Extra-abdominal hernias are named based on

Extra-abdominal hernias are named on the basis of site.

Extra-abdominal hernia is categorized on the basis of:

1, easily reversible hernia

Hernia content enters the hernia sac when the intra-abdominal pressure is increased, and is incorporated into the abdominal cavity by lying down and resting or gently pushed with the hand.

2, difficult to recurring hernia

Hernia content can not be completely back into the abdominal cavity.

3, incarcerated hernia

Hernia ring is narrow, in the sudden increase in intra-abdominal pressure, hernia content forced through the hernia ring into the hernia sac, due to the elasticity of the hernia neck contraction of the hernia sac so that hernia content can not be returned to the abdominal cavity, called incarcerated hernia. At this time, the hernia content due to venous return obstruction and bruising and edema.

4, strangulated hernia

Inset hernia, if not lifted in time, the hernia content of the blood circulation obstacle aggravated, to the last completely blocked, called strangulated hernia. At this time, the contents of the hernia necrosis due to ischemia.

Treatment of extra-abdominal hernia:

1, surgical treatment

Non-symptomatic hernia, can be followed up and observed, or elective surgical treatment. Symptomatic hernia, should be elective surgery. Incarcerated and strangulated hernias should undergo emergency surgery.Umbilical hernias above the age of 5 years should be treated surgically.After the age of 2 years, if the diameter of the umbilical ring is still larger than 1.5cm, then it can be treated surgically.

2, the traditional hernia repair

there are suture tension, postoperative surgical site of the pulling feeling, pain and other shortcomings. Tension-free hernia repair: Tension-free hernia repair using repair material is the main method of surgical treatment at present. The use of synthetic patches for repair under tension-free conditions has the advantages of mild postoperative pain, fast recovery, and low recurrence rate.

Hernia repair materials are divided into absorbable materials, partially absorbable materials and non-absorbable materials. Translaparoscopic hernia repair: has the advantages of small trauma, light postoperative pain, fast recovery, low recurrence rate, no local pulling feeling. Currently the clinical application is more and more. For the repair of bilateral inguinal hernia, as well as recurrent or occult hernia, transperitoneal hernia repair.

3, non-surgical treatment

Inguinal hernia: infants and young children under one year of age may not be operated on, because infants and young children abdominal muscles can be gradually strong with the growth of the body, the hernia has the possibility of self-healing. The old and weak or for other reasons is not suitable for surgery can wear a hernia belt treatment.

Umbilical hernia: Except for emergencies such as incarceration or puncture, non-surgical treatment is available until the child is 2 years old. The principle of non-surgical treatment is to return to the hernia block, with a larger than the umbilical ring, gauze-covered coins or small pieces of wood against the umbilical ring, and then fixed with tape or bandage do not make the movement of infants less than 6 months of age can be used in this way. Adults with umbilical hernias are prone to incarceration and surgery should be considered.