how to treat hernia

Pediatric hernia is a common condition, mainly due to congenital causes. The most obvious symptom of a pediatric hernia is the appearance of a lump in the navel or groin area. If the child cries or stands for a long time, it will lead to an increase in abdominal pressure, which will lead to the appearance of a lump or even become larger. So, how to treat pediatric hernia?

1, non-surgical treatment

Generally for small umbilical hernia diameter less than 1.5cm, these umbilical hernias most of the two years of age with the development of the abdominal wall can be healed. In view of the fact that pediatric hernias are rarely incarcerated, they can be treated non-operatively first.

Elastic abdominal band method: this method is particularly suitable for newborns, small babies. You can wear an elastic belly band during the day and loosen it when you go to bed, and often adjust the tightness. This method is easier to operate, not only to prevent the umbilical hernia excessively inflated, but also to ensure that the child's dietary intake and abdominal development of elasticity.

Tape paste method: take about 5 cm wide, length over the waist circumference of the child 6-10 cm of medical tape, one end of the front about 5 cm cut into a tongue-like, the other section of the middle of the cross-hatch in order to allow the opposite side of the insertion. After insertion, the back of the waist with the adhesive tape can be padded with gauze.

The tape must be applied moderately tightly and leave the hernia sac empty or invaginated. Generally 1-2 weeks to replace 1 time, can be continuously affixed for 3-6 months. The periphery can be added elastic band (elastic band) to prevent the tape from slipping off. Due to the tape paste has a certain degree of difficulty and comorbidities above operation should be completed by medical personnel.

2, surgical treatment

If the child has reached the age of 2 years but the pediatric hernia has not yet healed, it is necessary to carry out surgical treatment. The specific method of surgery is in the umbilical hernia below 1-2cm to make the corresponding arc-shaped incision, free flap, presenting both sides of the rectus abdominis anterior sheath. The abdominal white line and the hernia sac are incised, or the peritoneum if there is no intact hernia sac. The bowel is retracted, the hernia sac is excised, and the peritoneal cut edge is sutured at the hernia ring. The transversal abdominal fascia is closed transversely, then the abdominal white line is closed longitudinally to close the umbilical ring and repair the weak area of the abdominal wall, and finally the flap preserving the umbilical aperture is sutured in place.

Overall, there are two main methods of treating pediatric hernia, one is non-surgical treatment, mainly for umbilical hernia with a relatively small diameter, and the child is less than 2 years old. The other is surgical treatment for children who are already 2 years old and have not been completely cured of their hernias. If you have a child with a hernia, it is recommended that you consult your doctor and choose the right treatment option.