When it comes to the treatment of hernias of the stomach, some believe that it is sufficient diet, brace and physical therapy. But this is a misconception.
About any orthopedic bandage should not be considered. It will not improve the state and make things worse and complicate the situation. To cure abdominal hernia will only surgery.
To after surgery no recurrence of the hernia, the surgeons sutured the patient’s implant. It is a medical mesh for hernia. Using this method will allow the patient to return to comfortable life within six months. And the likelihood that after 5 years due to unanticipated voltage will need re-operation tends to zero.
The operation, which removes the hernia, called hernioplastica. Before its implementation, the patient is undergoing tests, doctors analyze the state of his health, checking for infections.
The operation will last no more than an hour. When the hernia on the stomach, the surgeon sets the bodies on the inherent place and strengthens the abdominal wall. Or tighten the tissue of the peritoneum, or are placed polypropylene mesh prosthesis support, which takes part of the functions of the muscles. The use of this grid minimizes the possibility of a recurrence of the problem.
The grid used in the measures for removal hernia:
- in the groin;
- on the abdomen;
In each case will be different: mesh material, size and shape. Hernioplasty proved to be a reliable way to get rid of hernia.
Modern medicine uses several types of implants.
Surgical mesh for hernia presented to the market in three versions:
- partially absorbable;
- fully absorbable;
- not absorbable.
There is still a three-dimensional system. A grid you need to fix a few stitches, it will be securely kept and will not change. This endoprosthesis is fixed safer than others.
It consists of three parts:
- 1Front petal. The gate closes the hernia from the outside.
- 2Back petal. Will block the gate from the inside.
- 3, the connecting cylinder (connecting tube). Fill the hole itself.
This type of endoprosthesis is mostly used in surgery. Their releases Russian manufacturer of linteks. They are made of different materials, different modifications. Can be made to order, size and way of braiding. The reason for the prevalence – in high reliability is not absorbable meshes.
Implants that can not dissolve fully, available under the brand name of Ultrapro. Their advantage – the particles of the material may disappear after growing connective tissue, but the implant fully dissolves. This prosthesis is used when the hernial opening is large or the area of tissue damage is extensive. Devices easily implanted into the tissue without causing complications, and pull the edges of the hernial ring is not necessary.
Why you need a mesh implant and prevent it?
The use of surgical mesh PCO and PPC
The implants, which will eventually dissolve completely, apply only after a detailed consultation with a physician. He analyzes the complexity of future operations, the value of the gate of the hernia. When the patient has a weakness of the connective tissue and they are growing slower than the prosthetic disappears, then install the implant, which will remain forever. If you install an absorbable mesh to the patient, the possible relapse. Fully absorbable devices are rarely used.
Mesh types Linkas
Endoprostheses of the firm Slowly established themselves as a quality product at an affordable price.
Linaks produces 5 types of implants to correct the hernia:
- 1Esfil – monofilaments made from polypropylene, the most commonly used type.
- 2Uniflex – used for complex cases including hernias, occurred after surgery.
- 3Eslan – soft, made of lavsan threads.
- 4, Ftorex – endoprosthesis, which threads coated with the composition, which reduces the risk of infecting the wound.
- 5Flexilin is made of a material with increased flexibility, for which surgeons are particularly fond of this type.
Installation methods protivoglistnoe mesh
Mesh for plastic repair of hernia is either in open or in laparoscopic surgery.
The open method is the use of a large incision with access to the gate of the hernia. In laparoscopic mesh installed from the inside. Which method to use is decided by the surgeon. It depends on the size of the hernia and the current condition of the patient.
Part of the mesh is attached, but there are implants that do not require fastening with thread. They fit in place of the hernial ring, and independently are overgrown by tissue of the patient.
This operation is carried out, if there is a protrusion or without reduction. When using the open method, make a large incision that allows access to the gate of the hernia. Then they are strengthened by a polypropylene mesh.
Surgeons recommend open way more often.
They bring such arguments:
- if the hernia is small, then one scar measures 6 cm more than a few, but 2 cm;
- a year later the stitches will be invisible, the incision will be sutured cosmetic materials;
- thus, the endoprosthesis is set most accurately, and efficiently to get it fixed, it will reduce the risk of bias nets;
- the surgery is performed under local anesthesia;
- the intervention is carried out twice as fast as laparoscopic surgery.
The method has disadvantages. Home – an increased risk of complications after surgery and a long recovery period. In addition, it is likely that the body after the surgery can remain a big scar.
