Muscular Hernia Fascia Repair

Tendon fascia repair is used for the treatment of tendons. Tendon refers to a part of normal muscle tissue that protrudes outward through the ruptured or defective fascia, which often occupies with muscle contraction and relaxation. Most occur in the tibialis anterior muscle, the tibialis iliac muscle, the lateral femoral muscle, the iliac spine muscle, the triceps, and the external oblique muscle. Its size is variable and can be gradually increased. Most patients have mild pain and can retract themselves when compression or muscle contraction. Occasionally, when incarceration occurs, sudden pain and mass can not be repaid. In addition, if the tendon occurs at the nerve hole, there may be some symptoms of nerve compression. The treatment of tendon should be different depending on the patient's condition. The tendon is small, the symptoms are mild, and there is no progressive increase. Generally, no surgical treatment is needed. For the short course of the disease, the fascia itself has a strong healing ability and only needs to be reduced. Active or partial elastic bandages are often restrained in vitro. Surgical treatment is only suitable for patients with obvious symptoms or tendons, usually with simple suture and fascia repair or incision. Treatment of diseases: tendon Indication Tendon fascia repair is available for: 1. Where the clinical symptoms are obvious, the tendon of the tendon is large, and it is difficult to directly suture the fascia. 2. Large tendons caused by surgery or direct injury. 3, sudden incarcerated tendon can not return. Contraindications The anterior tendon tendon is currently considered by most scholars to be a compensatory performance of increased intraventricular pressure. After repairing the tendon, the volume in the anterior chamber can be reduced, the pressure is increased, and an acute attack is induced. Therefore, for a small tendon, it is not necessary to repair it, and the rupture should be expanded to the proximal and distal sides. Preoperative preparation 1. Upper limbs are treated with brachial plexus anesthesia, and lower limbs are treated with spinal anesthesia or epidural anesthesia. 2. Select the appropriate position based on the site of the tendon. Surgical procedure 1. Incision: The fascial hole and tendon can be revealed by making a longitudinal skin incision centering on the tendon site. 2, the method of returning the tendon, if there is incarceration, you should know the extent of muscle degeneration in detail, the muscles that have confirmed necrosis should be removed. 3, according to the size of the hole, another incision to cut the fascia or near the skin, take the dermis layer, as a repair material for fascial holes. 4, repair: according to the size of a slightly smaller than the size of the hole to cut the fascia or dermis, cut off the fascia at the edge of the hole, and then suture the skin.

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