I just coughed, but I'm sick…Intestinal necrosis if treatment is delayed
Feb 09, 2025
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Because this disease is not resolved naturally, appropriate treatment is required. In children, hernia occurs due to the opening and closing of the first incisor, the route through which the testicle descends to the scrotum. Between 28 and 36 weeks before birth, the intraperitoneal testis descends to the scrotum, where hernia can occur if this pathway is not blocked normally. If this route is open or wide at birth, peritoneal organs, especially the small intestine (boy) or ovary (girl), will escape.
Adolescents' inguinal hernia occurs due to acquired factors. Hernia occurs mainly due to the weakening of muscles, fascia, and ligaments in the lower abdominal wall. If the first incisor is open at all, smoking, chronic cough, obesity, and posture and environment that cause abdominal pressure increase may cause a combination of working ㅙ hernia. The main causes include chronic obstructive respiratory disease, severe obesity, smoking, constipation, and family history.
The inguinal hernia does not naturally resolve over time and can be accompanied by various risks. In particular, incarcerated hernia is one of the main reasons for visiting the emergency room. Catastrophic hernia refers to a state in which an organ in the abdominal cavity cannot enter the abdominal cavity again after exiting through the inguinal region. At this time, if blood flow is blocked in the intestine, necrosis may occur, so urgent treatment is required.
In the case of children, the hole in the groin is small and the groin itself is short and wide, so there is a high risk of incarceration. In addition, the younger children and the older adults, the higher the frequency of incarceration. If the incarcerated intestine quickly returns into the abdominal cavity, the problem can be solved by surgery, but over time, there is a high risk of blood flow disorders and a salivary hernia in which necrosis progresses. In this case, the scope of surgery is expanded and the likelihood of complications increases.
Cho Yong-hoon, director of the Pediatric Surgery-Hernia Clinic at Good Culture Hospital, said, `In the case of children, they often come to the hospital late because of the misconception that their hernia will disappear by itself.' `Adults also have no discomfort, so they often delay the hospital while wearing a hernia.' He explained that in the case of patients who had delayed treatment for decades, hernia became very large, making the surgery complicated.
In children, if a hernia is diagnosed, surgery is recommended as soon as possible. For experienced pediatric surgeons, it is a relatively simple operation, performed through general anesthesia, and in most cases, it is possible to proceed with outpatient surgery. In particular, single-hole laparoscopic surgery through the navel does not leave scars, and it is a safe and effective treatment method because it can also check the presence or absence of the opposite hernia.
Even in adults, the inguinal hernia surgery is performed by general anesthesia, and hospitalization is usually required for one to two days. In adult surgery, artificial membranes are often used, and it is important to select the most appropriate treatment method according to the patient's condition. If the risk of anesthesia is low, laparoscopic surgery is performed as a basis, and most of them are single-hole laparoscopic surgery.
The inguinal hernia is a relatively common disease in both children and adults, and surgical treatment is essential because it is not resolved naturally. In order to prevent dangerous situations such as incarceration or salivary hernia, it is important to visit the hospital and have surgery as soon as possible if hernia symptoms appear, and monopunctured laparoscopic surgery can be treated on the basis for both children and adults.
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This article was translated by Naver AI translator.
