Is there any effective treatment scheme for children's hernia in xinyi city?

Hernia in children is common in boys, male: female = 10 ~ 15: 1. Testicles develop in abdominal cavity during fetal period, and gradually descend from abdominal cavity to scrotum through inguinal canal before birth. In the process of descent, the peritoneum forms a "sheath-like tube" (which can also be called "Nuke tube" for girls) and closes as the testis descends to the scrotum. If it is not closed, abdominal organs (small intestine, omentum, girls' ovaries, etc. ) will protrude from here to the body surface or enter the scrotum to form a hernia. So children's hernia is caused by congenital factors. Because the right testis descends a little later than the left, and the "sheath process" atresia is also late, there are more hernias on the right than on the left, with a ratio of about 3: 2, accounting for 65,438+00-20% on both sides.

Because the cause of hernia in children is different from that in adults, the treatment methods are different. The posterior wall of hernia sac in children is closely attached to the spermatic cord, and the spermatic vessels are often separated from the vas deferens, which is slender and easy to cause injury. The gap between adult hernia sac and spermatic cord is loose, and the vas deferens is thick, which is easy to peel off and not easy to cause vas deferens injury. Therefore, the treatment of hernia in children should be more detailed, and the spermatic vessels and vas deferens should not be damaged, so as not to affect the growth and development of testis.

The specific treatment of hernia in children can be summarized as follows:

1, if you find a hernia after birth, you can't rush to operate, because the baby hernia may heal itself. If it is not frequent, you can observe it for a while first. Check every 2-3 hours. If there is hernia, parents can massage their backs. If they fail, they should take timely treatment.

2. Although hernia surgery in children is not a major operation, it also has certain risks. Therefore, before the baby is 3 years old, doctors always take conservative treatment. The so-called conservative treatment is hernia belt. For example, Qu Shanbao's hernia belt can effectively relieve hernia symptoms without affecting the baby.

4. Injection of sclerosing agent will cause damage to spermatic vessels and vas deferens, with high recurrence rate, many complications and great danger, so it is rarely used now.

5. Under the supervision of laparoscopy, hernial sac was treated by injecting adhesive. Foreign scholars have done animal experiments, but because of the uncertain curative effect, they are rarely used in clinic.

6. Oral drugs (including traditional Chinese medicine) are basically ineffective for hernia in children, but if children cough, asthma, frequent urination and constipation for a long time, it will cause frequent episodes of hernia, and drug treatment is necessary.

7. The recurrence rate of hernia in children after surgical treatment is high. If there is a little mistake in operation, the impact on the baby will be lifelong.

8. Surgical treatment includes traditional open surgery and minimally invasive surgery under the supervision of laparoscopy. The traditional surgical method is to make a transverse incision at the outer inguinal ring, and the hernia sac can be ligated at a high position without cutting the aponeurosis of the external oblique abdomen. Because the hernia sac, spermatic vessels and vas deferens need to be peeled off during the operation, the trauma is relatively large, and complications such as swelling, pain, scrotal hematoma and even vas deferens injury often occur after the operation.