Umbilical

Umbilical hernia after surgery

Ïîñëå óñïåøíî ïðîâåäåííîé îïåðàöèè ïåðâûé ïåðèîä ðåàáèëèòàöèè çàíèìàåò îò îäíîãî äî äâóõ äíåé.  ýòî âðåìÿ ïàöèåíòó íàçíà÷àåòñÿ ïîñòåëüíûé ðåæèì, êîòîðûé îí ïðîâîäèò â êëèíèêå.  íåêîòîðûõ ñëó÷àÿõ åìó ðàçðåøàåòñÿ óæå ÷åðåç 3 ÷àñà ïîñëå îïåðàöèè èäòè äîìîé. Íàçíà÷àåòñÿ ñïåöèàëüíàÿ ùàäÿùàÿ äèåòà. Åñëè åå íå ïðèäåðæèâàòüñÿ, ïóïî÷íàÿ ãðûæà ìîæåò îïÿòü äàòü î ñåáå çíàòü â òîé æå îáëàñòè.

Ñðàçó ïîñëå îïåðàöèè íà æèâîò îäåâàþò ñïåöèàëüíûé áàíäàæ, êîòîðûé íåîáõîäèì äëÿ ïîääåðæàíèÿ ïóïî÷íîé îáëàñòè. Òàêæå îí íåîáõîäèì äëÿ òîãî, ÷òîáû ñîõðàíÿòü íåïîäâèæíîñòü îáëàñòè íàëîæåíèÿ øâîâ äëÿ ïðåäîòâðàùåíèÿ èõ ðàñõîæäåíèÿ. Òàêîé ñïåöèàëüíûé êîðñåò ðåêîìåíäóåòñÿ íîñèòü â òå÷åíèå äâóõ ìåñÿöåâ äëÿ òîãî, ÷òîáû ìûøöû æèâîòà ïðèøëè â òîíóñ.

 ïåðèîä ïîñòîïåðàöèîííîãî âîññòàíîâëåíèÿ ïàöèåíò îáÿçàí ðåãóëÿðíî ïðèõîäèòü íà îñìîòð ê âðà÷ó. Îí îñìàòðèâàåò ñîñòîÿíèå øâîâ è îïðåäåëÿåò îáùåå ñîñòîÿíèå îðãàíèçìà. Åæåäíåâíî â òå÷åíèå äåñÿòè äíåé äåëàåòñÿ ïåðåâÿçêà. Åñëè ó ïàöèåíòà íå áûëî âûÿâëåíî îñëîæíåíèé, ÷åðåç íåäåëþ ïîñëå îïåðàöèè åìó ñíèìàþò øâû. Ïî èñòå÷åíèè òðåõ ìåñÿöåâ íàçíà÷àåòñÿ äûõàòåëüíàÿ ãèìíàñòèêà è ñïåöèàëüíàÿ ëå÷åáíàÿ ôèçêóëüòóðà.

×òîáû óñêîðèòü ïðîöåññ âûçäîðîâëåíèÿ, íà ïðîòÿæåíèè ÷åòûðíàäöàòè äíåé ïîñëå îïåðàöèè íàçíà÷àåòñÿ ëå÷åáíûé êóðñ àíòèáèîòèêàìè è ôèçèîòåðàïèÿ.  ýòîò ïåðèîä ðåêîìåíäóåòñÿ îòêàçàòüñÿ îò ëþáûõ ôèçè÷åñêèõ íàãðóçîê, è òåì áîëåå çàíÿòèé ñïîðòîì.  ïðîòèâíîì ñëó÷àå øâû ìîãóò ðàçîéòèñü, è ðåàáèëèòàöèîííûé ïåðèîä áóäåò óâåëè÷åí.

Îäíà èç âàæíåéøèõ ñîñòàâëÿþùèõ ïîñëåîïåðàöèîííîãî ðåàáèëèòàöèîííîãî ïåðèîäà — ñïåöèàëüíàÿ äèåòà.  òå÷åíèå äâóõ äíåé íóæíî ïðèíèìàòü òîëüêî æèäêóþ ïèùó, ñîñòîÿùóþ èç çäîðîâûõ íàòóðàëüíûõ ïðîäóêòîâ.  òå÷åíèå âñåãî ïåðèîäà ðåàáèëèòàöèè ïàöèåíòó ìîæíî êóøàòü ñëåäóþùèå ïðîäóêòû:

  • îâîùè,
  • ôðóêòû,
  • íåæèðíîå ìÿñî, ðûáó è ïðî÷èå ìîðåïðîäóêòû,
  • êàøè,
  • ÿéöà,
  • áóëüîíû è ëåãêèå ñóïû,
  • íåæèðíîå ìîëîêî,
  • êèñåëè, ñîêè (îâîùíûå è ôðóêòîâûå), íàñòîé øèïîâíèêà,
  • îëèâêîâîå ìàñëî.

Åñëè ñäåëàíà ãðûæà ïóïî÷íàÿ îïåðàöèÿ, â äèåòó íè â êîåì ñëó÷àå íå âõîäÿò ñîëåíûå, îñòðûå è æèðíûå áëþäà. Èñêëþ÷àåòñÿ óïîòðåáëåíèå êîï÷åíîé è æàðåíîé ïèùè. Êóðÿùèì ïàöèåíòàì ðåêîìåíäóåòñÿ íå êóðèòü õîòÿ áû â òå÷åíèå 3-õ ìåñÿöåâ.

Rehabilitation after the removal of umbilical hernia

In the abdominal area there are the weakest places in which hernias are most often formed, including the inguinal region, the umbilical, and the place of the white line of the abdomen. In our case, a hernia occurs with a weak umbilical ring. Often, protrusion of the organs of the anterior abdominal cavity, for example, the omentum or intestines, occurs through it.

In children, in order to avoid surgery, special massage procedures and gymnastics are conducted, and in adults, it is treated with surgery. Unlike other abdominal hernias, the umbilical hernia is easily recognized, a protrusion forms right on the navel and bulges strongly, bringing the patient abdominal pain and discomfort.

It is not enough one performed operation to completely return to the previous state, it requires recovery after the operation, wearing a bandage, constant supervision by doctors, diet and massage, in principle, everything with a hernia of the abdomen. Rehabilitation lasts about two weeks, then you can slowly load the body with a little exercise.

Massage for umbilical hernia

In the case of treatment of umbilical hernia in children, therapeutic massage is used to avoid unwanted surgery, and it is much easier to correct and cure the disease in infancy than in an adult, and there is a possibility that it may disappear after some time.

Massage for umbilical hernia is assigned to newborns and older children. It is customary to begin any massage procedure in children with light stroking of the tummy, while it is necessary to hold and press the hernia. You also need to slightly pinch the area around the navel. Strokes and tweaks must go clockwise. After each action you need to spend relaxing strokes.

Rules for quick recovery after surgery

  1. Be sure to follow the doctor's recommendations. Now it is necessary to be on your feet as little as possible. Recovery from surgery may take several weeks or even months. At this time, you should, whenever possible, avoid everything that could have a detrimental effect on the abdominal area. For example: gets behind the wheel, any exercise. Do not think that if nothing hurts, then the body is restored. This is not true.
  2. If possible, make a mesh plastic. This will help the body recover quickly after surgery.
  3. Follow the recommendations for proper nutrition after surgery. This will minimize your recovery time. This includes the use of fresh fruit, give the body a lot of protein. This will restore the tissue.

To recover quickly after an operation to remove an umbilical hernia, you need to follow a diet. The first days the patient is prescribed food in the form of a low-fat broth and other drinking beverages. Soon they can afford to eat solid food, but the important point will be - lean, not smoked, not sharp.

After a few weeks, you can already enter the usual diet. But still, doctors advise to reconsider their addictions so that new diseases are not formed. To harmful products can include coffee, alcoholic products, chocolate products. Also it is necessary to abandon all cafes and fast food places. You can never overeat. It is necessary to increase the amount of fluid intake and fruit. It is better to eat soups at least twice a day, while having five meals a day.

