The article is consulted professionally by Specialist I Dang The Thanh – Anesthesiist – General Department – Share99 Nha Trang International Health Hub. The doctor has more than 12 years of experience in the field of Resuscitation Anesthesia.
Umbilical hernia is a medical condition that occurs when part of the intestine or organ tissue in the abdomen bulges out of its normal position, burrows out of the abdominal wall and forms a convex mass of the area around the navel. There are many different forms of umbilical hernia and are common in infants – young children, rare in adults. In some cases, doctors are forced to prescribe umbilical hernia surgery and anesthesia is always one of the important steps when performing this surgery.
1. When is umbilical hernia surgery usually carried out?
Umbilical hernia surgery aims to return the bulge to its correct position quickly and strengthen the abdominal wall. However, umbilical hernia surgery is not always in place. In some cases, the umbilical hernia – cleft abdominal wall can be self-cured. In particular, for the group of babies before the age of 12 months, the majority of hernias will close on their own without treatment.
Surgical in dinhion will usually be applied when:
- There is hernia development after the baby is 1-2 years old.
- Hernia mass persists when the child is 4 years old.
- There are intestines located in the hernial sict and cause decreased congestion or intestinal obstruction.
- Hernia block jam…
For adults, surgical insymedness will be more in place to prevent potential risks, especially for cases where exit begins to develop painfully.
2. Possible complications after umbilical hernia surgery – cleft abdominal wall
Any surgery will have certain risks. For surgery to treat umbilical hernia and abdominal wall cleft, complications may occur during anesthesia, constant bleeding or the formation of a hematoma. Along with that, specific complications of surgery:
- The muscles in the abdominal cavity are damaged.
- Cut off the navel.
- There appears a convex lump above the incision…
To minimize these risks, patients should coordinate with their doctor and strictly implement surgical preparation guidelines, including fasting/discontinuation of medications…
3. Procedure for umbilical hernia surgery – cleft abdominal wall
Surgery is usually started from in-administration anesthesia . After the anesthesia is complete and the patient is stable, surgeons will make an incision under the navel. The abdominal mucosa will be convex outside the muscle layer and isolated. It is this location that is the "hernial s pocket". Accordingly, doctors will manipulate to bring this hernial bag back to the right position.
If the incision is small, it can be sutured and these stitches will persist permanently to limit the recurrence of the hernial sic vesicy in the future.
If the defect is large, doctors will use a grafted mesh to cover the holes in the muscles. The mesh membrane will prevent the reappearion of hernias. Surgery for umbilical hernia and abdominal wall opening usually lasts for about 30 minutes.
4. How is umbilical hernia anesthesia conducted?
The technique of anesthesia with umbilical hernia surgery is applied as in-administration anesthesia. This technique will give you a full body anesthesia during the operation. Along with that, in-administration will help control the patient's respiratory process. Patients will be controlled for anesthesia, pain, muscle stretching … with different drugs.
Before performing anesthesia, the patient needs to:
- Be given a pre-anaesthetic examination a few days in advance to advise on the method of anesthesia, benefits as well as risks and complications of each method, control risk factors, prevent complications during anesthesia.
- Persuade patients to cooperate (for children).
- Assess if the patient is in a difficult in-administration tube.
- In case of necessity, the patient can use sedatives from the dark before surgery.
4.1. Certain medications used during anesthesia
The anesthesia process needs support from neuro-effects drugs such as:
- Sleeping pills: including intravenous anesthesia, vaporizing anesthesiologist …
- Muscle relaxer…
If the patient has a reaction to any of the above medications, it is necessary to report it to the doctor to choose an alternative medicine.
4.2. In-administration anesthesia techniques
- In-administration by mouth.
- In-administration through the nasal path.
4.3. How to stay infatuated?
To ensure that the patient keeps the anesthesia during the operation, the nurse/anesthesiologist needs to maintain this process with intravenous anesthesies/vaporizing anesthesiologist, muscle relaxer, analgesic … previously used.
In addition, to keep the patient safe, doctors need to control the respiratory process with anesthesia machine with parameters suitable for each patient.
5. What should be paid attention after surgery to treat the umbilical hernia?
This is a minor surgery, so the patient can be released within the day after the surgery. Most patients can function normally after surgery for 2-4 weeks. In the first week, the abdomen will feel obstructive. The incision also needs to be protected during this time. In addition, some of the following activities may accelerate the recovery process:
- Increased travel activity.
- Practice regularly, regularly. However, you need to consult your doctor in advance about the level of practice so as not to affect the incision.
In general, umbilical hernia surgery – opening the abdominal wall is a type of minor surgery that is not too complicated. However, there are still some patients who may experience complications from surgery. To minimize this risk, patients need to carefully follow the preparation instructions from the doctor, especially before anesthesia of umbilical hernia surgery.
In order to minimize complications during and after the surgery, Share99 International Health Hub has introduced a system of modern surgical machines, equipment and anesthesiation to the examination, diagnosis, anesthesia and treatment of diseases. With a team of professional doctors, well-trained implementation will bring optimal treatment efficiency, minimize complications when examining and treating customers.
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