Postoperative hernia (also known as ventral hernia, hernia scar) — a condition in which the abdominal organs (intestines, caul) are outside the abdominal wall in the region of the scar formed after surgery.
Postoperative abdominal hernia protrusion appears in the scar, which is reduced or eliminated in a horizontal position.
Engaged in the treatment of postoperative hernia surgeon. Advisable to consult a doctor at the first sign of discomfort.
• painful bulging of the scar;
• abdominal pain, especially when straining and abrupt movements;
• nausea and sometimes vomiting.
Methods of diagnosis
- examination by a surgeon;
- X-rays of the stomach and duodenum;
- gastroscopy (endoscopy, esophagogastroduodenoscopy)
- herniography — rentenologichesky method comprising administering to the abdominal cavity of a special contrast material to study hernia;
- U.S. herniation;
- computed tomography (CT) scan of the abdomen.
Diseases with similar symptoms
- Umbilical hernia;
- epigastrocele abdomen.
Postoperative hernia early vpravimymi and are not accompanied by pain. However, the sudden straining, fall, picked up the severity of pain appear and bulging increases. With the progression of hernia pain worse, sometimes getting colicky. At the same time develop colonic inertia, constipation, flatulence, nausea, belching, dramatically decreases the activity of patients periodically observed fecal stagnation, accompanied by intoxication.
Classification of post-operative hernias:
- small — do not change the overall configuration of the abdomen;
- Middle — occupy a part of any region of the anterior abdominal wall;
- extensive — take area the anterior abdominal wall;
- giant — take two, three or more areas.
Postoperative complications of abdominal hernias:
- infringement — the sudden compression of the hernia contents into hernial ring;
- coprostasia — stagnation of feces in the colon.
Emergency care is required when the infringement of postoperative hernia and the following symptoms:
- nausea, vomiting;
- blood in the stool, lack of bowel movements and flatus;
- rapidly increasing pain in the abdomen;
- not reduce a hernia when lightly pressed in the supine position.
Postoperative hernia successfully treated by surgery. If untreated, can form irreducible hernia and develop its infringement.
The causes of postoperative hernia
Postoperative hernia is the result of previously performed surgery. The determining factors for its development are:
- suppuration, inflammation of the incision;
- Surgical mistakes made during the first operation;
- Increased physical activity after surgery;
- violation of wearing tie front in the postoperative period;
- insufficient restoring force and low immunity;
- coughing, vomiting, constipationpostoperative period.
wearing band after abdominal surgery;
normalization of weight;
limitation of physical activity after surgery.
Get rid of osleoperatsionnoy hernia can only be surgically removed. Types of operations (hernia repair)
1) Tummy local fabrics — Closure of the defect front fascia of the abdominal wall. Tummy local tissues is possible only with a small amount of defect — less than 5 cm in removing small postoperative hernias allowed local anesthesia, in other situations, operation performed under general anesthesia.
2) Plastics with synthetic prostheses — shelter fascia defect in postoperative hernia synthetic prosthesis. There are various ways that differ in different locations of the grid anatomical structures front abdominal wall. The likelihood of recurrence is very low. The operation is performed under general anesthesia.