Bilateral hernia. Bilateral hernia One-sided inguinal bandage

Article publication date: 04/21/2015

Article last updated: 10/23/2018

A bandage is a special device that supports organs that fall out with a hernia, or fixes the abdominal wall.

Bandage for inguinal hernia effectively prevents its complications: exercising gentle pressure, it keeps the inguinal hernia inside - as if it replenishes the function of weakened muscles and prevents the organs from falling out. Support belt for reducible formations big size also allows you to hide the hernial protrusion, which is important for patients, especially for young people and those leading an active lifestyle.

It is necessary to wear a bandage belt in postoperative period(to prevent recurrence of a hernia) and for prophylaxis in patients for whom surgical treatment is temporarily delayed or contraindicated.

However, remember that wearing a bandage can not cure an inguinal hernia. There are also contraindications to wearing support belts.

Pharmacies and specialized orthopedic stores offer a wide range of bandage products, so choosing the right one can be difficult. Models differ from each other not only in price, but also in comfort (when wearing, when taking off and putting on), in the force of pressure on the hernia, in the location of the pilot (one- and two-sided) and in some other characteristics that must be taken into account when buying. . How to choose a product - we will tell further.

Pelot - a special dense insert.

Doctors do not recommend making a support belt with your own hands - it is too complicated and ineffective, and improperly made products with excessive pressure can lead to complications.

How to choose the right product

Typically, inguinal bandage belts are made of elastic material and are equipped with fasteners that allow you to change the volume, length of the product and the pressure force as needed. The product has one or two pelots (special dense plates trimmed on the outside with soft material).

Before buying a product, consult with your surgeon: even if the doctor does not tell you a specific model, he will advise you on how to choose and wear a groin bandage in your particular case.

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Pay attention to the material from which the base of the product is made.(swimming trunks or a wide belt). It is better if it is natural - natural fabrics allow the skin to breathe and do not cause irritation during prolonged wear.

Never make a purchase without first trying it on. The bandage for an inguinal hernia should fit snugly, but not squeeze the tissue. If the pads will not press the hernia (the belt is large or not fitted correctly), then no positive result from wearing will not. But if the belt is narrow and strongly compresses the protrusion, then the risk of infringement of the formation is high, the skin can be damaged.

According to patients, in operation the most convenient are products with Velcro fasteners, or models made in the form of swimming trunks. They are easy to put on and hardly noticeable under clothing. Less comfortable are belts with belts, buckles, rigid fasteners, buttons or hooks: they are more difficult to fit, and hard fasteners can be strongly pressed into the skin. In terms of the therapeutic effect, the model is not of fundamental importance: the main thing is that the belt fits well and does not press.

How to put on and wear a bandage

This belt is worn only while lying on the back - in this position, the muscles are relaxed, the hernia is spontaneously reduced. Having fixed the belt and pads, stand up and walk around a little, assessing if there is any feeling of discomfort, pain or pain. If any discomfort occurs, it is necessary to remove the bandage, because. inguinal hernia may be damaged if worn incorrectly. Then try putting the belt back on and adjusting it again.

It is necessary to wear the product during the day, and take it off at night. During the day, the inguinal bandage can be worn from 2-3 hours (for example, only during exercise) and up to 16 hours (all day). Models with removable pads may need to be reinstalled during the day, as the liners can move when moving.

After removing the belt, a light skin massage is done without affecting the hernia.

They wear a bandage for inguinal hernia constantly (daily) - before the operation. After surgical treatment the patient should also wear a belt: first, constantly in daytime(in the recovery period), then only with loads on the press or during prolonged standing. According to surgeons, if a patient regularly wears a bandage belt in the postoperative period, then the pathology rarely recurs.

Contraindications

The bandage must not be worn:

• in case of infringement
• during pregnancy
• at allergic reaction on the materials of the product,
• in the presence of damage to the skin at the location of the bandage,
• with neoplasms in the area of ​​\u200b\u200bfitting the belt.

Owner and responsible for the site and content: Afinogenov Alexey.

Convenient to usebandage for inguinal hernia model B-432 is universal - it is perfect for both men and women.

The main purpose of the product is to hold hernia protrusion, both inguinal and femoral. The model is designed entirely with anatomical features modern patients, which allows her not only to effectively, but also extremely carefully cope with the protrusion and hernia exit. In turn, additional soft compression of the pelvic and inguinal regions creates a beneficial effect of micromassage, which has a positive effect on blood circulation. At the same time, the design is very convenient in the process of use. It is made from practical, hypoallergenic and environmentally friendly materials (polyamide, polyester and latex) and has two removable applicators on a semi-rigid base. And removable straps, if necessary, make it possible to make the bandage structure one-sided. Hand washing with a mild detergent at a temperature not exceeding 40 °C is sufficient for the care of the product. It should be remembered that you can not squeeze and iron the product. Also, try to avoid direct sunlight and high temperatures on the bandage structure.

