Traditional Culture Encyclopedia - Traditional stories - What is an old age hernia?
What is an old age hernia?
Question 2: How should the elderly treat hernia disease The elderly as the frost hit the fallen leaves, the grasshopper after the fall, it can really be said that the wind and candles are gone, but even at this time, the devil will not let them go, hernia is a very common disease. If an elderly person has a hernia, what kind of treatment should be used, whether it is "minimally invasive intervention" or palliative care? Generally speaking, the elderly external abdominal hernia is not self-healing, but often some factors other than hernia, resulting in some elderly patients can not be timely use of surgical or "minimally invasive intervention" therapy, so you can consider the use of hernia belt for palliative care. Inguinal hernia whether unilateral or bilateral, when the hernia neck is not narrowed will not be dangerous, if the patient does not want to or other factors should not be surgery or minimally invasive interventional therapy, can be used hernia belt compression for control. Inguinal hernia neck narrowing, hernia sac is large, so there is a risk of strangulation. Recurrent inguinal hernias usually have a -small defect at the pubic symphysis, which is equally dangerous because the narrowed neck passes through a hard edge of scar tissue. The patient can use a hernia belt if they are not doing heavy work, and the hernia is allowed to fully retract while lying down, and then the hernia belt is worn. Since there is always a risk of strangulation in hiatal hernias, complete treatment is still recommended unless there is a real contraindication to treatment. Umbilical hernias carry the risk of incarceration and strangulation and surgical repair should be recommended. Hernia belts are mostly ineffective for umbilical hernias in the elderly. At best, a properly fitted hernia belt can help to keep the hernia from increasing in size, with only smaller umbilical hernias, with no recurrence and no incarceration. Whereas surgery is contraindicated, the use of a hernia belt may be considered as palliative treatment. Incisional hernias in elderly patients are usually the result of partial wound dehiscence in the early postoperative period, so that the bowel mix tends to adhere to the scar of the wound, the hernia sac is large, often multicompartmental, and the neck of the hernia sac, if it is not stenotic, is at little risk of strangulation, but its symptoms cause the patient to request surgery. Small incisional hernias may be temporarily controlled with the application of a hernia belt, but they usually do not heal and tend to increase in size. The application of a wide abdominal band to a patient with a large incisional hernia, although there is some relief of comfort, but generally does not prevent its enlargement. Elderly patients with hernias are generally not suitable for surgical treatment due to poor institutional factors, but we can take conservative treatments, which are very good. Patients who are not suitable for surgical treatment are still not lost to palliative care.
Question 3: What is a hernia? A hernia, that is, a part of the human body tissues or organs left the original part, through the human body gap, defects or weak parts into another part. Commonly known as "small intestine string gas", umbilical hernia, inguinal hernia, hiatal hernia, incisional hernia, surgical recurrence of hernia, white line hernia, femoral hernia and so on. Hernia is mostly caused by coughing, sneezing, overexertion, excessive abdominal fat, forceful defecation, women's pregnancy, excessive crying of children, degenerative changes in the strength of the wall of the elderly workers. Surgical treatments are hernia repair, hernia patch repair, hernia laparoscopic repair three types of hernia repair: hernia repair: through the defect around the tissue suture repair hernia ring mouth hernia patch repair: with a patch material to cover the defect repair hernia ring mouth hernia laparoscopic repair: through the laparoscope to complete the hernia patch repair operation
Question 4: May I ask what kind of hernia disease of the elderly characteristics of the elderly weaker, the physical function is not as good as the youth, therefore, the hernia is not as bad as the old man. The old man is weaker than the young man, so it is the main target of hernia, hernia in different genders have obvious differences, according to statistics, men are good inguinal hernia, especially hiatal hernia, and women are prone to straight hernia.
A straight inguinal hernia in the elderly, accompanied by a gradual weakening of abdominal muscle tone and a mild bulging of the inner posterior inguinal wall (transversus abdominis fasciae), is asymptomatic, except for a slight discomfort. There is no risk of strangulation because the hernia sac is a bulge with the neck of the sac being the widest part. Occasionally, the hernia will enlarge and the hernia sac lengthens, crossing the inguinal ligament and descending into the scrotum, at which point the neck of the hernia sac is no longer at its widest point and there is a risk of strangulation.
Umbilical hernias also often occur in obese older men and women. As with femoral hernias, there is often a small piece of long-adherent omentum, which is dislodged through the neck with sharp edges, and then the intestinal tubes can also enter the hernia sac, especially in the transverse colon.
The large omentum and the hernia sac are often very early adhesion, so there are - certain symptoms, such as local pain and discomfort or epigastric pain, but both male and female elderly patients can be accustomed to umbilical hernia caused by a slight discomfort. Because of the hard and sharp fascial ring that forms the opening of the umbilical hernia sac, there is a high risk of strangulation.
Older people suffering from hernia disease will show their own unique characteristics, as long as people pay attention is very easy to find. Hernia experts remind, the elderly hernia must be early treatment, it is best to use a conservative treatment method, to avoid the hernia diagnosis and treatment on the way to the body caused by the bad effects.
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