How to treat inguinal oblique hernia? Two surgical methods are worth choosing

Generally speaking, the incidence of inguinal oblique hernia in men is very high, and when treating inguinal oblique hernia, it is also necessary to choose the appropriate method. So, how to treat inguinal oblique hernia?

1. High ligation:

During the operation, the neck of the indirect hernia sac is exposed at the internal ring, and a high ligation or percutaneous suture is performed at the base of the neck of the sac with thick silk thread, and the hernia sac is then removed. This operation does not repair the weak area of ​​the inguinal region, so it is only suitable for infants and young children, because their abdominal muscles gradually become stronger during development, which can strengthen the abdominal wall; but it cannot prevent its recurrence in adults. The high ligation of the hernia sac is also suitable for cases of indirect hernia strangulation with intestinal necrosis and local severe infection. Because hernia repair surgery could not be performed at that time.

2. Hernia repair surgery:

It is the most common surgery for treating inguinal oblique hernia. The repair is performed on the basis of high resection and ligation of the hernia sac neck. The repair should include two main links: internal ring repair and inguinal canal wall repair. Internal ring repair is only suitable for cases with enlarged and loose internal ring; it is to suture the transverse abdominal fascia at the internal ring with several stitches or make an "8" suture after the high ligation of the hernia sac neck, in order to strengthen the internal ring that is loose and enlarged due to the frequent passage of the hernia contents. This is an important step in hernia repair, which can reduce the recurrence of hernia after surgery; but it is not necessary for patients with unclear defects in the internal ring area. Strengthening or repairing the inguinal wall is the main step in most inguinal hernia surgeries. However, there is no single surgical procedure that is suitable for all situations, so there are many methods, usually two types of surgeries: strengthening the anterior wall and the posterior wall of the inguinal canal. (The various surgical procedures are named according to the creators who advocated how to repair them).

The Ferguson method is a method for strengthening the anterior inguinal wall. After the hernia sac neck is cut and high-ligated, the lower edge of the internal oblique muscle and the transverse abdominal aponeurosis arch (or syndesmotic tendon) are sutured to the inguinal ligament in front of the spermatic cord without freeing the spermatic cord. The purpose is to eliminate the gap and weak area between the two. This is a repair surgery to strengthen the anterior wall of the inguinal canal. This method is suitable for small oblique hernias in children and young people with no obvious defects in the transverse abdominal aponeurosis arch and the posterior wall of the inguinal canal is still tendon-jointed.