2023-05-27 06:02:04
Intestinal gas, also known as hernia, is often misunderstood as a disease of children. In fact, it is very common for adults to suffer from small intestinal gas. Intestinal gas actually means that organs or tissues of the body pass through some pores and move to an unusual position. If these tissues cannot pass through the pores and return to their normal positions, complications may occur and life may be at risk at any time.
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Intestinal gas can occur in different parts of the body, the most common of which is “Inguinal Hernia”. “Intestinal gas in the groin” is mainly caused by the increase in the pressure of the abdominal cavity, which causes defects or holes in the abdominal wall following long-term pressure.
Generally speaking, both adults and children may suffer from intestinal gas. Among them, children are mostly formed because there is a channel or a gap in the groin (thigh gap) that has not grown fully. As for adults, there are the following high-risk groups:
Because when they exert force, the tissues or organs in the stomach have the opportunity to pass through the pores of the abdominal wall, causing intestinal gas to appear.
The swelling in the thigh is more obvious when standing
In terms of symptoms, most patients with early intestinal gas will only have lumps protruding from the crevice of the thigh when the abdominal pressure rises, such as when coughing or exerting force. Patients generally do not feel much discomfort. However, as the defect of the abdominal wall becomes more and more serious, the organs in the stomach, such as the intestines, can pass through the pores more easily, and a larger lump will form in the crevice of the thigh when standing.
Patients with intestinal gas usually have obvious clinical symptoms. For example, when the patient stands up, there is a prominent lump in the hip, but it will retract when lying down; or when the patient coughs, there is a lump protruding in the hip. The more certain diagnosis is inguinal intestinal gas. If the patient’s clinical symptoms are not obvious, examinations such as ultrasound or computer scan can be performed to obtain a more accurate diagnosis.
Ignore the protruding mass and fear of “intestinal perforation”
If the intestines pass through the small pores for a long time and stay in the crevice of the thigh and cannot be moved back to the abdominal cavity, it may cause intestinal obstruction, or even “strangle the intestines”. Therefore, once a doctor discovers that a patient is suffering from inguinal gas, they will advise the patient to undergo surgical repair as soon as possible to avoid complications.
If the inguinal intestinal gas can be repaired in advance before complications occur, the operation is relatively simple. We only need to lay artificial fiber mesh on the defected abdominal wall for reinforcement. Reinforcement surgery can be divided into traditional open or minimally invasive methods, both have their own advantages.
Traditional open groin gas repair:
It is mainly used for large intestinal gas, but due to the large wound, the postoperative recovery time is longer.
Minimally invasive inguinal intestinal gas repair:
The wound is small, the postoperative recovery time is short, and the small intestine gas on the left and right sides can be repaired at the same time. It is a more commonly used repair method in recent years. However, the operation must be performed under general anesthesia. If the patient has other medical problems that cannot be performed under general anesthesia, minimally invasive methods cannot be used for repair.
In case of complications when the small intestinal gas is diagnosed and the small intestinal gas cannot be moved back into the stomach, the surgeon will perform emergency surgery for the patient. Usually, the traditional open surgery is performed to check whether the strangled tissue is healthy. Once necrosis occurs In some cases, the tissue in question should be removed. Therefore, if you find that there are lumps on both sides of the thigh when you cough or exert yourself, you must seek medical treatment as soon as possible.
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Written by: Hong Jiawei, a surgeon
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