Incarcerated hernia in children?

summary

Incarceration of hernia is due to the prolapse of the small intestine for a long time, and the small intestine is stuck in the hernia ring and cannot be recovered. Incarcerated hernia patients often due to the lack of attention to hernia in the early stage of illness, hernia prolapse did not reset in time, hernia ring repeatedly stimulated to cause contraction and form incarceration (stuck). Incarcerated hernia can cause severe pain, even accompanied by incarcerated hernia symptoms. Let's talk about the incarceration of hernia in children

Incarcerated hernia in children?

1. Incarcerated hernia refers to the case that the contents of hernia can't be taken back suddenly and pain occurs. It's a serious complication of hernia. Incarcerated hernia can occur when the intra-abdominal pressure increases, such as strong labor or severe cough, defecation, etc., but there is no obvious inducement. The clinical manifestations are sudden enlargement of the hernia mass, accompanied by severe pain, lying flat or pushing the mass by hand can not make it back, the mass is tense and hard, and there is tenderness

2. Severe cases may be accompanied with paroxysmal local colic, nausea, vomiting, constipation, abdominal distension and other symptoms of acute intestinal obstruction. Once the hernia is incarcerated, there is less chance of self recovery. The symptoms of most patients gradually worsen, if not treated in time, it can further develop into strangulated hernia. Incarcerated hernia and strangulated hernia sometimes can not be completely separated, it is often two different stages of a pathological process.

3. Early (within 3-5 hours) incarcerated hernia, local tenderness is not obvious, it is estimated that strangulation has not yet formed, can try to reset. Let the patient lie on the top of his head and feet, ask the patient to relax as much as possible, take a deep breath, and apply a hot towel on the parcel. Then hold up the scrotum with the right hand, push the hernia block to the abdominal cavity continuously and slowly, and use manual reduction. Avoid being rude, so as not to crush the intestinal tube. It is best to turn to the surgeon in time.

matters needing attention

If the hernia is a child, first comfort the child not to cry. Because the abdominal pressure increases when crying, it is more difficult to return. In order to make children not cry, we can coax them by feeding milk or taking a bath. Sometimes it can be cured by taking a bath. When the child has impaction, use two layers of gauze or thin cotton cloth to wrap a piece of ice (can also be used instead of popsicle) cold compress the affected area, and appropriate pressure on the affected area, until reset.