A further diet should consist of foods that will help eliminate harmful substances from the body. In our body there should be no stagnation of feces. The list of products that contribute to the formation of: bread, cereal, pasta, potatoes.

To reduce the risk of constipation, drink as much water as possible during the day.Also beetroot and green apples have a good effect. In any salads is to add olive oil, which also has a good effect on the body. Rosehip infusion will also help you in this trouble.

As mentioned earlier, in the days following the operation, only bed rest should be observed. Otherwise, you provoke seam divergence. You can get up and roll over only on the fourth, fifth day after surgery.

Physical therapy sessions will help you fully recover at a fast pace. In exceptional cases, it is necessary to take antibiotics and painkillers. Gradually, the patient will be able to return to the usual way of life. The speed of rehabilitation depends not so much on the correct surgical intervention and correct instructions of the doctor, but on the patient’s efforts and positive.

Stitching

A week after the surgery, you can already remove the stitches. This procedure is short, just take a couple of minutes. It should not be afraid, it is also painless.

Even when removing the stitches, you will be recommended to wear a bandage for several more months. This is necessary so that the body is fully restored and the stomach has come to a normal tone.

The healing process of each person is individual. His time depends on the person himself, as well as the fulfillment of the doctors' instructions. Before the time and without the indication of the surgeon it is strictly forbidden to remove the bandage. This can lead to seam divergence and complications.

Recovery of children after surgery

For better recovery, many pediatricians advise not to neglect the services of a massage therapist. In many children, the disease is a congenital defect. With the right course of treatment, you can avoid surgery, which is bad for the future health of children. To cure this disease is easier in infancy. Many pediatricians claim that massage can completely rid the child of this disease.

The umbilical hernia is quite common in both adults and children, and often its “owner” does not even suspect it. In most cases, it is small and inconspicuous, without causing anxiety and is often detected during a medical examination. But there is another rather dangerous category of hernia, which will be discussed.

Is the umbilical hernia always so simple

By all the rules of medicine, any hernia, including the umbilical, is an indication for surgical treatment, and here's why. A hernia is a defect in the muscle or aponeurotic layer of the abdominal wall through which the viscera (intestines, epiploon and other organs) stick out under the skin. This defect occurs in the region of the umbilical ring (navel), and can be both congenital and appeared during life, quite often in women after childbirth.

Many babies are born with a small defect in the navel, which gradually grows by 3-4 years. If this does not happen, the child is operated on. In adults, when a hernial protrusion is detected, an operation is always indicated, because it can be stranded during exercise. At the same time, the organs released under the skin are overwhelmed with contracted muscles, their necrosis develops, if the patient is not operated on during the first hours after the infringement.

Of particular danger are umbilical hernia of large size and unreducible, that is, fixed by adhesions, which do not allow the outgoing organs to return to the abdominal cavity at rest in a lying position. It is these hernias that are most often affected.

Tip: if you find a too wide umbilical ring, or a protrusion emerging from it, even if it is small, you should immediately contact a surgeon. A planned operation for umbilical hernia is much safer than urgent intervention for its complications.

What are possible operations for umbilical hernia

Removal of umbilical hernia using mesh

The goal of surgery is to close and strengthen the hernial ring (the opening through which the organs go). There are 2 types of operations to remove an umbilical hernia. plastic with own tissues when muscles are dense enough and aponeurosis, and the defect itself is small, closing the defect with a nylon mesh when it is large enough, or flabby tissues, for example, in the elderly.

Today, most of these interventions are performed by the minimally invasive method through small incisions in the umbilical fossa itself, using laparoscopic techniques.

The most severe are the operations in case of hernia infringement, especially if necrosis (necrosis) has already occurred in the section of the intestine, the omentum. In these cases, an abdominal opening and resection is done - removal of the dead part of the organ. Such interventions are performed under general anesthesia, they are longer and have a greater percentage of complications.

What can be complications in the postoperative period

There are early and late postoperative complications. Early include suppuration of postoperative wounds, the development of paresis of the intestine and intestinal obstruction, as well as various effects of anesthesia on the part of internal organs. All this happens in the hospital period, when the patient is in the hospital, and doctors can immediately provide the necessary assistance.

Late complications occur after discharge. They develop as well as the consequences after surgery to remove an inguinal hernia in men. Basically, this is a recurrence of the hernia, and less often - adhesive intestinal obstruction, if the abdominal cavity was opened or bowel resection was performed. The development of these complications largely depends on how the patient follows the recommendations of the doctor.

How is the rehabilitation after hernia

After discharge from the hospital, the patient must observe the following rules in order to avoid the development of complications:

  1. Avoid lifting weights weighing more than 2-3 kg, physical exertion, running, jumping for a period recommended by the doctor. It depends on the type of hernial plasty, on the build and the age of the patient, but must be at least 2 months before complete adhesion of tissues.
  2. Wear a supporting bandage, but not as long as, for example, after surgery to remove a hernia of the white line of the abdomen. If the hernia gate is closed with a mesh, usually 1-1.5 months is enough, after plastics and in obese people - up to 3-4 months. In any case, these terms are determined by the doctor.
  3. Adhere to a diet that eliminates bloating, as well as constipation, so that there is no load on the abdominals. Whole milk, beans, cabbage should be excluded. In the diet must be fiber. Every day you need to eat cereals, steamed vegetables, fresh fruit, which increase peristalsis and facilitate emptying. It is also necessary to avoid overeating and weight gain.
  4. Perform general hygienic gymnastics to maintain overall muscle tone, but without the "swing" of the press.

Tip: Do not wear a bandage for an excessively long time, and wear it only in an upright position. With prolonged wear, the bandage has the opposite effect. Squeezing the tissues of the abdomen, it violates their blood circulation, and this leads to atrophy and weakening of the muscles.

What are the features of rehabilitation in children?

Umbilical hernia in a child

A growing children's body recovers better after a hernia is removed, complications are extremely rare, and children's well-being quickly returns to normal. The principles of rehabilitation are the same as in adults - with diet food. It is necessary to ensure that the child does not have constipation and abdominal distention, to look after, so that he does not run and jump, do not wet and touch the postoperative wound area.

As for the bandage, it is assigned to children for a shorter period, and the duration of its wearing is determined by a specialist.The elasticity and rapid growth of tissues in a child, as well as the absence of heavy physical exertion, do not require prolonged use of the bandage.

To prevent the development of undesirable consequences and complications after the operation of removal of the umbilical hernia, the main conditions are: timely treatment without waiting for its irreparability and infringement, as well as strict adherence to all medical prescriptions in the postoperative period.

Attention! Information on the site is provided by experts, but is for informational purposes only and cannot be used for self-treatment. Be sure to consult a doctor!

Umbilical hernia in adults is a disease triggered by a malfunctioning of the connective tissue.

In this case, a person may also experience a prolapse of organs, most often, the intestine into the umbilical ring.

There are umbilical hernia reversible and non-reducible. The first form, as a rule, is not accompanied by uncomfortable sensations; therefore, it is often not noticed by the patient for a long time. The second form is accompanied by the appearance of adhesions in the affected area, which do not allow to correct the navel. Patients in this case have pain and constant discomfort. Hernia is accompanied by nausea and constipation. According to the international classification, the umbilical hernia mkb 10 has K 42. Such a reduction can be found in the medical literature and the description of the disease in medical documents.

The difficulty in diagnosis is explained by the fact that in children the umbilical hernia is clearly visible already during the initial examination, whereas in adults, especially those suffering from obesity, it is difficult to see the change in the volume of the navel.

Most of the patients, noting the symptoms of the disease, ignore the problem, not knowing the danger of the umbilical hernia. By itself, the weakening of the muscles of the umbilical ring does not pose a serious threat. Where its complication is more dangerous, for example, intestinal pinching.

