One, daytime local anesthesia minimally invasive hernia repair
Most hernia surgeries in China use combined anesthesia or general anesthesia, with preoperative and postoperative fasting, postoperative bed rest, many fluids, severe postoperative pain, and increased chances of systemic complications, with a long hospital stay and high costs. Many patients are unable to undergo surgery because they cannot tolerate half or general anesthesia, and ultimately lose the opportunity for treatment, or even endanger their lives. Daytime local anesthesia minimally invasive hernia repair is the Beijing clinical hernia physician according to the advanced concept of hernia treatment at home and abroad, summarizing the 10,000 cases of clinical surgical experience, the first to break the conventional hernia surgical therapy must be general anesthesia surgery, must be hospitalized in the inherent mode of treatment.
Daytime local anesthesia minimally invasive surgery has the following characteristics:
1, convenient and quick
In one day to complete the admission, examination, surgery, discharge, with the treatment, no need for hospitalization.
2, minimally invasive and safe
Visual microsurgery operating system, incision of about 2cm, without damage to local nerves.
3, local anesthesia
Adopting the international advanced modern local anesthesia technology, targeting the local nerves to inject a high concentration of anesthetic, the dosage is small, the effect is good. There is no need for painkillers after the operation, normal diet before and after the operation, without going down the urinary catheter.
4, young and old
Lower requirements for the patient's physical condition, especially suitable for pediatric and elderly hernia patients.
Two, pediatric minimally invasive therapy - specializing in various types of pediatric hernia
Pediatric minimally invasive therapy is based on the famous hernia surgery expert Kong Baiquan's exclusive minimally invasive technology named, using two national patent technology of high-tech equipment, specializing in various types of pediatric hernia. It is a safe and convenient way to treat all kinds of pediatric hernias, with micro-incisions, no stitches, no sutures, and no removal of stitches.
Compared with other treatment methods have unique advantages:
1. small trauma
Only a micro-incision (only about 1 cm), the bleeding is only about 1 ml, the wound does not have stitches.
2. Short time
The operation time is only about 10 minutes, and the whole treatment process only takes about 30 minutes without hospitalization.
3. Less impact
No need for general anesthesia, convenient, safe, the vast majority of patients do not need to use drugs to fight infection.
4. Low recurrence rate
Because of the use of high-tech special equipment that has received a national patent, and experts with extensive clinical experience, the recurrence rate is less than 0.4%, as verified by tens of thousands of patients with hernia.
Three, laparoscopic hernia minimally invasive surgery
With the development of laparoscopic technology, the application of laparoscopic technology diagnosis and treatment of hernia in the last two years so that the hernia patients are free from the pain of surgery, showing a small trauma, diagnosis is clear, the advantages of thorough repair and fast recovery, is one of the best choice of modern hernia treatment.
Laparoscopic hernia surgery process:
Laparoscopic surgery for hernia is the use of laparoscopy and its related instruments for surgery: the use of cold light source to provide illumination, the laparoscopic lens (diameter of 3-10mm) inserted into the abdominal cavity, the use of digital video camera technology so that the laparoscopic lens captured the image through the fiber-optic fiber transmission to the back-end signal processing system, and real-time display on the special monitor. The special monitors are displayed in real time.
The surgeon then analyzes the patient's condition through the images of the patient's organs from different angles shown on the monitor screen and performs the surgery with special laparoscopic instruments. Laparoscopic surgery using 2-4 holes operation method, one of which is opened in the navel of the human body, to avoid leaving long stripes of scars in the patient's abdominal cavity, after recovery, only in the abdominal cavity part of the 1-3 0.5-1 centimeter linear scars, it can be said to be a small trauma, little pain surgery, so it is also known as the "keyhole" surgery. Laparoscopic Surgery Laparoscopic surgery is a rapidly developing surgical program that reduces the pain of incision and shortens the recovery period of the patient and relatively reduces the cost of the patient.
The advantages of laparoscopic inguinal hernia repair:
1, laparoscopic comprehensive view of the condition, can be timely detected usually due to the absence of episodes of the opposite side of the hidden hernia and missed, so that a surgery can be solved at the same time both sides of the hernia, to avoid the traditional surgical methods of the first operation 1 to 2 years after the operation due to the opposite side of the hernia and the pain of reopening the surgery.
2, advanced hernia repair technology has the advantage of being able to repair both sides of the hernia at the same time, find the opposite side of the hidden hernia, faster recovery and no local surgical scar.
3, no obvious scars after surgery, safe and beautiful, does not destroy the normal inguinal canal anatomy and no incision scar.
4, minimally invasive surgical process, safety, rapid recovery: the next day after surgery can resume normal exercise, about 7 days the patient can be discharged.
Four, Lichtenstein hernia surgery
Lichtenstein surgery is also known as flat piece hernia surgery, is Lichtenstein 1986 first proposed and applied a tension-free hernia repair.
Surgical advantages:
The procedure applies a flat-piece hernia patch, which is implanted with a synthetic mesh that causes fibrous tissue proliferation to form a firmer tissue structure, which effectively strengthens the posterior wall of the inguinal canal, not only repairing the abdominal wall defect, but also serving to prevent recurrence. This method has been widely promoted because of its advantages of being tension-free, low recurrence rate, mild pain, few complications, fast postoperative recovery, and low cost.
Indications and contraindications for surgery:
1. Adult hernias: incipient inguinal and straight hernias in adults
2. Recurrent hernias: recurrent inguinal and straight hernias with defects of less than 3.5 cm.
3. If the system is weak, poor cardiopulmonary function can not tolerate surgery.
Surgical procedure:
Lichtenstein surgery is to bridge the patch between the conjoint tendon and inguinal ligament to strengthen the posterior inguinal wall, the spermatic cord through the patch through the perforation of the patch through the patch anterior to the passage, the patch should be sutured and fixed, the inner lower side of the patch to the pubic symphysis pubis should be more than and cover the pubic symphysis pubis for 1.5 to 2.0 cm, the inner upper edge of the patch to the conjoint tendon, rectus abdominis sheath, outer lower side with the abdominal rectum, and the outer lower side with the abdominal rectum, and the outer edge with the abdominal rectum. outer edge, and the outer lower side was sutured to the inguinal ligament and iliopubic bundle.
Remarks: the surgery can be completed with only local anesthesia; simple surgical method, short operation time; no tension; no damage to local nerves; low infection and recurrence rate, the average is 0.5%; postoperative pain is mild, and normal activities can be resumed in a short period of time; and low cost of the surgery is suitable for promotion by grass-roots hospitals in China.