More than 10 surgeries in 3 days, doctor: children have frequent hernias during the summer vacation, parents should pay attention

　　Changsha Evening News, Changsha, August 19 (All-media reporter Yang Yunlong, correspondent Gong Yujing, Wang Jiao) The reporter learned from Changsha Fourth Hospital today that during the summer vacation, the number of pediatric hernia patients admitted to the second ward of the general surgery department of the hospital continued to increase, and more than 10 pediatric hernia surgeries were completed in the past three days. Why is this the case? Liu Jiefeng, director and chief physician of the Second Ward of General Surgery of Changsha Fourth Hospital, told reporters that during the summer vacation, children have more outdoor activities, more running and jumping, and parents are easy to find groin masses after the baby's activities, so this disease is frequent during this period; And the hernia is not gas, but a part of the tissue "mistracked", which will cause harm to the child, and it is recommended to operate as soon as possible.

　　During the summer vacation, the number of pediatric hernia patients admitted to the hospital continued to increase

　　When her son Guoguo (pseudonym) was about 1 year old, citizen Ms. Liu found that his right groin would bulge out a "bag" after coughing, running and jumping, and every time the bag appeared, Guoguo would cry. But strangely, every time Guoguo's mother picked him up and lay down, the lump automatically disappeared again. This went on and on for almost a year, and the family never paid attention to it.

　　Early in the morning of August 10, Guoguo cried non-stop, saying that "his stomach hurts, he doesn't want to eat, and he can't pull out the dumplings if he wants to", and Guoguo's mother fed him some probiotics. When rubbing Guoguo's belly, Guoguo's mother found that the lump in the groin on the right side of Guoguo was much bulging than before, not soft before, but very hard and unable to rub. So, Guoguo's mother took the child to the second ward of general surgery of Changsha Fourth Hospital for treatment.

　　"The right inguinal hernia is incarcerated, and the incarceration is intestinal, and emergency surgery must be done to remove the incarceration. Otherwise, the intestinal incarceration time is too long, which will lead to the incarcerated intestinal necrosis. Liu Jiefeng, director and chief physician of the second ward of general surgery, explained the condition and surgery-related matters in detail with Guoguo's mother after the physical examination for Guoguo.

　　In the afternoon of the same day, Liu Jiefeng and his team successfully performed laparoscopic right inguinal incarceration hernia reduction + hernia sac high ligation for Guoguo. Liu Jiefeng told Guoguo's mother that Guoguo was incarcerated with a large intestine, so it would have abdominal pain and could not pull out the dumplings, but fortunately the operation was timely. If it is later, too long the incarceration time will lead to avascular necrosis of the intestine, and a section of intestine will be cut off. Because it was a minimally invasive surgery, Guoguo pulled a lot of dumplings that night, and the next morning he ate something happy and went home with his mother.

　　"Recently, the number of pediatric hernia patients admitted to the hospital has continued to increase, and more than 10 pediatric hernia surgeries have been completed in the past three days." Liu Jiefeng said that during the summer vacation, children have more outdoor activities, more running and jumping, and parents can easily find groin masses after the baby's activities; At the same time, the child is on vacation, and choosing this time for surgery will not delay the child's learning time, and you can also have sufficient rest and recovery after the operation.

　　Pediatric hernia may affect fertility and early surgery is recommended

　　Liu Jiefeng introduced that pediatric hernia, commonly known as "decolonization", most often occurs in the bilateral inguinal area and is a common disease in pediatric general surgery. In the embryonic stage, the baby has a "peritoneal sheath" in the groin, which can help the male baby's testicles descend into the scrotum or the female baby's uterine round ligament fixation; After the baby is born, the "peritoneal sheath process" grows and closes on its own, but some infants and young children's "peritoneal sheath process" is incomplete, resulting in the small intestine, omentum, ovary, fallopian tubes, etc. in the abdominal cavity entering this sheath process, becoming a hernia, if only abdominal fluid enters the scrotum, it is scrotal edema. Hernias occur in 1% to 4% of children, up to 30% in preterm infants, 10 times more likely in boys than girls, and can occur on both sides.

　　Hernia is not gas, it is a part of the tissue that "goes off", so it can cause harm to the child. For example, if the stomach is upset, the child may lose appetite or indigestion for a long time; The hernial sac is prone to hypertrophy, leading to urinary incontinence, and severe tissue necrosis can lead to serious infection; There is a possibility of acute complications, due to cough, stool and other straining so that more intestinal segments can not return to the abdominal cavity after protruding, resulting in acute intestinal obstruction, causing severe pain, if not treated in time can cause intestinal necrosis, perforation and even peritonitis and other adverse consequences; Hernia not only causes pain, but also may affect fertility function, pediatric hernia will make the testicles in a high temperature environment, easy to lead to testicular atrophy, which is the main reason for pediatric hernia to be operated as soon as possible; When the child is repeatedly affected by hernia for a long time, it will not only cause the function of adjacent tissues and organs to be affected, but also lead to a decline in the child's resistance and immune function, affecting its growth and development.

　　"Except for some babies with inguinal hernia under the age of 1 who may heal on their own, the vast majority of people cannot heal on their own, nor can they be cured by taking medicine or injections, Chinese medicine conditioning, etc., and surgery has become the only cure. Therefore, babies older than 1 year old, even if the hernia does not appear incarcerated, is recommended for early surgery. Liu Jiefeng said that there are two clinical treatment surgical methods: one is traditional open surgery, the other is laparoscopic minimally invasive surgery, at present, laparoscopic hernia cyst high ligation is the most commonly used surgical method for the treatment of pediatric inguinal hernia, small wound, fast recovery.

　　The child has a hernia, parents should pay attention

　　Liu Jiefeng reminded that if there is a mass in the baby's groin area and there are symptoms of discomfort, food and drink should be suspended to calm the child (being in a relaxed state is conducive to reducing intra-abdominal pressure); The baby can lie flat and appropriately elevate the lower body, and inguinal hernia without incarceration can often be spontaneously retracted; If the mass protrudes several times, the parent can gently push the child's groin mass back into the abdominal cavity with their hands.

　　If the baby's mass is very hard and cannot be absorbed into the abdominal cavity on its own, and there is vomiting, abdominal pain, stopping exhaust and defecation, fever, there may be intestinal incarceration, do not violently knead to reduce position, should immediately seek medical attention for surgical treatment, to avoid violent kneading caused by incarcerated intestinal tube rupture, incarceration time is too long leading to intestinal necrosis, sepsis and other life-threatening situations.

　　"Pediatric hernia can lead to life-threatening consequences, and parents need to be aware of it." Liu Jiefeng reminded parents that the basic guidelines for preventing pediatric hernia are to prevent increased abdominal pressure in children, avoid and reduce crying, coughing and constipation, etc., and minimize excessive running and standing for too long. If pediatric hernia has occurred, go to the hospital for treatment in time, do not avoid medical treatment and surgery, so as not to delay the best treatment time for hernia.