This is a new, harmless way to treat hernias with the help of hip replacement. When the implant is placed inside, not outside, the risk of reintroduction of the disease is reduced.
Laparoscopy is recommended for patients who have specific work and lifestyle associated with constant physical activity.
The advantages of laparoscopy:
- no scars or their small size;
- pain after procedure;
- recovery is quick;
- chances are that you will develop infection, minimal.
This method is not suitable if the hernia is large. In such case, you need an open surgery to close the gate and gryzenia to set the grid.
Specific complications of laparoscopy – neuralgia due to damage of nerves during fixation of the mesh. This complication occurs in 0.6-4.6% of cases. Prevention of complications is the rejection of fixing the mesh herniation stapler.
After surgery to fix the hernia has been completed and the grid is found, begin postoperative rehabilitation.
After the surgery of the open type, the patient will remain in the hospital for a week, and after laparoscopy, the duration of stay is shortened to 3-5 days. After installation of the mesh need to regularly change the bandage and treat properly the seams, that can only be achieved while in the hospital.
If the period after the installation of the grid starts the inflammation or infection is detected, the doctor prescribes antibiotics. When complaints of pain are prescribed analgesics.
After discharge from the hospital, the patient must continue to abide by the rules of caring for a sick place. Be sure to implement all of the procedures that will prevent any complications and the development of inflammation.
After discharge prescribed diet. It is to reduce eating foods that increase flatulence or cause constipation.
Prohibited from lifting more than 5 pounds In the first week after discharge, all physical activities should be minimized. But a walk in the fresh air, lightweight, loads, gymnastics will benefit.
To wear a jockstrap once you have set the herniated section of the grid is not necessary.
How much time is the recovery period depends on the variant mesh for hernias, the characteristics and General condition of the organism, age of the patient.
Like any medical intervention, the grid setting there are contraindications, among them:
- 1the Age of 20. People below that age bodies are not yet fully formed, and the body can reject the mesh.
- 3a history of stroke.
- 4problems with the respiratory system.
- 5Disorders of the cardiovascular system.
- 6Exacerbation of any chronic disease.
- 7cirrhosis of the liver.
- 8inflammation of the tissues in the place where you intend sewing the. It could trigger the development of infection.
This is a General list of contraindications. The advice of a doctor and tests before surgery to avoid will not work. In the process of examination can determine individual contraindications.
Advantages and disadvantages
I use grid there are advantages and disadvantages. Advantages – it does not harm the body, made of non-toxic material, almost always survives. Installation of mesh on the hernia will not cause allergies or side effects. The use of the grid ensures that recurrence does not happen.
- the patient feels the prosthesis and he feels discomfort because of the sensation of foreign material in the body;
- mesh does not interfere with operation of the muscle;
- cosmetic stitches are almost never visible.
Deficiencies occur in rare cases. Sometimes there is rejection of a foreign body.
The implant is rejected due to the fact that:
- infection occurs in the wound;
- despite contraindications, the implant was placed until the patient recommended age;
- the scar remaining after surgery, begins to fester.
You need to contact the doctor in the following cases:
- there was pain;
- from the rumen is pus.
If during the operation it was damaged many lymphatic and blood vessels, there is a danger of education secernere fistulas. This complication occurs when the implant is larger than is necessary, and the mesh slips into the folds. In addition, similar effects can arise if the gate is reinforced layered mesh.
Catherine, Ufa: “Treated for a hernia operation 4 years ago, all this time was in peace. Once the voltage of the pathology appeared again. The last time the grid is not used, but I will now require to be set. The doctor explained everything, assured me that the operation went without complications”.
Tatiana, Saransk: “My surgery went fast and I was under General anesthesia. Once anesthesia was over, immediately went to walk around the hospital. Everything else will be exactly the same. Was discharged after 5 days, the doctor was allowed to do everything except exercise and weight lifting. Running had to leave, but only temporarily, for the duration of the rehabilitation.”
Inga, Smolensk: “the Operation was done a few years ago. Mesh inserted to avoid relapse. On the day of surgery was painful, but after 1.5 days I was down from the third floor of the hospital to get some air. The power and ability to do this was – I say to those who believe that adults are hard to recover after such operations. After 4 days on receipt I went home.”
Angelina, Irkutsk: “he was Afraid of complications, didn’t want to put the mesh. Well, I listened to the doctor and changed my mind! The grid is not felt, and after 2 years of feeling like no hernia on my stomach was not.”