2.1 Rehabilitation of the patient after the operation to remove the umbilical hernia

After the operation to remove the umbilical hernia, there comes a time that doctors call the rehabilitation of the body. At first, the patient will have to spend in the hospital, under the strict supervision of doctors, in case complications arise. If there are no signs of complications, then the time spent in the hospital will be 1-3 days.

Immediately after surgery, the patient is dressed in a special bandage. Its main task is to support the abdomen and navel area weakened after the operation.

In medicine, there have been cases when a patient is allowed to go home after 2-3 hours, after the operation. This may be, if after the operation, the patient feels good, and the body recovers normally after general anesthesia.

It is very important, after surgery, to regularly go to the doctor for a checkup. also have regular check-ups with your doctor. If you do not adhere to this rule, then there will be a probability of a hernia recurrence in the same place.

The probability of umbilical hernia recurrence depends largely on the method of operation. Some methods have a minimum percentage of recurrence of the disease, for example: an operation using mesh materials.

After removal of the umbilical hernia

Rehabilitation after removal of the umbilical hernia takes place in several stages. The correct regimen of the day after surgery will speed up the recovery of the body.

The first two or three days after surgery, the patient should spend in bed rest, lying only on his back, so as not to cause complications. Since the body, after the operation, has not yet been strengthened, excessive physical exertion may contribute to the divergence of the seams.

On the third or fourth day, a person may begin to roll over in bed and get up. It is important to understand that excessive physical exertion or overworking of the body can also cause complications. Therefore, it is best to maintain bed rest, with slight physical exertion (for example, go to the toilet and back).

After the operation, the patient will have to visit the hospital for dressings for 7-10 days. After this period, the patient can bandage himself, a nurse can teach this.

For faster healing of the operated site, painkillers, antibiotics and physiotherapy sessions are prescribed to the patient.

After surgery, elderly people may develop respiratory failure with tachycardia. This is a very bad sign, which is better to tell the doctor.

Meals during rehabilitation

After any operation, it is important to remember about proper nutrition. No matter how easy the operation, it should be remembered that this is an intervention in the human body and a violation of the integrity of the skin. This suggests that the body and internal organs need a quiet mode to cope with stress and return to their normal state.

During recovery, the usual diet will have to change. It is necessary to completely eliminate spicy dishes from your diet. To be used will be healthy, natural healthy foods, light cereals, soups. All this will soften the stool, so that the fecal masses can easily leave the body. In no case should not allow constipation!

The first two days from the moment of surgery, the patient can be consumed, only liquid food. Gradually, new and new products can be added to the diet, so that the stomach gets used to normal food.

1. pinching of the umbilical hernia is a sudden compression of the hernial contents in the hernial ring,

2. hernia inflammation - caused by inflammation in the organ located in the hernial sac,

3. coprostasis - stagnation of feces in the large intestine.

Hernia is well treated surgically. If untreated, the prognosis is poor - the formation of an irreducible hernia.

2.2 Advice to patients

After planned and emergency operations for hernia, it is recommended to avoid physical exertion. Therefore, patients who are engaged in heavy physical labor should be on the sick-list after the operation for at least 6-8 weeks. With recurrent hernia, this period is increased by another 2 - 3 weeks. In the future, these patients for 2 - 3 months should be transferred to work, not related to weight lifting. Early discharge to work, unnecessarily short-term transfer to light work can lead to recurrent umbilical hernia.

Of great importance is the prevention of umbilical hernia, which should be carried out from the first days of life. Immediately after birth and several times during the first year of a child’s life, the pediatric surgeon examines various surgical diseases, including umbilical hernias. For the prevention of hernias, the child should not be swaddled tightly and thrown up - this increases intra-abdominal pressure and contributes to the formation of hernias. In addition, insufficient or improper nutrition of the child, poor care of the navel, gastrointestinal disorders (constipation, diarrhea), cough and some other disorders also contribute to the emergence of the umbilical hernia.

In adolescence, the development of the muscles of the anterior abdominal wall is promoted by physical education and sports. It is useful to swim, ride a bike, ski and skate.

Of particular importance is the prevention of umbilical hernia during pregnancy and in the postpartum period, which consists in wearing special prenatal and postnatal bandages. If a woman ignores this recommendation, she may develop weakness of the abdominal muscles, which contributes to the appearance of umbilical hernias.

Treatment of umbilical hernia is always operational, so it is better to pay attention in advance to their prevention.

Prevention of umbilical hernia:

? wearing a bandage during pregnancy

? training the abdominal muscles

The most common and most effective ways to protect against the possibility of the formation of an umbilical hernia include:

? umbilical plaster for newborns,

? exercises to prevent education,

? adhere to a healthy lifestyle

It can be seen that many of these methods are not just a precautionary measure, but also have a positive effect on life in general. The prevention of umbilical hernia is very important, so every possible way should be considered in more detail.

Bandage, as a rule, is attributed by the doctor himself. It is necessary in the case of men doing heavy physical labor. Thus, weight lifting increases the load on the abdominal cavity, and internal organs may fall out through the weakest part of the abdominal wall.

This can happen instantly - then the person will immediately notice a tumor formation in the navel. It happens that a hernia develops gradually, then the outfall will become more with each load on the body.

It is important to adhere to this and during classes in the gym. No wonder men working with heavy weight, wear special belts. It not only protects the back, but also removes the risk of a hernia.

The bandage is prescribed and pregnant. It is better to wear it from the first months of pregnancy, when the tummy only begins to grow.

It also happens that the bandage is recommended for older people. The body of older people is not so strong. Therefore, even the minimum load can become critical.

Also, such a belt is necessary in the postoperative period, since it reduces the risk of recurrence of hernia formation almost to a minimum.

Special plaster for the navel is intended for newborns and infants. Even after the first examinations at the pediatrician, it is possible to determine the predisposition to the umbilical protrusion. In such cases, the doctor prescribes to wear such a patch.

It is attached to the baby’s skin for several days. During this period, the patch can not be removed even while swimming. It is made from a special material that does not creep away under the influence of water.

Such a device is needed in order to reduce the load on the navel when the baby is straining, crying, screaming. The bandage holds the navel and prevents hernia from falling out through the opening of the umbilical ring, which is weak in babies from birth.

The first time it should strengthen the doctor.

Massage and exercise

Massage and exercise, as the prevention of umbilical hernia, are needed in order to strengthen the abdominal muscles. Therefore, massage and special gymnastics, first of all, can help small children and newborns.

All these manipulations can show an experienced doctor. Then the parents have two ways: either learn how to independently perform massage and gymnastics, or hire a children's masseuse for this purpose.

First, the baby needs to warm up and get a massage. After these manipulations, you can proceed to the special exercises. They increase the tone of the child's body and make the muscles more elastic.

This is done in a specific sequence so that each next muscle group is worked through alternately.

As for adults, massage and gymnastics will bring not such an obvious result, but they will not be superfluous. For adults, the best prevention will be to adhere to a healthy lifestyle and exercise regularly.

Healthy lifestyle

Compliance with a healthy lifestyle is beneficial for everyone. A person should monitor their nutrition, because it is known that the products that a person eats, are displayed on his health. In addition, increased body weight significantly increases the risk of umbilical hernia.

Large body weight makes the muscles less elastic and creates an additional load on the body.

You should also refuse to smoke. It is not only harmful to health, but also provokes a chronic cough, which increases the pressure on the abdominal wall.

Rehabilitation after hernia removal

A week later, the patient is removed the stitches, and after complete healing of the scar, various restoration procedures are prescribed.Young children and adults in the late period of rehabilitation are shown massage, therapeutic exercises, painkillers and physiotherapy for the purpose. After the suture is removed, a postoperative bandage is prescribed, in which you need to walk for several hours a day until the damaged muscle tissue is restored. It usually takes about two months, but for each person this process is individual.

Reducing the rehabilitation period allows compliance with all prescriptions of the doctor, which includes diet, reduction of physical activity, proper rest and restriction of stressful situations.