Buy inguinal bandage adult indicated for:

Prevention of infringement or increase in the size of inguinal or femoral hernial protrusions.

Prevention of hernia recurrences in the process of postoperative recovery (only as prescribed by a doctor!).

Prevention of hernia development during physical activity, as well as when straining, coughing, and so on.

Contraindications:

Unreduced hernias.

Incarcerated hernial protrusions and periods of exacerbation.

Individual intolerance to the materials from which the bandage is made. Irritation on the skin in the area where this design is supposed to be worn.

Other prohibitions from the treating specialist on the use of the product.

How to put on and wear bandage of this model:

The product is put on from a prone position when the hernia is previously reduced.

Depending on the location of the hernial protrusion and its type, the method of installing the applicators in the pockets of the product is selected (on one or both sides of the bandage).

Fix a wide belt on the hips.

Having passed the straps of the bandage product between the legs, fix them on the back of the belt.

The total daily time of using the bandage must be agreed with the treating specialist!

Qualitativebandage hernial inguinal buy in our online store you can not only at the most affordable price, but also on the most favorable terms. Experienced specialists of MegaMedShop are always happy to help you choose the appropriate size of the product, tell you about the features of wearing it in terms of a particular pathology, and also choose the most convenient payment and delivery options for your order.

Producer Russia (St. Petersburg)

Bilateral hernia, that is, the formation of a hernial tumor on both sides of the body, most often occurs in patients in the groin area, although it is possible to protrude in other parts of the body, for example, on the Spigelian (lunate) line of the abdomen. A bilateral hernia in the groin area is most often a prolapse of internal organs and subcutaneous tissue into the inguinal canals located on both sides of the body. Men are much more susceptible to the development of a bilateral hernia, since the structure of their inguinal canal is longer and thinner than in women. Moreover, the formation of such a hernia in boys usually occurs even in utero, and in adult men, the main reason for its appearance is most often regular weight lifting.

Bilateral inguinal hernia in men is a rare phenomenon, but recently the number of cases has increased dramatically. Outwardly, it looks like a tumor-like formation in the inguinal region. The tumors themselves can be symmetrical or asymmetrical, and also have different sizes, which depends on the size of the hernial ring:

• 1 st. - up to 1.5 cm;
• 2 tbsp. - 1.5–3 cm;
• 3 art. - more than 3 cm.

Symptoms

The process of direct formation of a hernial tumor proceeds almost imperceptibly for the patient, therefore, in the early stages, only a doctor is able to recognize its signs. Significant for the patient symptoms of hernia formation usually appear already in the later stages of the disease. As the disease progresses, pain of a pulling or aching nature may appear, and with a bilateral inguinal hernia in men, the pain is not localized at the site of the tumor, but is perceived by the patient as a general pain in the lower abdomen. All of the above can be joined by such symptoms of a hernia as disturbances in the functioning of the intestines, genitourinary and reproductive systems.

In cases where a bilateral inguinal hernia in men is asymmetrical on both sides, they speak of a mixed form of pathology. Outwardly, this is usually manifested by the descent of one of the tumors into the scrotum, while the second is located in the groin area.

To the touch, the hernial sac has a dense and elastic structure, and during tension (for example, coughing), the patient feels tremors, which is a sign of a hernia being reducible. Also, tumors change their size depending on physical activity or the position of the patient.

Treatment

Usually bilateral inguinal hernia in men is eliminated with the help of surgical intervention carried out simultaneously from both sides. by the most the best way considered laparoscopic hernioplasty, which involves sewing in a special mesh. Non-surgical treatment is prescribed only in cases where there are serious contraindications to the operation. The essence of this treatment is to fix the muscles of the abdominal wall. Most often, doctors prescribe:

• physiotherapy, for example, swimming in the pool;
• wearing a special bandage.

The operation for bilateral hernia consists in setting the hernial sac, suturing, and then strengthening the hernial ring. The walls of the inguinal canal are strengthened with the help of their own tissues (tension hernioplasty) or endoprostheses, which are a mesh sewn into the tissue (non-stretch hernioplasty). The advantage remains with the use of implants, since in this case the tissues of the body do not overstretch, and this significantly reduces the likelihood of complications.

Bilateral hernia is a hernia on both sides of the body. More often in patients, such protrusions are located in the inguinal region, much less often there are other localizations, for example, bilateral hernias of the Spigelian line. Eliminate such formations surgically immediately on both sides. The preferred method is laparoscopic hernioplasty using a mesh implant.

Bilateral inguinal hernia

Bilateral inguinal hernia is a pathology in which internal organs, parts of the peritoneum or subcutaneous fat. Peculiarity anatomical structure The inguinal canal in men is that it is longer and thinner than in women. Therefore, men are mostly prone to this pathology.

