How to treat pelvic abdominal wall hernia after iliac bone extraction?

summary

Due to the local defect of pelvic wall and the weakness of abdominal aponeurosis connective tissue, the abdominal organs protrude from the pelvic abdominal wall when the abdominal pressure increases, which is called pelvic and lateral abdominal wall hernia. This disease is rare in clinic, mostly occurs in the elderly and fertile women. Let's share my experience with you.

How to treat pelvic abdominal wall hernia after iliac bone extraction?

1. Non operative treatment is suitable for those who can not be operated temporarily or have contraindications for operation. Methods: a thick cushion was placed in the weak part of the pelvic and abdominal wall defect (hernia ring), and then fixed with pressure. Its purpose is to prevent the hernia mass from gradually increasing and leading to the further expansion of the hernia ring, resulting in the aggravation of abdominal wall compression atrophy and bulging, increasing the difficulty of operation and the possibility of postoperative recurrence.

2. The operation is easy to be successful because of its short onset time, small hernia mass and small local defect. In patients with a long history, due to the long-term existence and continuous increase of hernia mass, the abdominal wall muscles and aponeurosis around the hernia ring are compressed and further atrophied, resulting in increasingly weak local anatomical structure and enlarged defect, which is easy to cause operation difficulty and recurrence. Therefore, if there is no contraindication, surgical treatment should be performed as soon as possible.

3. Treat the diseases with increased abdominal pressure after operation, and keep the bowel and urine unobstructed. If the defect was repaired by simple suture of abdominal wall muscles on both sides of the neck of the hernia sac, the soft pad should be applied to the weak part of the pelvic and abdominal wall defect (hernia ring) after operation, and the time of getting out of bed should be extended appropriately. Artificial mesh or plug hernia repair, can be appropriate early out of bed activities.

matters needing attention

Pay attention to light diet. In the first few days after the operation, the diet should be adjusted according to personal conditions, mainly liquid and semi liquid food. Eating more high protein food is conducive to the recovery of the wound. Supplement a variety of vitamins, eat more fresh vegetables and fruits. Can eat all kinds of lean meat, milk, eggs and other protein rich food.