There is an umbilical hernia and after surgery, helped by poor scar healing, non-compliance with preventive measures and congenital anomalies of connective tissue. A relapse of the disease is more often observed in patients who refuse to wear a bandage early, do not follow a therapeutic diet and give high physical activity to the muscles of the anterior abdominal wall.

In the early postoperative period, it is extremely important to eat properly. The diet is built on how to prevent intestinal pressure on the operated area. This can be achieved by eliminating fixing and gas-forming products from the diet.

Postoperative bandage dress the patient not immediately, but only after the healing of the wound, but in rare cases make exceptions that will depend on the choice of the attending physician.

In the early period after the operation of the umbilical hernia, the patient can move independently, but only in a supporting corset.

The patient is discharged on day 2–3 during laparoscopic surgery and on day 3–7 after open hernioplasty.

Features of recovery in the first weeks after the operation on the umbilical hernia:

  • after removal of the hernia in men, a regular examination is performed at the urologist, after all, after surgery, problems with the genitourinary system can
  • diet after the removal of umbilical hernia one in women and men, it will be strict for the first days, and for complications - for a week, then the diet is diluted and supplemented,
  • after hernia repairscarcan be removed by the laser method only after complete wound healing and tissue repair,
  • after surgery to eliminate several pathologies of the gastrointestinal tract at the same time, the diet is selected individuallybecause it differs depending on the organ being operated on,
  • therapeutic measures are prescribed exclusively by the attending physician and rehabilitologist, and at home you can only follow the appointments and apply methods approved by a specialist,
  • physical education and physical work are allowed after the scar is formed, but at the same time it is necessary to limit the loads for a year, because the healing of tissues is a long process, and with incomplete recovery there is always the risk of recurrence or the development of postoperative hernia.

Possible complications after surgery

The divergence of the sutures and the development of ventral hernia are frequent, but not the only consequences of hernia repair. Complications after surgery occur due to patient errors, and more often the surgeon.

What can happen after excision of the umbilical hernia:

  • consuming non-scheduled food contributes to constipation, which will be a factor in the appearance postoperative hernia or recurrence of the umbilical,
  • an early return to stress will lead to seam failure and relapse,
  • failure of the umbilical bandage may end divergence of muscles and the recurrence of pathology in the same place,
  • ignoring the need to visit the doctor for dressings and routine examination threatens inflammation of the wound, its suppuration, which will aggravate the condition and delay the recovery of the body.

Massage and physiotherapy

During the postoperative period, the massage is prescribed mainly to young children who have had a congenital umbilical hernia.Adults also recommended a course of therapeutic massage to accelerate wound healing by stimulating metabolic processes. The procedure can be performed only by a professional masseur who has familiarized with the history of the disease. At home, massage is allowed after full recovery of the body.

Physical therapy will not be mandatory, but a useful measure.

The patient may be prescribed medicinal electrophoresis, magnetic therapy, current therapy. Acupuncture, hirudotherapy and apitherapy will be safe from non-traditional methods of treatment after surgery.

Exercise therapy and bandage

Physical therapy will be a useful measure for the prevention of recurrence of pathology in all patients without exception. Gymnastics is prescribed after the scar has healed, and when the patient gets rid of painful sensations. A prerequisite for the start of classes will be the absence of an inflammatory process of any localization.

Exercises are performed at home. The complex is selected first with the doctor, then adjusted by the patient himself, depending on the sensations. It is permissible to do simple gymnastic exercises aimed at relaxing and strengthening the muscles of the abdomen, back, buttocks.

Daily exercise is recommended. It is better to divide the complex of exercises into several approaches, giving each of them 10-20 minutes.

Performed movements should not cause pain and discomfort. If there are unpleasant sensations, you should tell your doctor about it. A change of state for the worse may indicate the occurrence of complications.

Postoperative bandage is prescribed for several weeks. It is necessary to do everyday things, go out, that is, wear a belt in moments of physical activity. At night and during rest, the corset is removed. You need to wear it as much time as the doctor says. If you abuse its use, in the future it will lead to muscle weakness.

Bandages anti-retinal and postoperative. Secrets of choice

Dear friends, hello!

Unfortunately, we sometimes get sick.

Sometimes our relatives are ill.

And sometimes the disease requires surgery.

And the question arises: how to choose a postoperative bandage? There are many of them, and they are all so different!

What do you need to pay attention to?

Sometimes you are asked about the PURPOSE bandage.

And sometimes about a bandage for umbilical or groin hernia.

Perhaps in the assortment of your pharmacy there are also bandages on the chest. What are they like? When and to whom to offer them?

We will talk about all this now.

But first, a few words about what a hernia is and how dangerous it is.

What is abdominal hernia?

In Latin, the word "hernia" sounds completely obscene: "HERNIA".

In the 19th century, military doctors often made this diagnosis to the children of “rich Buratino” so that they would not be taken to the army.

Therefore, the expression "to suffer x ... d," forgive, Lord, 🙂 meant to have a hernia.

And every fifth recruit in Russia at the end of the 19th century "suffered" ... this very disease.

But in Russian, the word “hernia” was tied to another word “nibble”: that the hernia “gnaws” the abdominal wall, and the contents of the abdominal cavity bulge out.

A hernia is a protrusion of internal organs through any defects in the anterior abdominal wall.

Defects can be congenital or acquired.

The contents of the hernial sac are most often bowel loops.

Why do abdominal hernias occur?

You ask: “What do they, in the sense of intestinal loops, make them bulge out? "They lay" they were in the abdominal cavity, "lay", and suddenly decided to get out of breath? "

Of course, this does not happen all of a sudden.

The anterior abdominal wall is a solid formation consisting of skin, subcutaneous fat, fascias (muscle cases), abdominal muscles and connective tissue fibers that have a high margin of safety.

Normally, it perfectly withstands the multiple increases in intra-abdominal pressure that arise in the course of our ordinary life: weight lifting, coughing, constipation, childbirth, etc.

But when these factors recur day after day, when the woman had several births, when the abdominal tension is weak, when the body is aging, the abdominal muscles lose their elasticity and elasticity, connective tissue fibers of the anterior abdominal wall are stretched, and any trip to the toilet or weight lifting may cause abdominal hernia.

The most common inguinal, umbilical hernia and hernia white line of the abdomen.

In this figure, at number 1, a hernia of the white line of the abdomen, at number 2, an umbilical hernia, at number 3, an inguinal hernia.

In an inguinal hernia, a swelling is noted in the groin area where the inguinal canal passes. In men, it is much more common than in women because of the structural features of the inguinal canal.

The protrusion increases with the lifting of gravity, straining, while there may be pain in the place of the hernia.

Umbilical hernia is common in infants.

Normally, after the umbilical cord disappears, the umbilical ring, which is a defect in the white line of the abdomen, is quickly closed by connective tissue fibers.

But if there is a congenital weakness of the connective tissue, this process can be delayed, and the baby will form an umbilical hernia, that is, a protrusion in the navel. It increases when the baby is crying, is straining.

An umbilical hernia in an infant, as a rule, does not cause any pain.

It can occur in adults, more often in women after childbirth, when abdominal pressure increases sharply, and the muscles of the anterior abdominal wall stretch and weaken.

The white line of the abdomen is a strip of tendon that lies between the rectus abdominis muscle. Take a look:

Causes of abdominal white line hernia are obesity, injuries, pregnancy, constipation, ascites, chronic cough, that is, all situations in which intra-abdominal pressure increases.

And we have left to consider more postoperative hernia, and then we move on to bandages.

Postoperative hernia occurs as a result of the fact that the integrity of the anterior abdominal wall is broken. During the operation, the skin, subcutaneous fatty tissue, fascia, possibly abdominal muscles were dissected. And even despite the fact that they sewed all this up at the end of the operation, the weak spot remains.

And then the person was allowed to get up, and with each getting up from the bed intra-abdominal pressure increases.

And if he has constipation, the intra-abdominal pressure rises again in the toilet.

