As a pediatric surgeon who has been practicing for decades, Professor Zhou Xiaoyu still has a lot of content that he wants to popularize with parents and friends when he mentions the issue of "pediatric hernia". During each visit, there will always be parents who come to Director Zhou with all kinds of "hernia" questions to answer questions, and I will explain it to you in one article today.
What kind of disease is the sudden appearance of a bag at the base of the child's thigh? 】
This condition is a typical oblique inguinal hernia, which is commonly known as a "hernia".
So how does a hernia form? At the junction of our human torso and the root of the thigh, there is an inguinal canal leading to the abdominal cavity at one end and the other end leading to the **, since it is a pipe, there will be two openings, which are called the inner and outer rings of the groin. The inner ring leads to the abdominal cavity, the outer ring leads to the boy's **, and the girl terminates under the skin.
Normally, the inner ring is closed when the child is born, and the inguinal canal is no longer open. However, there are also some children whose inner ring mouth is not closed as scheduled, so the organs in the abdominal cavity will protrude through the inguinal canal, forming a visible "mass".
Will hernia surgery affect my child's future fertility? 】
Will a baby with a hernia affect the birth of a child when he grows up? It should be said that this worry is superfluous, generally speaking, the baby has a hernia does not affect the birth of adulthood, from the perspective of patients other than us, many people who have hernia from childhood to adulthood can have children as adults, but the following two points are still reminded to pay attention to the big words.
The first aspect is that the baby has a hernia, and we have to check whether his ** is in**, because some babies have a hernia, and he will also combine undescended testicles. That is to say, it did not descend into the inside, but remained in the abdominal cavity or groin area, which we call "cryptorchidism", only in the inside can it develop normally, and it will have the function of fertility after adulthood.
The second aspect is that if the child's hernia is getting bigger and bigger, then there will be more and more intestinal tubes or omentum falling into the ** and surrounding our **, which will cause the ** surrounding temperature to rise, and the increased temperature is not conducive to the development of **, which may affect the function of ** in the future, thereby affecting the future fertility function. So in order to avoid this happening, it is better to deal with the hernia as soon as possible!
Can baby girls get hernias too? 】
Many parents who give birth to daughters are curious, why do girls also get hernias? In fact, hernia has never been a patent for boys, girls will also get it, but the probability is lower than this, due to the difference in congenital anatomy, girls have tougher ligaments around the groin area, and the probability of hernia incarceration is higher than that of boys, so for girls' hernia must be operated on in time to avoid the risk of incarceration. Because it is difficult to reduce once incarceration occurs, the chance of intestinal ischemia and intestinal necrosis is much higher.
Some people say that hernias don't matter, and that children will heal on their own when they are older, is this really reliable? 】
This online claim that children will heal on their own if they have a hernia is not true! A large amount of medical evidence shows that the possibility of spontaneous healing of an oblique inguinal hernia is extremely small, and parents blindly waiting for observation often have serious consequences for their children. The reason why some people think that hernia will heal on its own is because in the previous era of low medical level, another disease "hydrocele" and "inguinal oblique hernia" are often confused, and the symptoms of hydrocele are also **internal mass, but its internal is not a bowel, but a water bladder, which has a high proportion of disappearing on its own, so it causes the misunderstanding that hernia can heal itself.
There are different opinions about the time when hernia is suitable for surgery, but which one is the most reliable? 】
In the process of receiving the consultation, Director Zhou once met a very anxious parent, he said that because of the hernia problem, he took the child to see many doctors, some doctors said that the hernia is best after the age of 2 years before surgery, and some said that it can be done in 3 months, he checked the information on the Internet, and there are some other different statements, and he doesn't know who to listen to.
In fact, the biggest harm of inguinal oblique hernia is that incarceration is life-threatening, so early surgery is the most fundamental way to avoid danger. However, the timing of surgery does need to consider both of the following factors.
The first aspect is the professional and technical factor: after all, hernia surgery involves general anesthesia, so you must choose a professional and formal medical institution. The supporting measures of the hospital and the professional maturity of the doctors should be taken into account, and the surgical anesthesia in professional women's and children's hospitals with good technical conditions is not limited by age, and anesthesia can be safely received at any age when surgery is necessary. At present, 3 months to 6 months old is a relatively safe choice, and it will be a little late after 1 year old.
The second aspect that needs to be considered is the child's own condition: if the baby is born prematurely, or if the child has a serious illness, severe malnutrition, etc., it will also have an impact on the age of surgery.
Without surgery, can I get a hernia by taking medicine and injections? 】
In the process of clinical diagnosis and treatment of hernia, there are indeed doctors who will prescribe traditional Chinese medicine, local dressing, local injection or hernia belt compression. However, practice has proved that these methods are often ineffective and even harmful to the human body. For example, local injection of sclerosing agent may cause adhesion and closure of the hernia ring, and although some achieve the purpose of sealing the hernia ring, they often bring damage to the vas deferens and spermatic cord blood vessels, and the rate is not high.
So here I will also popularize science with you, there is no effective medicine for hernia, in the final analysis, hernia is a break in the muscles of the human abdominal wall, and we can only make up this small hole through surgery. Therefore, it is recommended that parents try to let their children with hernia be operated on as early as possible to avoid the development of a small hernia into a large hernia!
What surgical options are available for a child with a hernia? 】
The surgery of inguinal oblique hernia can be divided into two categories, one is ordinary open surgery, and the other is laparoscopic minimally invasive surgery, which has become popular in recent years, and both surgeries can achieve good results. Ordinary open surgery has a surgical incision of about 2cm in the lower abdomen, so the postoperative rate of surgical complications such as incision infection and swelling is slightly higher than that of minimally invasive surgery. The advantages of abdominal minimally invasive surgery are obvious, with few complications, low rate, and almost no surgical traces. However, the technical requirements of laparoscopic minimally invasive surgery are higher than those of ordinary open surgery, so parents must choose professional and formal medical institutions.
Solve the problem of pediatric hernia in one weekend, Hunan Women and Children's Hospital will escort you].
Hunan Women's and Children's Hospital has launched a special surgical activity for pediatric hernia in order to solve the hernia problem for children in one weekend. The professional medical team led by Professor Zhou Xiaoyu, Director of Pediatric Surgery, former Director of the Department of General Surgery and Chief Physician of Hunan Children's Hospital, uses the most advanced STORZ high-definition laparoscopic equipment in China to provide minimally invasive surgery for children under 18 years old, children with unilateral and bilateral hydrocele, and children with unilateral and bilateral hernias.
Surgical Highlights]:
Strong experts - Professor Zhou Xiaoyu led a professional medical team to solve the problem of pediatric hernia.
High technology - minimally invasive surgery, fine scarring; Precise anesthesia and full monitoring.
New equipment - the most advanced equipment in China - storz high-definition laparoscope.
The time is short - hospitalization to discharge, and a pediatric hernia can be done in one weekend.
Good service - pre- and postoperative follow-up services, ** rate is very low.
Pediatric hernias, although common, should not be ignored. Hunan Women and Children's Hospital provides a high-quality choice for children to solve hernia troubles on weekends with professional, efficient and humanized services. Let's work together to protect our children's health and let them thrive in happiness.
Hunan Medical Chat Special Author: Hunan Women and Children's Hospital Cao Han Follow @Hunan Medical Chat to get more health science information!
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