that these methods are ineffective and can not solve the problem. Some conservative treatments can alleviate the symptoms of some patients who are temporarily inoperable, but surgery is still needed to completely solve the problem. It should be said that surgery is the only reliable method to cure adult inguinal hernia. Another important reason for the need for surgery is that this lump will get bigger and bigger. First, it will affect the appearance, and then it will really seriously affect the quality of life. To sum up, there are six misunderstandings in hernia patients: First, the attitude is indifferent, and many patients think that hernia is painless and does not need treatment. Second, I am embarrassed to see a doctor. Some elderly patients are unwilling to tell their families or see a doctor when they find a lump in the external genitalia. The third fear is surgery. Although surgery is an invasive treatment, most of the operations now adopt minimally invasive methods with less damage. Fourth, fear of recurrence, modern tension-free repair, the recurrence rate is very low. Less than 1%. Fifth, fear of foreign body reaction. The currently used repair materials are inert, unsuitable for chemical reaction with tissues, and have good histocompatibility. They have been used in the human body for more than 40 years. Sixth, I hope that conservative treatment is effective and can temporarily relieve symptoms. Surgery is the only way to treat hernia.

Hernia Surgery With the development of medicine and technology, many traditional surgical schemes are gradually updated and eliminated. The traditional surgical suture method has a certain effect, but all patients have to stay in bed for 3-7 days after operation, rest for 3 weeks after discharge, and avoid strenuous activities within 3 months, which adds a lot of trouble to patients. The recurrence rate after traditional operation is 4%- 10%. In 1980s, American surgeons first put forward the concept of tension-free hernioplasty and the Shouldice method to solve postoperative pain and recurrence. Tension-free hernioplasty with repair materials was widely used in the United States in the 1990s. At present, there are 800 thousand cases of tension-free hernia repair every year in the world. The statistical results show that the postoperative recurrence rate of tension-free hernia repair is significantly lower than that of traditional surgery, and the recurrence rate is less than 65,438 0%. In recent years, hernia specialty has developed rapidly, and hernia treatment has become a very specialized subject. New techniques and methods are constantly emerging, and there are more than a dozen new tension-free repair operations, which make hernia surgery more reasonable, minimally invasive and professional. The continuous development of new materials also makes the repair materials more reasonable, and there are different choices of high, medium and low prices. Cheap patches cost only a few hundred yuan, which is especially suitable for elderly patients with low income. Most modern tension-free herniorrhaphy can be performed under local anesthesia without fasting water, enema and catheterization. Can be eaten after local anesthesia surgery. No need to stay in bed for three days, no need to press the incision. Young patients without basic medical diseases can get out of bed and move freely after operation. You can be discharged after 2-3 days of anti-inflammation. It can even achieve "day surgery." In addition, for huge incisional hernia, the recurrence rate of the new endoluminal hernia repair operation is only110 of the traditional operation method, and the effect is particularly outstanding. For umbilical hernia, white line hernia and parastomal hernia, the recurrence rate of sub-hernia and sub-hernia operation is also significantly lower than that of traditional methods. Our goal is to "maximize the operation and minimize the trauma", that is, to allow more patients to get treatment, but also to minimize the trauma of the operation, so that the majority of patients can get first-class minimally invasive and professional treatment.