And if he has problems with the respiratory system (for example, COPD is a chronic obstructive pulmonary disease, one of the "favorite" ills of the smoker), then he coughs, and this also increases intra-abdominal pressure.

And sometimes, he lifts something weighing more than 2-3 kg in the first month after surgery.

And all this can lead to the exit of intestinal loops through a weak spot in the anterior abdominal wall in the postoperative suture area, that is, to the formation of a postoperative hernia.

For any hernia in adults, in addition to the protrusion, there may be pain, which is aggravated after eating or after lifting weights.

What is dangerous hernia?

The most serious complication of a hernia is its incarceration - compression of the organ, which went through a defect in the anterior abdominal wall, in the so-called hernial ring, that is, at the location of the defect.

This can happen at any time as a result of weight lifting, coughing or straining.

And then the blood supply to the hernia, which most often is nothing but the intestinal loops, stops and necrosis occurs, that is, death.

And then - intestinal obstruction, peritonitis and death.

Signs of herniation are a sharp pain in the abdomen that occurred in any situation involving an increase in intra-abdominal pressure. Vomiting is possible.

And if earlier the hernia was quietly set down independently or by hand when the person went to bed, then at pinching it does not set right.

In this case, an urgent operation is needed.

Now go directly to the bandages.

Who needs postoperative inguinal hernia bandage

With the help of a postoperative bandage of an inguinal hernia, it is possible to prevent undesirable muscle tension, reduce pressure on the abdominals, reduce the risk of recurrence and the development of postoperative complications.

With the help of postoperative bandage of an inguinal hernia, unwanted muscle tension can be prevented, the risk of recurrence and the development of postoperative complications can be reduced.

Do I need to wear a bandage after removing a hernia

In the process of wearing a corrective product, the external load and intra-abdominal pressure are evenly distributed on the operated area. At the same time, compression to the scar area is reduced, as a result of which the healing process is accelerated.

The duration of the application of the fixative is determined by the doctor. It depends on the size of the hernial protrusion, the complexity of the operation, its duration.

In the process of surgery, the abnormal protrusion is repositioned, followed by closure of the defect located in the abdominal wall. After a short recovery period, a person is able to return to the usual way of life, including performing physical exercises.

Since a high-quality postoperative scar has not formed inside the tissue, the pathology may return. To prevent recurrence, doctors recommend wearing a special postoperative fixation device with reinforcing plates that support the abdomen. The created artificial pressure helps uniform healing of each layer of a postoperative wound.

Indeed, surgical intervention entails a period of rehabilitation. It is accompanied by painful stitches, swelling, hematomas. The use of postoperative bandage during this period greatly facilitates the recovery process.

The size of the hernial protrusion, the complexity of the operation, its duration depends on the recovery period and the wearing of a bandage.

Fixatives are a tight elastic bandage with convenient fasteners that supports the internal organs, which reduces the load on postoperative sutures. Available in the form of belts, corsets, elastic panties and are selected individually. It depends on the:

  • the severity of surgery,
  • type of damage to the abdominal cavity.

The duration of wearing is influenced by the amount of surgery - this has an effect on the rate of tissue healing. Of great importance is the age of patients. Recovery from young people is much faster. When classifying, there are several groups of people according to various criteria:

  • young people - it’s enough to use the belt regularly for 2-3 weeks, and also another 1 month during physical exertion or in case of a long standing position
  • people of mature and elderly age - the duration of wearing orthopedic fixators is 6 weeks, later - gymnastics,
  • people with recurrent pathology should use a corrector after surgery for at least 4-6 weeks. With significant physical exertion, it is recommended to wear the product for the whole life,
  • Older people are always required to wear a supporting belt, it can only be removed before bedtime.

Of great importance is the age of patients. Recovery from young people is much faster.

By type of model

There are postoperative unisex orthoses, which are suitable for both men and women.They differ in the degree of comfort, pressure, location of the pilots (metal plates).

Corrector, designed for men after surgery, is supplied with a soft plate, well breathable. The belt has 1 or 2 belts, it can be single or double sided. The standard model is often similar to swimming trunks, equipped with a fastener (often used "Velcro"). Straps fixtures are fixed between the legs of the patient.

There are postoperative unisex orthoses, which are suitable for both men and women.

How to choose

A bandage after a hernia is recommended to choose from cotton fiber to prevent additional irritation of the skin. Such products are produced by domestic and foreign companies.

Often for the manufacture of orthopedic belts use hypoallergenic materials that are well breathable. The combination of organic cotton, lycra, microfiber and viscose provides the desired degree of compression and stress on the seams, giving the product high functionality.

The purpose of the postoperative fixative is to maintain the patient's condition during the recovery period.

It prevents the re-formation of a hernia, the appearance of stinging, the divergence of the seams and accelerates recovery. It should fit snugly, fitting the hernial ring.

It is necessary to choose the size carefully, otherwise the orthosis will not carry out an objective and is capable of harm. Large models are not able to provide proper fixation, and small ones lead to compression of tissues. As a result, microcirculation is disturbed, the process of regeneration is slowed down.

On the market are products of different sizes. The size depends on the thigh girth, but it is better to get the model you like after fitting. Quality models have a warranty period of at least 6 months.

When choosing, you need to consider several indicators:

  • comfortable feeling in the process of wearing,
  • lack of pressure,
  • gentle effect on the skin
  • ease of removal.

How to wear postoperative inguinal bandage

Try on and put on postoperative fixation means, lying on your back, adjusting the model accordingly. Thus, intra-abdominal pressure is maximally reduced, the fixative is able to optimally perform the intended function.

The supporting belt, if it is chosen correctly, relieves the symptoms of gravity in the postoperative period, does not cause discomfort.

For example, Crate B-455, consists of:

  • 2 removable applicators
  • elastic fastening with adjustable tightening,
  • an unbuttoned crotch.

The use of such clamps is not for everyone. People suffering from skin diseases, wearing is contraindicated. It is not recommended to purchase a postoperative fixation belt even if the person cannot squeeze the pelvis.

Victor, 38, Moscow

The doctor recommended wearing a postoperative orthopedic belt for about a month. I bought it at the pharmacy, although the price (20190 rubles) turned out to be far from budget. But the quality is good: the bandage passes air, does not squeeze the stomach, is invisible under clothes.

Karina, 28 years old, Arkhangelsk

Postoperative fixative was necessary. At first I was not sure that I would feel comfortable with him. However, it was possible to choose a model that did not cause unpleasant sensations. In addition, the price suited.

Bandage for postoperative hernia

Postoperative bandage after the removal of a hernia is very often used as an aid in restoring the body after undergoing abdominal surgery. Especially it concerns the operation of the hernial formations of the peritoneum.

Such a device not only helps to prevent the divergence of surgical sutures, but also significantly reduces the risk of recurrence of the disease.This all happens by removing the bandage or similar bandages on the affected and operated area. It also allows us to speak about much smaller opportunities for the development of postoperative complications, which are often found in medicine.

The belt after the removal of the hernia is assigned to many patients almost immediately. But of course there are exceptions. For example, postoperative bandage is not always suitable for people whose skin and connective tissues of the body are prone to wear out. In this case, the postoperative belt will only worsen the situation, allowing the skin in the affected area to relax, which reduces the possibility of tissue regeneration.

But, as a rule, a bandage after a hernia is prescribed and should be worn for several days. In this case, the doctor will strictly monitor the condition of the place after the hernia is removed and note any abnormalities. A positive development of the organism’s recovery in the postoperative period is also recorded.

Why is bandage prescribed?

The fact is that postoperative hernia is often re-formed on the spot after the previous hernia is removed. Contribute to such a deviation and non-compliance with the regime by the patient. This means that a person started exercising too early, eats poorly, refused to wear a bandage, or strengthened the postoperative belt incorrectly. Factors, in fact, can be many.

To protect the seam at the site of damage, as well as reduce the load, doctors recommend wearing a bandage. It is especially useful after operating a ventral hernia disease. Protecting the postoperative suture from excessive load helps a person recover more quickly and correctly.

