In recent years, The First Affiliated Hospital of Shandong First Medical University ( Shandong Qianfoshan Hospital ) takes discipline construction as a starting point and actively promotes the "Youth Talents" training project, strives to create brand characteristics of clinical disciplines and professionals, combines disease spectrum changes and patient medical needs, and cultivates sub-professional refines and segments. In the process of promoting the high-quality transformation and development of the hospital, we wholeheartedly provide patients with accurate and efficient diagnosis and treatment services.
Reporter Qin Congcong Correspondent Mao Ruifeng
With the increasing maturity of laparoscopic technology, general surgery has entered the era of minimally invasiveness, and the treatment model of hernia and abdominal wall surgery has also undergone a fundamental change. Based on the forefront of professionalism, the First Affiliated Hospital of Shandong First Medical University (Shandong Qianfoshan Hospital, hereinafter referred to as "Shan Yida Yi Affiliated Hospital") General Surgery Center has features minimally invasive surgery and personalized diagnosis and treatment. Through a small "key hole", the door to health of patients with hernia and abdominal wall diseases is reopened.
Craftsmanship and Instinctual Repair Hernia in the "keyhole"
Hernia is a common and frequently occurring disease in general surgery. The most common one is inguinal hernia , which is more common in infants and young children and the elderly.
Li Bo, deputy director of the General Surgery Center of Shanyi University and director of the Department of Hernia and abdominal wall surgery, introduced that hernia is often called "small intestinal gas". The contents of the abdominal cavity are bulging through the weak or defective abdominal wall to form a sac, and a segment of intestinal canal or other abdominal organs enter this sac, forming a hernia.
"Many people think that hernia is just a minor disease. In fact, once a hernia is discovered, the best way to deal with it is to operate immediately." Li Bo said that first, the hernia will not heal itself. If not treated in time, the hernia will become larger and larger, increasing the difficulty of treatment in the future. At the same time, as the disease develops, insomnial hernia may occur, which may easily lead to intestinal obstruction, intestinal necrosis, septic shock, , etc.; in addition, some hernia are also accompanied by other related diseases, and the existence of hernia will destroy the integrity of the abdominal wall, and also lead to an increase in intra-abdominal pressure, which may induce abdominal compartment syndrome, affecting respiratory and circulatory functions, and in severe cases, there is a fatal risk.
With the update of medical technology, the treatment methods of hernia are also changing, from traditional tissue repair to open tension-free repair, and nowadays laparoscopic hernia repair.
"Through the three 'keyholes' on the abdominal wall, a laparoscopy and patch are inserted. The trauma is less trauma, the patient's pain after surgery is lighter, and the function recovery is faster. Now most hernia patients will choose minimally invasive treatment." Li Bo pointed out that laparoscopy can explore the abdominal cavity in all aspects, timely discover possible occult hernia, and simultaneously deal with various single and bilateral inguinal hernia to avoid secondary surgery. More importantly, intraluminal repair is more in line with the principles of mechanicality. The patch is placed in the deepest layer of the abdominal wall and has a wide coverage, which also reduces the possibility of recurrence.
Of course, although laparoscopic surgery has many benefits, the patient's situation should still be considered and the patient's benefit is maximized as the basis for consideration. For example, if some patients have severe abdominal adhesion, they can consider using open surgery and laparoscopic technology to complete the repair of hernia with the smallest trauma possible; for those older patients, who are insufficiency of cardiopulmonary dysfunction and cannot tolerate general anesthesia, open surgery under local anesthesia can be considered.
Advanced practice
Solving problems and complex hernia treatment
It should be noted that due to factors such as the type of hernia, repair method and the technical level of the operator, it is not uncommon for patients with relapsed hernia in clinical practice.
"Once the hernia recurs, the only treatment method is to re-surgery, but re-surgery often faces local scar formation, disordered anatomical levels, etc., and the operation is often more difficult." Li Bo said that the surgery for recurrent hernia requires careful selection of surgical methods, and the anatomical levels must be clear and accurate separation of surrounding tissues during the operation, while paying attention to preventing the occurrence of major bleeding. The advantages of laparoscopy are obvious in the treatment of recurrent hernia, but skillful laparoscopic operation techniques are essential to the operator.
In addition, repair materials are also a key factor affecting patient prognosis.From synthetic materials to biological materials , from inabsorbable absorbable materials, the update of materials and improvement of technology, coupled with the richness of surgical methods and fixed materials, the team has made it confident that each operation can be "full hernia and beauty".
In addition to routinely completing various inguinal hernia minimally invasive surgeries, the Department of Hernia and Abdominal Wall Surgery of Shanyi University Affiliated Hospital has also accumulated rich experience in the treatment of difficult and complex hernia such as huge abdominal wall incision hernia , parastomic hernia , lumbar hernia , diaphragmatic hernia , hiatal hernia , esophageal hiatal hernia , and esophageal hiatal hernia , and esophageal hiatal hernia .
Li Bo introduced that abdominal organs form hernia through abdominal wall defects. With the increase in surgery and the progress of social aging, the number of patients with difficult and complex hernia has shown an upward trend, and its treatment has also become one of the difficulties and hot spots that have attracted wide attention in the professional field. This type of hernia is difficult to treat and has a high recurrence rate. The team has improved and innovative surgical methods based on absorbing various classic surgical experiences, selected surgical procedures and patches according to the principles of individualized treatment, and insisted on integrating modern rapid rehabilitation concepts such as minimally invasive treatment and painless management throughout the diagnosis and treatment process.
The doctor is craftsmanship and stops at the "hernia". While improving its own medical service capabilities, as the chairman of the Hernia and Abdominal Wall Surgery Group of the Shandong Medical Association, the hospital is also actively promoting the standardized treatment of hernia and abdominal wall surgery in the region. In the future, the Department of Hernia and Abdominal Wall Surgery at Shanyi University Affiliated Hospital will continue to focus on promoting the diagnosis and treatment of hernia and abdominal wall surgical diseases to refine and precise development, and will make unremitting efforts to build a first-class hernia and abdominal wall surgical disease diagnosis and treatment center to help more patients return to health.
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