Bilateral hernia is less common than unilateral, but in recent years the incidence has increased markedly.

Its formation in children occurs already during intrauterine growth of the fetus, and in adulthood, increased physical activity becomes the main cause.

Symptoms of bilateral inguinal hernia

At the stage of formation, the symptoms are hardly noticeable, therefore, the detection of pathology in this period occurs mainly during patronage in a child and a medical examination in adults, or at later stages. Bilateral hernia is characterized by such an external sign as tumor-like formations in the groin area on the right and left. Bulges can be either symmetrical or not.

The size of hernias is also not always the same and depends, among other things, on the size of the hernia ring:

• 1 degree - up to 1.5 cm;
• 2 degree - 1.5-3.0 cm;
• Grade 3 - > 3 cm.

There is a bilateral hernia in the groin in men of a "mixed" type, when on the one hand the hernia is located in the inguinal region, and on the other hand it descends into the scrotum. Then the external signs are an increase in one testicle and a tumor-like formation in the inguinal fold on the opposite side.

The hernial sac during palpation of a dense, elastic structure, when the patient strains or coughs, his tremors are felt (a sign of hernia reducibility). Education (or one of them) can change their size depending on the position of the body or on the physical activity of the patient.

Later, the pain of a aching, pulling nature joins, sometimes it is undulating.

If there is a bilateral inguinal hernia, the patient, as a rule, does not show a clear projection of pain on the protrusion, but perceives it as diffuse, in the lower abdomen.

Depending on the hernial content, accompanying signs are added:

• violation of the functions of the intestine;
• disorders in the urinary system;
• reproductive dysfunction.

Treatment of a bilateral hernia

The percentage of cases of non-surgical repair of bilateral hernias is very low, surgery rightfully considered the most effective way. Conservative therapy appointed more likely in the presence of contraindications to surgery. Its essence is to strengthen the muscles of the anterior abdominal wall.

For this, appoint:

• physiotherapy, classes in the pool;
• medical gymnastics;

Sometimes these events are enough. The hernia is removed on one side, less often on both, it mainly occurs in children.
In girls and women, there is a bilateral hernia, the treatment involves surgery already in the early stages, as it is dangerous with such complications as strangulation and subsequent necrosis of the ovary. The complication develops asymptomatically and is extremely life-threatening.

If there is a bilateral inguinal hernia, the operation - hernia repair, consists in the reduction of the hernial contents, suturing and strengthening the place of the hernia orifice.

Strengthening the walls of the inguinal canal is carried out with the help of the body's own tissues (tension hernioplasty) or with the help of endoprostheses - synthetic meshes sutured to the tissues of the body (non-stretch hernioplasty).

The use of implants has an undeniable advantage - the tissues do not overstretch, which reduces the risk of complications after surgery by several times.

Laparoscopy is also widely used in hernia surgery. The intervention is performed using video tools introduced into the cavity through punctures in the anterior abdominal wall. The recovery period after laparoscopy is much shorter, since there are no postoperative sutures.

It is necessary to treat this pathology, since the consequences affect not only the functioning of organs and systems, but often lead to a life-threatening complication - infringement of a hernia. The price of the operation differs from the elimination of a unilateral hernia only by the cost of the second implant, the other components of the intervention (suture material, anesthesia, hospital stay) are the same.

Video: laparoscopic surgery for bilateral inguinal hernia

If a hernia occurs on both sides, experts speak of a 2-sided hernia. In most cases, it is localized in the groin, in other places - very rarely. Bilateral inguinal hernia is treated only with the help of surgery. It is best if it is laparoscopic hernioplasty, in which a special mesh is implanted that performs a strengthening function.

2 inguinal hernias: features of bilateral pathology

Men have a special structure - their inguinal canal is thinner and longer. It is for this reason that inguinal hernia occurs more often in the stronger sex, while women suffer from it much less frequently.

Bilateral pathology is less common, but recently an increasing number of people have been turning to surgeons with it.

In adults, a hernia occurs due to significant physical exertion, and in children it is formed even during their stay in the womb.

Sometimes a hernia is treated conservatively, but mostly it is repaired with surgery. The first option is used only when the operation cannot be done for any reason, it involves performing actions aimed at strengthening the abdominal muscles. So, the following can help alleviate the patient's condition:

• wearing a special bandage;
• trips to the pool, physiotherapy;
• physiotherapy.

There are two methods for strengthening muscles through surgery:

1. tension hernioplasty;
2. the use of special synthetic meshes that are implanted in tissues.

The second method is more reliable, it can significantly reduce the risk of recurrence of the disease.

At the moment, many surgeons (including the specialists of the First Surgery clinic), if the situation permits, prefer laparoscopy, which is less traumatic.