Table of contents (expand)
33. Treatment of strangulated inguinal hernias
Availability strangulated inguinal hernia is an indication for urgent surgery.
In newborns and children of the first months of life, emergency surgery is absolutely indicated:
1) in cases where the anamnesis is unknown or more than 12 hours have passed since the infringement;
2) in the presence of inflammatory changes in the area of hernial protrusion;
3) in girls, since they usually have appendages with hernial contents, which are not only infringed, but rotated, which leads to their rapid necrosis.
Conservative treatment. All children who do not have absolute indications for surgery are given a set of conservative measures upon admission to the surgical hospital, creating conditions for spontaneous reduction of the hernial protrusion.
The patient is given a single age dose of pantopon, then a warm bath (37-38 ° C) is taken for 10-15 minutes or a heating pad is placed on the area of the hernia.
Gradually, the child calms down, falls asleep, and the hernia is spontaneously reduced.
Preoperative. Children who have absolute indications for surgery do not receive special preoperative preparation.
Surgical treatment consists in the elimination of infringement and radical plastic surgery of the inguinal canal. Surgical intervention is performed under general anesthesia.
Postoperative treatment. The child is prescribed antibiotics for 2-3 days. To prevent swelling, the scrotum is pulled anteriorly with a bandage and physiotherapy (sollux) is used. The child’s activity is not limited; he is allowed to turn over in bed and sit up independently on the 2-3rd day after surgery. The patient is prescribed a normal (age-appropriate) diet.
Children of the first months of life are applied to the mother's breast 5-6 hours after the operation. To prevent complications from the wound in infants, the sticker should be changed when contaminated. The sutures are removed on the 5-6th day after the operation, the next day the child is discharged.
In the postoperative period, an infiltrate is sometimes observed in the suture area. The appointment of UHF currents and the extension of the course of antibiotics stop the complication.
If you suspect the occurrence of suppuration, you should (except for antibacterial and restorative measures) dilute the gluing edges of the wound with a bellied probe and put a thin rubber graduate on the first day. This is usually enough to eliminate the complication. In some cases, the removal of sutures and dilution of the edges of the entire wound is required.
School-age children after being discharged home are exempted from classes for 7-10 days and from physical activity for 2 months. In the future, dispensary observation of the surgeon for the child is necessary.
Authors: Drozdov A.A., Drozdova M.V.
<< Back: Strangulated inguinal hernia. Clinic. Differential Diagnosis
>> Forward: Prepyloric obstruction of the stomach. Clinic
We recommend interesting articles Section Lecture notes, cheat sheets:
▪ Correctional psychology. Crib
▪ The main dates and events of domestic and foreign history. Crib
▪ Faculty Therapy. Crib
See other articles Section Lecture notes, cheat sheets.
Read and write useful comments on this article.
<< Back
Latest news of science and technology, new electronics:
The existence of an entropy rule for quantum entanglement has been proven
09.05.2024
Quantum mechanics continues to amaze us with its mysterious phenomena and unexpected discoveries. Recently, Bartosz Regula from the RIKEN Center for Quantum Computing and Ludovico Lamy from the University of Amsterdam presented a new discovery that concerns quantum entanglement and its relation to entropy. Quantum entanglement plays an important role in modern quantum information science and technology. However, the complexity of its structure makes understanding and managing it challenging. Regulus and Lamy's discovery shows that quantum entanglement follows an entropy rule similar to that for classical systems. This discovery opens new perspectives in the field of quantum information science and technology, deepening our understanding of quantum entanglement and its connection to thermodynamics. The results of the study indicate the possibility of reversibility of entanglement transformations, which could greatly simplify their use in various quantum technologies. Opening a new rule ... >>
Mini air conditioner Sony Reon Pocket 5
09.05.2024
Summer is a time for relaxation and travel, but often the heat can turn this time into an unbearable torment. Meet a new product from Sony - the Reon Pocket 5 mini-air conditioner, which promises to make summer more comfortable for its users. Sony has introduced a unique device - the Reon Pocket 5 mini-conditioner, which provides body cooling on hot days. With it, users can enjoy coolness anytime, anywhere by simply wearing it around their neck. This mini air conditioner is equipped with automatic adjustment of operating modes, as well as temperature and humidity sensors. Thanks to innovative technologies, Reon Pocket 5 adjusts its operation depending on the user's activity and environmental conditions. Users can easily adjust the temperature using a dedicated mobile app connected via Bluetooth. Additionally, specially designed T-shirts and shorts are available for convenience, to which a mini air conditioner can be attached. The device can oh ... >>
Energy from space for Starship
08.05.2024
Producing solar energy in space is becoming more feasible with the advent of new technologies and the development of space programs. The head of the startup Virtus Solis shared his vision of using SpaceX's Starship to create orbital power plants capable of powering the Earth. Startup Virtus Solis has unveiled an ambitious project to create orbital power plants using SpaceX's Starship. This idea could significantly change the field of solar energy production, making it more accessible and cheaper. The core of the startup's plan is to reduce the cost of launching satellites into space using Starship. This technological breakthrough is expected to make solar energy production in space more competitive with traditional energy sources. Virtual Solis plans to build large photovoltaic panels in orbit, using Starship to deliver the necessary equipment. However, one of the key challenges ... >>
| Random news from the Archive Optimism is not inherent from birth
30.08.2016
It is believed that people are naturally prone to optimism about themselves: we underestimate the likelihood that bad things can happen to us, and, on the contrary, overestimate the likelihood of good things. It seems that this is the case, especially since many psychological studies say the same.
In the experiment of Ulrike Hahn (Ulrike Hahn) from the University of London and her colleagues, 13 people participated, who were supposed to rank several dozen possible events in their lives on a probability scale. The events were happy, starting from finding money on the street and ending with a healthy child in the family, and unhappy (robbery, serious illness, etc.).
Happy events seemed more likely to everyone - it really seems to us that we will never be robbed on the street, that we will never get cancer, and that children will be smart, healthy and happy. We repeat, this can be explained by psychological quirks inherent in the imperfect human mind.
In the study, in addition to people, a computer participated - a special program that was supposed to impartially assess the likelihood of an event depending on the general objective statistics on it. (That is, the program was required to do the same thing as people: based on statistical figures, for example, on robberies, to assume how likely it is that you yourself will be among the robbed.) And it turned out that the program also suffers from innate optimism: its " opinion" about the probability of fortunate and unfortunate events strongly resembled the human one.
There is no scientific evidence to suggest that good things are more likely to happen than bad things. As a result, only one explanation remains - that the optimistic bias is due to errors in methods that operate on statistics and probability.
|
Other interesting news:
▪ Forests do not save from excess carbon dioxide
▪ SONY ELECTRONICS pays for past mistakes
▪ Fortinet Software Defined Network Security
▪ Film and the composition of the air of the auditorium
▪ Plastic transistor amplifies biochemical signal
News feed of science and technology, new electronics
Interesting materials of the Free Technical Library:
▪ section of the site Tools and mechanisms for agriculture. Article selection
▪ article Kepler Johannes. Biography of a scientist
▪ article What is required for glass production? Detailed answer
▪ article Master of industrial training. Job description
▪ article Red mordant for the horn. Simple recipes and tips
▪ article Voltage converter for LED. Encyclopedia of radio electronics and electrical engineering
Leave your comment on this article:
All languages of this page
Home page | Library | Articles | Website map | Site Reviews
www.diagram.com.ua
2000-2024
Arabic
Bengali
Chinese
English
French
German
Hebrew
Hindi
Italian
Japanese
Korean
Malay
Polish
Portuguese
Spanish
Turkish
Ukrainian
Vietnamese