How to wear and wear postoperative belt?

The bandage after a hernia has a very good supporting effect. It evenly distributes the load over the body, depending on the affected area. After all, the belt after a hernia has many characteristics and a wide choice, depending on the needs of the person.

The effect of support is created by the material, which is created from elastic and elastic fibers. The material also creates a compression that helps to evenly distribute the pressure of the viscera on the peritoneum. As a result, it helps to speed the healing and formation of the scar.

After the ventral hernia, the bandage is attached to the waist of the person and is fixed with a special tape with velcro. As a rule, such devices are worn on linen, and not on a naked body. This reduces the likelihood of scuffing and drying.

Wear such a belt from one hour to eight hours a day. It all depends on the stage of the disease, the size of the postoperative scar, the tendency to complications. They do not wear it all the time. It is recommended as a prophylactic against recurrence of the disease in the first (early) period after the removal of the hernial formation. Also wear it in the acute period of the disease or during physical exertion, so as not to worsen the condition.

Rehabilitation after different types of operations

There are three types of surgery to remove an umbilical hernia:

  • laparoscopy (strengthening of the umbilical ring using a special mesh implant, installed through a puncture),
  • tension hernioplasty (to remove the defect and strengthen the umbilical ring, use the patient's tissue),
  • non-tensioned hernioplasty (differs from laparoscopy by inserting an implant through an incision).

Laparoscopy is the most modern method of surgery. It has a minimum rehabilitation period. After such an operation, there are practically no seams left.

Rehabilitation is carried out to prevent complications and relapse. During this period, recommended restrictions in nutrition and physical activity.

All products should be easily absorbed by the body, not cause constipation, increased formation of fecal masses and gases.It is necessary to exclude from the diet alcoholic and coffee drinks, strong brewed tea, fatty foods, kernels of nuts, pickled and smoked products, butter and black bread, cabbage, mushrooms, dried fruits, grapes, peaches and bananas.

  • stewed and boiled vegetables,
  • cereals,
  • low-fat cottage cheese,
  • meat,
  • boiled eggs,
  • stale wheat flour bread
  • fresh fruits.

Fiber will be useful in small quantities. It has a positive effect on defecation. Too function is performed by fresh fruit.

It is not recommended to overeat!

Physical activity

It is strictly forbidden to lift a burden of more than 3 kg, large physical exertion, abdominal exercises, swimming, jumping, running and walking. Completely abandon the sport is not worth it. Light gymnastic exercises are recommended.

Often the attending physician prescribes the use of a supporting bandage. Independently make a decision on its use is not worth it.

Compliance with all recommendations will eliminate postoperative complications and shorten the recovery period.

Prevention

Prevention is effective only in the case of acquired umbilical hernia. For this you need:

  • eat right,
  • eliminate food leading to flatulence and constipation,
  • exercise regularly,
  • do exercises for the press,
  • refrain from lifting heavy objects or using bandage,
  • regulate body weight
  • use a bandage in the third trimester of pregnancy and after.

Umbilical hernia. Adult Diagnosis

In adults, the disease is diagnosed at the age of 40 years. More often there is an umbilical hernia in women about 35 years. They have this disorder often associated with pregnancy and childbirth. These processes affect the elasticity of the umbilical ring, with time it loses elasticity and a hernia appears. Preventing the occurrence of the disease may be wearing the usual bandage, but many women ignore this recommendation.

In men, the disease is less common. As a rule, weight lifting, the presence of diseases, obesity leads to it.

Early rehabilitation period

Remove the stitches after the operation to remove the umbilical hernia in about a week. The procedure for adults is painless, but the discomfort is present. Immediately after the seam has been exposed, a wide belt or supporting bandage should be worn. Completely abandon the bandage is possible only after complete recovery of muscle tissue, which occurs on average after one and a half months and depends on the rate of wound healing in each individual person.

Observing all prescribed preventive measures of a physician can significantly reduce rehabilitation and the wound healing process.

To do this, appointed a strict diet, rest mode, taking medication. Exercise, weight lifting, tension during coughing can lead to seam divergence, suppuration, infection of the wound.

What should be done in the first two weeks after the treatment of the umbilical hernia?

  • Observe the regime of the day: this simple recommendation is not a formality, but a condition for successful rehabilitation of adults. The first two days a person should lie down and sleep only on his back, on the third and fourth day you can begin to perform simple household work, walk more, but with the slightest fatigue, listen to your body and rest immediately. During this week dressings and wound care are done daily. The entire recovery period is observed diet,
  • For the second week after removal of the sutures, soreness may still persist, therefore, painkillers or injections, physiotherapy procedures are attributed,
  • The rehabilitation period of older people is more difficult, because you need to monitor the possible appearance of serious complications: respiratory failure, tachycardia, wound infection.

Diet in the postoperative period

The therapeutic diet is necessary for the full saturation of the body during the period of rehabilitation and the prevention of digestive disorders.

The diet after the treatment of umbilical hernia is based on the following principles:

  • The exclusion of spicy, carbohydrate, fatty foods,
  • Daily meals should include soups, cereals, vegetables, fresh fruit,
  • Drink plenty of fluids, but limit coffee and milk,
  • Alcoholic beverages, canned foods are excluded.

Immediately after surgery, the patient can take only liquid food to run the digestive system. Gradually, the diet is supplemented with soups, mashed potatoes, steamed meat and fish.

In the postoperative period, it is useful to prepare at home the tinctures of herbs: dog rose, oak bark, chamomile, sage, yarrow. Infusions and decoctions increase immunity, help reduce pain, reduce inflammation and calm adults after surgery. Meals should not be limited only to cereals and soups, for pleasure you can eat sweets, drink juices and some coffee, but observe how the body reacts to certain food groups.

Complications and secondary umbilical hernia

Complications after surgery at the present stage of umbilical hernia treatment are rare, and the reason for this is not the doctor’s mistake, but the patient’s attitude to the rehabilitation period.

Severe complications after removal of the umbilical hernia:

  • improper nutrition provokes constipation, which increases intrauterine pressure and leads to repeated pathology,
  • a quick return to physical work becomes the cause of seam divergence, hernia recurrence,
  • ignoring therapeutic gymnastics will only be felt in a few years, when the weakened muscles disperse and the organs lose their usual position again.

Complications during surgery are more likely exceptions, but this can happen when adults or children are allergic to the anesthetic, a complete diagnosis of the abdominal cavity has not been carried out.

Contraindications to the procedure

At the same time, external abdominal hernias do not always become a pretext for surgical intervention. The reason for this may be contraindications, namely:

  • Age less than five years. In childhood, tissues are still being formed, and it is likely that the ring will still drag on and the hernia will go away. At the same time, in this case we are talking only about acquired formations. If there is a congenital defect involving the navel, it should be removed soon.

In other cases, conduct a planned operation in the absence of contraindications. It is assigned according to the patient’s condition and needs. In some cases, the doctor may insist on its speedy implementation. Even in the absence of haste it is better not to delay and do the operation as soon as possible.

The operation to remove the umbilical hernia is not performed in the following cases:

  1. Children's age (up to 5 years). In infancy, it is likely that the hernia will disappear on its own as the body grows. Therefore, if it does not cause serious anxiety and has no complications, the operation is not performed or is postponed for several years. Important! It is only about non-congenital hernias.
  2. Infection in the active stage. The operation is a risk in this case, so it is carried out after the complete rehabilitation of the body.
  3. Incurable Diseases Hernia is not a dangerous disease, especially in its early stages. However, its removal represents a certain risk, which does not make sense to subject it to incurable patients.
  4. Pregnancy in the second half. Any operation is a stress for the body, which is better to avoid a woman in position. In the absence of serious health risks due to hernia, surgery is postponed until the end of lactation or at least until the birth of a child.
  5. Stroke and heart attack. Anesthesia in this state is difficult to tolerate, so usually patients are not subjected to such risks.
  6. Violations in the cardiovascular and pulmonary activities.
  7. Giant hernia in persons over 70 years.In this case, extensive surgical intervention is necessary, which is poorly tolerated by the elderly.
  8. Cirrhosis of the liver with complications.
  9. Varicose veins of the esophagus.
  10. Diabetes in the absence of the effect of insulin.
  11. Renal failure in severe form.

