This is an automatically translated article.
An inguinal hernia is a condition in which an abdominal viscera protrudes through the inguinal hole, which is a weak point in the abdominal wall. The disease can be acquired or congenital, when an inguinal hernia is present, the most effective treatment is surgery. Patients can have open surgery or laparoscopic surgery depending on the case. However, the laparoscopic approach has more advantages.1. What is laparoscopic inguinal hernia surgery?
There are two types of inguinal hernias: congenital hernia that can occur from childhood or into adulthood and acquired inguinal hernia, which is a condition that occurs due to frequent increase in abdominal pressure causing weakening of the abdominal wall. .In general, for complete treatment, it is necessary to conduct surgery early to avoid the risk of complications. Especially the disease in children is a congenital disease, which cannot go away on its own, it is necessary to consult and operate early to avoid dangerous complications.
There are two surgical methods currently used to operate in the case of inguinal hernia: open surgery and laparoscopic surgery.
1.1 Open surgery Make an incision about 3cm in the patient's inguinal region, expose the hernia sac, then sew and seal the position of the hernia tube or can put additional mesh to avoid recurrence. This method is still applied today, however, the disadvantage of this method is that the recurrence rate is about 0.8-3.8% higher than laparoscopic surgery, leaving large scars, less aesthetic and the rate of recurrence is higher than laparoscopic surgery. missed high contralateral inguinal hernia.
1.2 Laparoscopic surgery The treatment principle of this method is the same as that of open surgery and similar to other laparoscopic surgery. The patient is under general anesthesia and the doctor will make a few very small incisions in the abdomen to insert the laparoscope and instruments inside to proceed with the hernia treatment.
The abdomen is pumped with CO2 gas to create a space for the doctor to perform intra-abdominal operations. The endoscope is equipped with a camera and light source to help the doctor see the entire inside specifically and perform the necessary surgical manipulations to handle the hernia.
Laparoscopic surgery is indicated for inguinal hernia treatment for most cases of inguinal hernia (direct or indirect inguinal hernia) or there are cases of recurrence of inguinal hernia after open surgery.
Thoát vị bẹn có hai loại là thoát vị bẩm sinh có thể xảy ra ngay từ khi còn bé hoặc đến khi trưởng thành và thoát vị bẹn mắc phải
2. Why operate inguinal hernia by laparoscopic method?
Surgery for inguinal hernia can be open surgery or laparoscopic surgery, depending on each specific case, the doctor appoints the most suitable method. However, at present, the laparoscopic method is preferred because it has many outstanding advantages compared to the open surgery method.The advantages of laparoscopic surgery include:
Helps limit soft tissue damage or unrelated intra-abdominal viscera. Avoid complications of vasectomy or testicular atrophy due to the impact on blood vessels supplying the testicles during surgery. This method easily helps the surgeon to see the vas deferens and the blood vessels supplying the testicle, and can suture the peritoneal canal in case of congenital inguinal hernia without touching the vas deferens or blood vessels supplying the testicles. Avoiding the risk of missing the contralateral mass and preventing contralateral hernia from laparoscopic surgery also allows the status of the contralateral peritoneal canal to be assessed through easy visualization through the internal endoscopic camera. abdominal cavity and suture closed immediately if the contralateral side remains open. Short surgery time: The surgery takes only 30 to 60 minutes. Short hospital stay: Most of the cases after surgery can be discharged after only 1-2 days from the completion of the operation. The patient recovers quickly: Only after 3-5 hours after the surgery ends. Patients can return to light activities after 1-2 weeks. Strenuous activities can be performed about 4 weeks after surgery. Less complications after surgery, patients less pain after surgery due to less intervention. The recurrence rate after surgery is lower. Less trauma, small incision should have high aesthetic value. Thanks to the outstanding advantages of laparoscopic surgery, this method is preferred. Especially limiting the disadvantages of open surgery.
Hiện nay phương pháp mổ nội soi thoát vị bẹn lại được ưu tiên lựa chọn hơn do có nhiều ưu điểm vượt trội
3. Some notes after inguinal hernia surgery
After surgery, patients need to pay attention to diet and activities to avoid complications, avoid the risk of recurrence later:After surgery, the patient can take medicine as prescribed by the doctor. Usually only pain relief is needed for the first day and almost no antibiotics are needed. About 4 hours after surgery, you can do light exercise, you should walk gently to avoid blood clots and to increase nutrition to the surgical site to quickly heal the wound. Usually patients only need to stay in the hospital for about 1-2 days, from the 2nd day they can shower after 2 days of surgery, shower with a faucet, pay attention to avoid soaking in the bath. Change the wound dressing after 72 hours if the dressing is dry. If the dressing is wet, it should be changed frequently. After surgery, there may be some complications such as: Bleeding, swelling, infection, recurrence... Although the complication rate is low, it can still happen, so the patient should pay attention if there is any complication. abnormality should be re-examined immediately. The patient was re-examined after surgery as directed by the doctor. When the incision is stable, it is necessary to control the risk factors well to avoid recurrence. Should limit heavy labor, eat fiber-enriched diet and drink enough water to limit constipation, control weight appropriately to avoid overweight and obesity, exercise regularly, avoid smoking...
Khi vết mổ đã ổn định cần kiểm soát tốt yếu tố nguy cơ để tránh tái phát
Vinmec Health System is equipped with the most modern and advanced facilities in the country such as: Robotic laparoscopic surgery in the treatment of inguinal hernias. The technique is performed by a team of highly experienced, experienced doctors, technicians and medical experts with the support of the world's leading modern equipment.
Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading medical doctors, modern equipment and technology, but also stands out for its examination and consultation services. comprehensive and professional medical consultation and treatment; civilized, polite, safe and sterile medical examination and treatment space. Customers when choosing to perform tests and treat diseases here can be completely assured of the accuracy and high efficiency in the treatment process.
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