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Treatment of hernias-surgery minimum invasive

The most common type of hernia is abdominal inguinal hernia. Although it is not a fatal condition, it however, if not taken the correct treatment, it can lead to the entrapment of the intestine, causing necrosis or perforation of the bowel. Clinic Proctogin Poznan will share knowledge about hernias and treatment.

Types of hernias

Abdominal hernia are called inadequate displacement abdominal structures through the holes in the shells. These changes arise on sections of the walls of the abdomen, which are characterized by the lowest strength. There are several types of hernias, including both primary and recurrent:

  • pachwinową

  • mosznową

  • femur (more common in women)

  • umbilical hernia

  • in the range between white

  • post-operative

Most often they are formed as a result of the disturbances in the synthesis of collagen is a primary ingredient in coatings the abdominal muscles. Their construction is made up of two parts: the bag with the contents of the hernia and the gates of the hernia. Abdominal disorders of this type, most commonly arise in the groin area, hence the name of the inguinal hernia. Post-operative types, in turn, appear as a result of the weakening of the tissues following surgical or infect surgical wounds.

Inguinal hernia

inguinal herniaThis is undoubtedly the most common type of abdominal hernia, occurs even in 1/4 of the population. Inguinal hernia is formed as a result of the improper displacement of abdominal contents through the hole in the front wall of the abdomen, in and around the groin. Risk of developing charged are more men. Why? Well, during puberty, males testes descend from the abdomen into the scrotum, it is through the inguinal Canal.

There are two types of inguinal hernia – straight and angled. First pierces the shell stomach, forming the inguinal Canal, while the oblique is by its light.

For what reasons is formed? Inguinal Canal is the place reduced resistance. In the Interior of the abdomen, when sneezing, stool, the urge to or lifting weights, it may increase the pressure. Hernia are formed as a result of the disturbances in the synthesis of collagen is a primary ingredient in coatings the abdominal muscles. However, as often they are also due to chronic diseases such as bronchitis and lung infections, related to excessive coughing. The risk of illness is increased in smokers, obese, carrying out hard work or the elderly. Risk factors are: ascites, peritoneal dialysis.

How to recognize a herniated pachwinową? It adopts the form of highlight, located in and around the groin, which increases its size during the cough, in standing position. In the initial stages, it is only by inserting a finger into the mouth of the inguinal Canal and simultaneous zakasłanie of the test persons. Based on "trying to kaszlowej" you can feel the pressure the hernia SAC on the fingertips.

The soft groin

The soft groinIn some cases, however, a hernia does not emphasize, by which it can be resolved solely on the basis of the pain in the lower abdominal area – in men, radiating to the kernel.

In our Centre we have experience in diagnosing a hernia with ULTRASOUND camera. Such a diagnosis is in the modern medicine study reliable than subjective test, especially when there is a clear channel assessment hernia. Unfortunately, this is often a hernia can not diagnose a normal examination of the finger. There is also the term ' 'miękka groin ', which is seen particularly in athletes (in players), who often complain about pain in the groin during the implementation of the aforementioned. Sport, without a clear emergence of outgrowths in the groin. The soft groin also requires treatment.

Nieleczenie inguinal hernia can lead to entrapment of the bowel, leading to peritonitis or perforation of the intestine. Because these States directly threaten life, surgery is needed, sometimes associated with the dangers of life.

Treatment of hernia in Poznań

Regardless of the type of each hernia can be diagnosed and treated in our Centre-Proctogin in Poznań. The treatment chosen is depending on the type of disease. Flexibility is divided mostly into two types.

One of them is to use the grid, and is called by beznapięciową. It is attractive because of the lowest relapse rate, and in addition gives you the benefits of a fast back to full activity and quick recovery.

The second method is the type of voltage, which does not use the grid, and so is not only using your own tissue. In this case, however, there is a high risk of recurrence of the disease, and the return to full strength, much to grow.

In the Centre of Proctogin, due to the types of treatment, types of diseases have been divided into three categories.

  1. Hernia inguinal, femoral and mosznowe.

It operates by Shouldice'a, almost painless zeszyciu tissue, respectively the inguinal Canal, or Liechtenstein, which consists of the supply of hernia mesh, that after przerośnięciu fibrous tissue, prevents recurrence of disease.

The best method of supply of inguinal hernias in our Centre is a method of laparoscopic tkz. TAPP. This is the method of minimum invasive, lint free, almost no scarring. The patient after such treatment is achieved in a short period of time his physical activity. A slight pain post-procedure is minimal!

At both operations executes treatments. One-day surgery.

  1. Umbilical hernias and Linea.

A slight hernia, ok. 10 cm in diameter, are subjected to treatments operating with the use of local anesthesia. During the operation the zeszywa hernia-using grid przepuklinowej or with the total renunciation of it.

In this case, the patient already after a few hours can leave the base and go home.

  1. Incisional hernia.

Small hernias removed by analogy to previous (pępkowych and Linea). In other cases, the chosen is appropriate anesthetic, corresponding to the place of occurrence of diseases and is patient.

In the case of large inguinal hernia pępkowych, Linea and postoperative we use a modern method of laparoscopic tkz. IPOM. This is the operation the minimum invasive with the use of the grid. After such surgery hernia recurrence is nearly impossible. BOL and post-surgical load is minimal. This method is much better than this tkz. '' sublay '' where a large area of tissue must be insulated to at this point insert the grid.

Postoperative complications

As with any surgery, there is a risk of post-operative complications, for example. in the form of:

  • damage to blood vessels,

  • nerve damage in the vicinity of the hernia,

  • the appearance of tanks serous,

  • infection of the surgical wound,

  • infection of the grid

  • abscesses of internal abdominal,

  • recurrence of the hernia.

To avoid this, you should follow your doctor's instructions. The most important thing is to abstain from carrying in the first period of operations. For up to 14 days after the surgery, the load may be up to 10 kg and after laparoskopowym surgery just a couple of days. It is equally important to refrain from physical work, for hard-working, that is why we issue the appropriate medical certificate, with which you will be able to spend recovery period in the comfort of your own home. However, you should not lie down all day in bed, because the lack of activity can result in the occurrence of thrombotic problems. Indeed it is also wearing matching underwear-especially in the case of inguinal hernia – which can reduce the risk of a build-up of hematoma or excessive swelling.

If you suffer from any of the identified types of hernia and depends on You to treatment was professionally and at the highest level, we invite you to visit our Center Proctogin-Poznan. Do not wait, because waiting too long can endanger Your life! We invite you!

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