Important! Each case is considered by the doctor individually. Only the specialist must decide whether the potential effect of the operation exceeds the risks for the patient or not.

Causes of umbilical hernia

The characteristic symptoms of the disease allows the patient himself to make a preliminary diagnosis. However, it is not safe.

For an accurate definition of the disease, you should contact a qualified surgeon. Often, some benign tumors of the subcutaneous tissue, for example, dermatomes, lipomas, can be masked as an umbilical hernia.

Delaying a visit to the doctor can lead to irreparable consequences.

As practice shows, only timely surgical treatment is the main tactic for umbilical hernia in adults. However, many Internet sites persistently assert about the possibility of treating the pathology with folk and non-traditional means, thereby misleading people.

Since the risk of infringement of the hernial sac and inflammation of its contents is too high, conservative treatment of the disease is contraindicated.

The only exception may be pregnancy, in which there is a simple course of the disease, as well as cases in which severe comorbidities do not allow for radical measures.

Currently, in the treatment of umbilical hernia in adults, operations are divided into two types.

After an operation is performed on the patient, wearing a bandage is recommended. It will reduce the stress on the seams and speed up the wound healing process.

Training abdominal muscles, proper nutrition and normalization of weight contributes to the speedy recovery after surgery. Exercise should be dosed and do not bring discomfort to the patient.

It is allowed to get up after several hours after the intervention, and walking and sports exercises are recommended for 10-12 days. It is allowed to lift small weights and strain only after 1 month, so that the umbilical hernia in adults after surgery does not give recurrences and complications.

Most often this disease develops due to the weakening of the anterior wall of the peritoneum and the umbilical ring. Another factor is strong pressure from inside the abdominal cavity. When both causes are present, the hernia develops quickly, and the situation is considered dangerous and needs early treatment.

The reasons why the umbilical ring can relax are as follows:

  • Lack of physical activity and muscle weakness.
  • Features of connective tissue from birth.
  • Excessive fullness.
  • Rapid weight loss.
  • Pregnancy (most often develops in late childbirth).
  • Adhesions and sutures after surgery.
  • Injuries to the abdomen.

Increased intrauterine pressure due to:

  • Childbirth, accompanied by complications.
  • Great physical exertion.
  • Frequent constipation.
  • Long, tense cough.

Usually, the surgeon diagnoses the presence of a disease rather quickly. Its symptoms are pronounced.

The doctor interrogates the patient and finds out whether there is pain in the abdomen during coughing, physical exertion. Examining the patient, he finds out whether the umbilical ring is expanded.

To establish more detailed information, he will prescribe an X-ray of the stomach, duodenum, ultrasound of the protrusion, gastroscopy.

Assign herniography - an introduction to the abdominal cavity of a contrast agent, which will allow to investigate a hernia.

In adults, the disease is diagnosed at the age of 40 years. More often there is an umbilical hernia in women about 35 years.

They have this disorder often associated with pregnancy and childbirth.These processes affect the elasticity of the umbilical ring, with time it loses elasticity and a hernia appears.

Preventing the occurrence of the disease may be wearing the usual bandage, but many women ignore this recommendation.

In men, the disease is less common. As a rule, weight lifting, the presence of diseases, obesity leads to it.

There are a number of reasons why an umbilical hernia can occur in an adult. These include:

  • Congenital defect of the umbilical ring (there is a possibility of inheritance),
  • Pregnancy, especially in the later periods,
  • Obesity, accompanied by insufficient development of the press,
  • Chronic constipation and other disorders of the gastrointestinal tract,
  • Prostatitis in advanced form, in which there is an increased load on the abdominal cavity,
  • Postoperative complications and scars,
    Diseases accompanied by accumulation of fluid in the abdominal cavity
  • Sharp weight lifting and other mechanical loads
  • Injuries.

Hernias caused by various causes may be more or less pronounced, accompanied by sharp pain and discomfort, or remain within the normal range.

However, in order to avoid complications, it is recommended to consult a doctor and timely treatment of the umbilical hernia at the first suspicion of the development of such a disease.

Remember - the treatment of hernia in the early stages almost always proceeds easily and successfully, whereas the neglected form may require surgery and other unpleasant manipulations.

Causes of umbilical hernia in adults

An umbilical hernia during pregnancy is poorly diagnosed, since for women in this period, a bulging navel is generally characteristic. If there is no pain or increase in volume, the pregnant woman can be considered healthy.

There are conservative treatment of umbilical hernia in adults and surgical removal of the problem. Pick it up depending on the type of hernia and the patient's condition.

Conservative treatment is used less frequently, mainly if the disease is at a mild stage, or there are contraindications to surgery. Candidates for conservative hernia treatment are:

  1. Pregnant women, especially in late gestation periods (they have an umbilical hernia after childbirth is quickly reset)
  2. Patients with a small easily manageable hernia,
  3. Persons with contraindications to surgery are chronic diseases, acute disorders or advanced age.

For these categories of patients prescribed long-term therapy. It consists in wearing a bandage, reducing the load on the abdominal cavity, as well as therapeutic massage.

Stretch plastic, in which the body’s tissues are used to eliminate the disease (available only with small size formations),

Non-tension plastic with implants. Applicable for larger forms.

Surgical treatment of umbilical hernia in adults

For such operations, light local anesthesia is used. Surgical intervention does not give complications, relapses occur only in 1% of cases, and the rehabilitation period after such treatment is very short.

Features of preparation

Before carrying out a planned operation, the patient is placed in a hospital and prepared for the upcoming manipulation. On the eve of the surgical intervention, the patient should refrain from the ingestion of food and fluids, notify the attending physician whether he has chronic diseases and individual intolerance to certain medications.

Before the operation, the body is cleaned with enema.

Laparoscopy

You should start preparing for the intervention one month before the scheduled date. At this time you need to do the following:

  • pass tests
  • consult with related specialists for the presence of chronic pathologies,
  • perform an ultrasound scan
  • undergo fluorography
  • visit the therapist.

Preparation also includes refusal of drugs affecting the blood picture three days before the date. In men, on the day of the manipulation, hair removal is performed around the hernial orifice.

On the day of the intervention in the morning, the intake of food and water is excluded. If there are chronic pathologies, additional procedures or drugs may be prescribed to prepare for the operation.

3 days before the operation, you must stop taking blood thinners. Before a visit to a hospital or medical center, it is necessary to perform all hygiene procedures, preferably shaving the abdomen and pubis (otherwise the nurse will do it). In the morning you need to stop drinking and eating.

Olsgausen intraperitoneal method

The technique is used for embryonic hernias. After the onset of anesthesia, the surgeon opens the hernial sac and returns the entire contents back to the abdominal cavity. Sometimes it may be the liver, in which case make an additional incision for its reduction.

If in the hernial sac of a newborn baby there are not absorbed embryonic organs (intestinal duct, allantois), they are removed. Hernia shells themselves excised. Fabric sewn layers.

Hernioplasty using Sapezhko, Lexera or Mayo methods

This is a traditional method of hernia therapy in children over 5 years old and adults. Different methods differ slightly in the location of the incision, the method of separation of the hernial sac and suturing. The choice is made on the basis of localization and size of the protrusion.

After the onset of anesthesia, the surgeon makes an incision directly adjacent to the hernia. If it is small, then they try to keep the navel for reasons of aesthetic appearance of the patient.

Complications after surgery

If the operation is successful, then there is rehabilitation after the operation. In the absence of complications, the first postoperative period is delayed by only 1-2 days. Recommended bed rest. Immediately after removal of the umbilical hernia, the patient should wear a bandage.

