Hernia is caused by a defect on the abdominal wall, and the surface is covered with skin. When the abdominal pressure increases, such as defecation, cough and activity, the intestine will protrude from the defect, and the intestine will go back after lying down. So if there is a recoverable tumor on the abdominal wall, it is mostly hernia. Most elderly patients have aged, thinned and fragile abdominal wall, which is caused by cough and asthma, ascites, dry stool, prostatic hypertrophy and other diseases. Professor Ma of Beijing Chaoyang Hospital recently talked about the hernia problem of the elderly.
Hernia is a frequently-occurring disease in the elderly. According to relevant data, there are about 20 million cases of inguinal hernia in the world every year, about 800 thousand cases of inguinal hernia surgery in the United States every year, and the population of Australia is similar to that of Beijing, with about 80 thousand cases of inguinal hernia every year. China conservatively estimates that there are about 2 million cases of inguinal hernia every year. Only about 30 thousand patients actually have inguinal surgery every year, so many patients are still suffering from various discomforts.
Is hernia more common in scrotum?
It should be said that hernia can occur in most parts of abdominal wall, but groin is the most common, which is related to human development process. About 59% patients are over 60 years old, including incisional hernia, umbilical hernia and inguinal hernia. If there is an undeserved lump on the abdominal wall of the elderly, it will disappear after lying down. This situation is almost certain to be hernia and should be treated in a hospital as soon as possible.
Inguinal hernia is divided into straight hernia and oblique hernia, and oblique hernia is more. Inguinal hernia is more common in elderly men, and it is a defect left over from bilateral testicular descent. In addition, the abdominal pressure of the human body from crawling to standing upright in the lower abdomen can be increased by three times, and it is easy to fall.
The consequences of untreated hernia
Many elderly patients with hernia are a bag from the beginning, which is painless. These patients often lack attention to this. However, once the intestine is separated from this defect and the ring cannot be stuck, the blood supply of this intestine will be affected. After the blood supply is affected, the intestine will gradually turn black, which will lead to necrosis, especially in elderly patients.
Common treatment methods at present
Such as traditional Chinese medicine, hernia support, hernia belt, injection therapy, surgical therapy and so on. Surgery is the only reliable method to cure adult inguinal hernia. Conservative treatment can alleviate the symptoms of some patients who are temporarily unable to operate, but surgery is a necessary means to completely solve the problem.
Hernia repair has a history of 100 years. Tension-free hernioplasty and laparoscopic surgery, which are widely used in hospitals, are all repaired with polymer materials such as polypropylene. There is almost no rejection in the human body. This new method has the advantages of less pain, faster postoperative recovery and significantly lower recurrence rate. The operation time is about thirty minutes. The second day after operation, the patient can eat normally and go home.
It should be noted that even if the operation is successful, patients should pay special attention to prevention. For example, constipation is a very important factor for postoperative hernia recurrence. Pay attention to eat more cellulose food, drink more water and use some laxatives when necessary. Then there is coughing, especially sneezing, which is easy to cause recurrence. In addition, some families are prone to hernia, which is not hereditary. For example, grandpa has a hernia, dad has a hernia, and the child has a hernia. This is because there is a collagen synthesis disorder, which usually needs to be repaired before treatment.