Treatment of hernia: surgical method.
Currently there is only one kind of treatment of hernia – surgery. Variations in hernia surgery can be divided into two groups: endoscopic surgery and open. With endoscopic surgery, the surgeon operates through the punctures, and oversees the operations through the monitor (TV); when open surgery is required to perform the incision over the hernia.
?The operation is to remove the membrane rupture. This is done by open and endoscopic surgery. Open surgery is done most often under local anesthetic. The surgeon inserts a band surgery anesthetic solution. After this incision the skin and then dissected the hernia gate. After this is done hernioplasty (closure of hernial gate). You can do this by joining the patient’s own tissues, and by closing the hernial gate by means of various plastic materials. In principle plastics own tissue is preferred (so as not retained foreign material). This type of plastic is possible with a small hernia. However, if the hernial very large or weak, the use of foreign plastic materials is justified and necessary, it is more reliable. Once the plastic is completed, the skin is sutured, and this operation ends.
?To perform the endoscopic surgery requires general anesthesia. The surgeon makes three puncture several millimeters long. After one of them (the navel) is introduced optical tube is an endoscope. To the other end connected to a miniature video camera endoscope, an image which is transmitted from the monitor (TV). Unlike open surgery, the closure of hernial gate is almost always done with the plastic materials.
? As with any surgery, and surgery for a hernia can occur complications such as bleeding and suppuration. However, the greatest value in this operation has a complication, as a recurrence of hernia in the same place. Most often, relapse develops in very weak tissues in the hernia, or with insufficient closure of hernial gate.
?It is now believed that both methods of operation in experienced hands, give approximately the same outcome, and most patients (90%) are satisfied with the results of operations. At present, the international surgical community believes that both methods operate on the whole are equally effective, and the decision to use a particular method should be made individually in each case.