Direct inguinal hernia (hernia)
Introduction
Brief introduction of inguinal hernia The intra-abdominal organs and tissues are in the inferior groin of the Hesselbach triangle on the medial side of the inferior epigastric artery. The old and weak, the abdominal wall muscles, the diaphragm, the fascia are degenerated, the abdominal wall strength is reduced, and the intra-abdominal pressure is increased. Direct sputum can occur under the action of a large slanting sputum, so that the strength of the posterior wall of the inguinal canal is obviously weakened or lacking. Most of the inguinal hernias are acquired. The main cause is the poor development of the abdominal wall. The muscles and fascia of the inguinal triangle are weak. The elderly are degenerated due to muscle atrophy, and the gap of the inguinal canal becomes wide. At the same time, the abdominal oblique muscles and the abdomen The protective effect of the transverse muscles and the combined tendons is also weakened. When there is chronic cough, habitual constipation or difficulty in urinating and the intra-abdominal pressure is increased, the transverse transverse fascia is repeatedly subjected to the impact of intra-abdominal pressure, causing damage, thinning, and abdominal internal organs. That is, it gradually pushes forward and stands out, forming a straight line, which does not happen innately. basic knowledge Sickness ratio: 0.05% Susceptible people: more common in middle-aged and elderly people Mode of infection: non-infectious Complications: abdominal pain, blood in the stool, intestinal obstruction
Cause
Inguinal hernia (helium) cause
Most of the inguinal hernias are acquired. The main cause is the poor development of the abdominal wall. The muscles and fascia of the inguinal triangle are weak. The elderly are degenerated due to muscle atrophy, and the gap of the inguinal canal becomes wide. At the same time, the abdominal oblique muscles and the abdomen The protective effect of the transverse muscles and the combined tendons is also weakened. When there is chronic cough, habitual constipation or difficulty in urinating and the intra-abdominal pressure is increased, the transverse transverse fascia is repeatedly subjected to the impact of intra-abdominal pressure, causing damage, thinning, and abdominal internal organs. That is, it gradually pushes forward and stands out, forming a straight line, which does not happen innately.
Prevention
Inguinal hernia (helium) prevention
The disease mostly occurs in elderly and infirm, mainly due to weak abdominal wall and increased intra-abdominal pressure, thus actively preventing and treating diseases that promote increased intra-abdominal pressure, such as chronic bronchitis, emphysema, and prostatic hypertrophy.
Complication
Inguinal hernia (helium) complications Complications, abdominal pain, bloody bowel obstruction
Common complications and clinical manifestations are:
(1) Intestinal incarceration: Under normal circumstances, the contents of the sputum (usually the intestine) can enter the sac through the ankle ring under the pressure of the abdominal cavity, and can be returned to the abdominal cavity by itself (or by external force). When various reasons (such as friction, adhesion, etc.) make the content of the reversible sputum suddenly unable to return, when the local lumps increase, it indicates that the intestinal incarceration is complicated, which is called incarcerated sputum, after the intestine is incarcerated The main clinical manifestations of intestinal obstruction.
(2) Intestinal tube strangulation: If the incarcerated sputum persists and cannot be treated and treated in time, the contents of the sputum (mainly the intestinal tract) have blood circulation disorders, intestinal obstruction, intestinal necrosis, and even intestinal perforation. , and concurrent with the strangulated hernia, the clinical manifestations of intestinal narrowing are:
1 paroxysmal, persistent, severe abdominal pain, rapid pulse, shortness of breath, elevated white blood cell count and other shock performance.
2 peritoneal irritation (local tenderness, rebound tenderness, muscle tension, etc.), bowel sounds from hyperthyroidism to weakened or disappeared, can smell "gas over water", hematemesis (or bloody liquid), blood in the stool, 6 abdomen can be touched Significant swelling, swelling and mass, X-ray examination showed that the isolated intestine or small intestine with enlarged swelling in the abdomen changed, the intestinal canal was widened and increased, and there was peritoneal effusion, and hemorrhagic fluid could be taken by abdominal puncture.
Symptom
Inguinal hernia (helium) symptoms Common symptoms Lower abdominal dull pain and soreness of the stagnation of the triangle area of the lower left abdomen can be touched... Lower abdomen mass
Straight sputum is more common in the elderly, the elderly are weak, the sputum usually has no obvious symptoms, only a slight soreness when the sacral bulge is external, because the sputum is directly in the Hei's triangle, the ring is the weak zone of the Hei's triangle. It is wider and has no obvious neck and neck. It rarely occurs incarceration. The physical examination makes the patient stand. The sac block protrudes above the pubic tuberosity and has a hemispherical bulge. After the return, the black triangle can be blocked by hand. Block comeback.
Examine
Examination of inguinal hernia (helium)
Regular laboratory inspection.
Diagnosis
Diagnostic identification of inguinal hernia
Straight sputum does not enter the scrotum to distinguish it from the sacral sac, or press the inner ring after returning the sacral block. The sacral block is still protruding. In the operation, it can be judged according to the relationship between the ankle ring and the inferior epigastric artery. The inside of the inferior epigastric artery.
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