Diaphragmatic hernia repair in the operation of the precautions

1, after opening the chest, pay attention to identify the hernia into the abdominal cavity organs, careful separation of adhesions, to avoid injury, if any injury should be repaired and returned to the abdominal cavity, to prevent bleeding and peritonitis caused by laceration of the cavity organs.

2, the diaphragm defect is large, direct suture tension, should not be forced suture, in order to prevent postoperative suture cracking, and the application of patch to repair the defect.

3, congenital diaphragmatic hernia and old injury diaphragmatic hernia repair, should be defective diaphragm edge excision of a thin layer, and then suture or patch repair, in order to facilitate healing.

4, hernia into the thoracic cavity of the abdominal organs such as perforation, should be the first repair of perforation; such as strangulation necrosis, should be excised necrotic part of the repair or anastomosis. In this case, the thoracic cavity is more seriously contaminated, and the thoracic cavity and herniated abdominal organs should be repeatedly flushed, and then returned to the abdominal cavity to prevent intra-abdominal infection.