The function of the bandage after surgery is to support the abdomen and the umbilical region, as well as to maintain the immobility of the sutures. There are cases when patients went home already 3 hours after the abdominal hernia was removed.

Recovery after surgery is a period when it is important for the patient to be regularly examined by the attending physician, who will give recommendations on possible physical activities, advise what a sparing diet should be, otherwise the hernia will again be felt on the same area of ​​the body.

The probability of recurrence (renewal) of the umbilical hernia is minimal after surgery with the use of mesh materials.

The effectiveness of umbilical hernia removal in adults often depends not only on the method of treatment, but also on the postoperative period. It usually takes 10-14 days. During it, the following restrictions apply:

  • Can't lift weights
  • It is necessary to limit the load on the press, including, when performing morning exercises,
  • Food consumption is limited, especially that which can cause nausea, bloating and constipation,
  • Necessary postoperative bandage.

Recovery after surgery

On the first day after surgery, the patient can already stand up and walk freely. After two weeks of prescription, you can change and focus on the prevention of hernia.

Mandatory in this period is the morning exercises with abdominal exercises. By itself, it does not eliminate the disease, but it provides an opportunity to strengthen the muscles and prevent the occurrence of the disease in the future.

During the rehabilitation period, the patient is advised to take extra vitamins and eat only light meals. This will provide an opportunity to quickly recover from the disease and gain strength.

Net implant surgery

The technique was introduced into practice about 30 years ago.It is carried out similarly to the previous method: during a planned operation, the contents of the hernia sink back into the abdominal cavity, with emergency intervention and detection of necrosis foci, it is removed.

The main difference is that a mesh implant is inserted into the tissue. It relieves the body cavity of excessive pressure and prevents the development of relapses.

The mesh gradually acquires its own tissues, it does not cause an immune response and does not undergo decomposition, since it consists of chemically inert biocompatible materials.

The mesh endoprosthesis is fixed with special non-absorbable sutures. They are made from Prolen.

More modern techniques involve the use of a stapler and anchoring the implant with tantalum clips. Abroad, we started the production of meshes with velcro, which are enough to press against the underlying tissues for fixation.

Folk remedies for umbilical hernia

There are enough popular recommendations on how to recognize an umbilical hernia in adults and cure it. As a rule, the whole therapy is reduced to several groups of drugs:

  • healing broths
  • compresses
  • light massage.

Popular measures are good if only the initial symptoms of the disease have appeared. The most effective tool in this case is considered a decoction of oatmeal.

It is recommended to boil the porridge to a thickness, then make a cake from it and apply for the night. Treatment with this tool takes 2 weeks, but you can not skip sessions.

decoction of oatmeal with umbilical hernia

The analogue of this method is nettle compress. Nettle leaves are boiled on it, mixed with 25% and sour cream, put on the affected area and covered with burdock. To fix the compress is desirable bandages. The duration of treatment with this tool increases to 2-3 months.

Reviews of patients and doctors

Patients who do not have complications endure the operation, as a rule, well. They note that you can soon get up, quickly return to normal life, work.

Some find it difficult to decide on an operation; they try to find alternative methods. Those patients who have gone through this procedure are advised not to pull.

The main fear in women is a cosmetic effect, their experiences are related to what the belly and the navel will look like after the operation. Not everyone is satisfied with their appearance after the removal of the hernia.

Stitches and scars may look ugly. Men are less interested in this issue, they are more concerned with the restoration of working capacity and a radical solution to the problem.

Reviews regarding the setting of the net implant are very different. Some doctors are in favor of using it in any situation to prevent relapse.

Others are skeptical about this kind of innovation and offer it only for re-hernia or weak, flabby muscles of the abdomen.

Symptoms of umbilical hernia

Symptoms of this disease can be expressed to a greater or lesser extent, but almost always accompanied by the following phenomena:

  • Redness navel. It can be completely painless, but it is the first and most important symptom signaling the appearance of a problem.
  • Increased hernia in size, swelling of tissues and the acquisition of their bluish tint. In the early stages of the disease, there is only a slight bulge that can disappear in a person in a lying position. Such a navel hernia in the photo is easily diagnosed and, as a rule, can be cured just as easily.
  • Violation of the bowel, if part of it was trapped hernia. This is expressed not only in pain, but also constipation and other types of dysfunction.
  • Pulling pains in the lower abdomen, especially with the additional load on the abdominal muscles or weight lifting. Over time, the pain may increase.

Symptoms of an umbilical hernia can occur cumulatively, but more often appear individually.This disease is especially dangerous, because it is easy to miss the moment when the hernia will grow in size and it will be quite difficult to correct it. In order not to miss this moment, you should seek qualified help when the first symptoms appear.

Diagnosis of the disease

A clear diagnosis is the first step to the patient's recovery. It is conducted by a doctor with the help of specialized medical equipment and includes the following steps:

  • Survey of the surgeon by interviewing the patient and palpation of the affected area,
  • Uzi (makes it possible to assess the stage of the disease and the damage to nearby organs),
  • Intestinal X-ray,
  • Herniography
  • Computed tomography.

In the course of research, the physician must also establish the cause of the disease, chronic illnesses that may trigger a hernia in the future, the presence of an allergic reaction to drugs, and much more. The diagnosis is individual. If you suspect complications, the doctor may also prescribe general blood and urine tests. According to the results of research, the patient is prescribed a therapeutic or surgical treatment.

Treatment of umbilical hernia in adults

There are conservative treatment of umbilical hernia in adults and surgical removal of the problem. Pick it up depending on the type of hernia and the patient's condition.

Conservative treatment is used less frequently, mainly if the disease is at a mild stage, or there are contraindications to surgery. Candidates for conservative hernia treatment are:

  1. Pregnant women, especially in late gestation periods (they have an umbilical hernia after childbirth is quickly reset)
  2. Patients with a small easily manageable hernia,
  3. Persons with contraindications to surgery are chronic diseases, acute disorders or advanced age.

For these categories of patients prescribed long-term therapy. It consists in wearing a bandage, reducing the load on the abdominal cavity, as well as therapeutic massage.

A more effective method is surgery. There are two types of operations for navel hernia:

Stretch plastic, in which the body’s tissues are used to eliminate the disease (available only with small size formations),

Non-tension plastic with implants. Applicable for larger forms.

For such operations, light local anesthesia is used. Surgical intervention does not give complications, relapses occur only in 1% of cases, and the rehabilitation period after such treatment is very short.

In some cases, appoint the removal of the umbilical hernia laparoscopic method. As a rule, it is shown in the presence of complications, increase in hernia in size and low efficiency of conservative methods. The procedure is carried out with the use of expensive equipment, because not available in all clinics. It has a good cosmetic effect, minimal trauma, as well as a short recovery period. Not suitable for patients with cardiopulmonary insufficiency, because doctors are prescribed cautiously.

Please note: if the hernia was triggered by chronic diseases, the first thing doctors will do is fight them, since a hernia operation without addressing the root cause is unlikely to have the desired effect.

Recovery after surgery

The effectiveness of umbilical hernia removal in adults often depends not only on the method of treatment, but also on the postoperative period. It usually takes 10-14 days. During it, the following restrictions apply:

  • Can't lift weights
  • It is necessary to limit the load on the press, including, when performing morning exercises,
  • Food consumption is limited, especially that which can cause nausea, bloating and constipation,
  • Necessary postoperative bandage.

On the first day after surgery, the patient can already stand up and walk freely.After two weeks of prescription, you can change and focus on the prevention of hernia. Mandatory in this period is the morning exercises with abdominal exercises. By itself, it does not eliminate the disease, but it provides an opportunity to strengthen the muscles and prevent the occurrence of the disease in the future.

During the rehabilitation period, the patient is advised to take extra vitamins and eat only light meals. This will provide an opportunity to quickly recover from the disease and gain strength.

Watch the video: Recovery from Abdominal Hernia Repair Often Takes Longer Than Patients Expect, Study Finds (April 2020).

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