After any operation, regardless of the disease or the kind of complications, a process begins, which in medicine is called rehabilitation. In different situations - these are different periods and time frames. A lot depends on a person’s age, body type, way of life and other factors.

A more active person will adapt more easily after surgery, he will not suffer so much from pain and will return to his former life more quickly. The same applies to young people.

On the contrary, a mature personality or a person who has had little sports before the operation will have a longer postoperative period, and the recovery of strength and other vital factors will be more delayed.

This also applies to the recovery period after an operation to remove an inguinal hernia. In many ways, the rehabilitation of a person in such a period depends on the method of operation that was chosen by the surgeons. Different approaches to inguinal hernia surgery have their pros and cons during the postoperative period.

What can happen after surgery?

Any operation is the destruction of the integrity of connective tissues and penetration into the human body. The body may behave differently. On the one hand, very short-term rehabilitation can occur when a person quickly returns to normal. This is facilitated by various factors, more details about which the attending physician will tell.

But there are cases when after surgery there are all sorts of complications, pain and unforeseen circumstances. This may be caused by an infection that got into the body during the suture and wound healing period, and the patient’s failure to follow all the necessary recommendations in the postoperative period.

As with any other surgery, after an operation to remove an inguinal hernia, suppuration of the suture is possible. This causes pain and fever in the affected area.

Also, among the common complications is a relapse of the disease. The chance of recurrence is significantly reduced if the method of operation was chosen optimally for the person and the degree of development of his inguinal hernia.

If there is suppuration of the wound, the duration of rehabilitation after the manipulations is increased. Also increases the possibility of recurrence of inguinal hernia. The patient will need to visit the doctor carefully for dressings of the wound to avoid such problems.

Duration of the rehabilitation period

Recovery from surgery is directly proportional to the method of anesthesia chosen.

If a local anesthesia was made to the patient, then the period after surgical manipulations, when the body is restored, will be much smaller. After a few hours, the patient can leave the hospital. But without fail a person will need to attend dressings.

If the method of operation required general anesthesia, recovery of the body may take a day or two. As a rule, the patient is sent home and discharged from the hospital the very next day, if there was no complication, and the pain does not cause undue discomfort.

An outpatient period after surgery is considered to be 7-10 days. This is the period when a person will need to take care of his strength, bed rest should prevail, the patient will be prescribed proper nutrition. Also during this period it is necessary to visit a doctor for consultations. In this case, the doctor will be able to promptly change the treatment after the operation to remove the inguinal hernia, if necessary, and control the degree of postoperative pain.

Exercises during this period are prohibited, but they should not be delayed for a longer time. Exercise, that is, strengthening muscle mass, is part of the recovery period and helps to avoid the recurrence of the disease in the future.

How is the rehabilitation period

As already mentioned, depending on the chosen anesthesia, the method of rehabilitation will also differ. As a rule, after four hours the patient will be able to move independently.  In this case, the patient may feel aching and cutting pains in the abdominal area and near the suture. Such pains pass quickly enough - they can completely disappear in a few hours or days.

Inguinal hernia surgery is most often performed in the morning. In the evening the first dressing change takes place. At the same time from the wound may be observed discharge, which is considered normal.

Ligation is performed daily in the outpatient period after the removal of the inguinal hernia. If suture suppuration occurs, and the pain intensifies, dressings can take longer.

The same applies to physical activity. It should be completely avoided for about two to three weeks. It is permissible for a person to lift weights exclusively up to five kilograms.

Doctors may prescribe to wear a special bandage. But such a precautionary measure is not considered mandatory, since modern surgery methods help to securely fix the place of formation of the inguinal hernia with special mesh implants. Such a bandage will be useful in case of resumption of physical activity or in the first period, when the pain has not disappeared.

The patient will be assigned a special diet. It is designed in such a way that constipation or diarrhea does not occur, so that the intestines function properly and do not cause discomfort in the intestines.

Diet in the postoperative period

Proper balanced nutrition can reduce the possibility of developing a complication of an inguinal hernia after surgery.

Food should be eaten in small portions, but regularly. It is better if the regime will have 4-5 meals per day. A very important element after surgery is protein. Therefore, as prescribed by the physician, food must necessarily include chicken fillet, fish, buckwheat, milk and low-fat cottage cheese.

Physical activity

A couple of weeks of the postoperative period, physical activity should be excluded, and up to a month it is allowed to lift things, not heavier than 5 kilograms. This should be abruptly stopped if abdominal pains have resumed.

Inguinal hernia  - this is organ prolapse abdominal cavity  for its borders due to an increase in the size of the inguinal canal, due to heavy physical exertion or pathology.

Characterized by pain, occurs most often abruptly, after the next hard work. Sick mostly workers, builders, porters.

It may also occur due to malfunction of the intestines, diseases genitourinary systemobesity.

Hernia is dangerous because it can cause intestinal peritonitis, delay, infertility. Treatment of inguinal hernia is possible only surgically.

Rehabilitation after removal of inguinal hernia

The operation to remove the hernia is not difficult, patients undergo a period of treatment and rehabilitation rather easily.

The first few days (usually 2-3) the place of operation is felt, in this place it can hurt a little, but not much. After two weeks, the patient may return to his usual life, but remember that after the operation it is important not to overload yourself, that is, any athletic activity and hard physical work is strictly prohibited for at least a month after discharge from the hospital.

After the load gradually increase.

Relapses are rare, it is important to simply follow the recommendations of the doctor, because it all depends on the case.

What determines the duration of the rehabilitation period?

• The duration of rehabilitation depends on how soon the patient went to the doctor. Complications of an inguinal hernia are extremely unpleasant. For example, a patient with the last stage of the disease and with urinary obstruction will be treated much longer than the one who started treatment in a timely manner. The hernia itself is treated quickly, but the complications caused by it are half a year or more.
• Lifestyle and physical health of the patient. Healthy and physically active men (meaning sports) rarely go to the hospital with a hernia. At risk, fat men working hard physical labor. The role is played by unhealthy diet and bad habits.
• Congenital pathology. Sometimes inguinal hernia can also be diagnosed in babies.

The goals of the rehabilitation period at a later date

In the later stages of rehabilitation, it is important to complete the treatment in order to avoid relapses. A key role is played by nutrition, the diet is about the same as for ordinary bowel diseases. Often the patient is recommended to wear a special bandage, the timing of wearing depends on the severity of the disease.

This contributes to:

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• Helps accelerate tissue healing
• Smooth patient return to normal physical activity
• Strengthening the body, improving tone and immunity

Causes of pain

Pain syndrome occurs after surgery, when the patient regains consciousness. The feeling after surgery depends primarily on anesthesia. Depending on the complexity of the operation, the patient may feel nagging pain or severe.

Severe pain indicates swelling of the tissues. This is possible after surgery, especially if the case was severe.

In this case, rehabilitation takes several days under the supervision of a doctor. It's a dull pain  may bother a few days. But, if the pain does not subside, you should inform your doctor.

Recovery period

• The operation is carried out in the morning and the first dressing is done in the evening. Small discharge  from the wound - the norm.
• Dressings are done daily throughout the entire outpatient period, otherwise infection may develop.
• Removal of sutures is made on the 7-8th day after the operation. If used silk thread. In the case of using self-absorbable sutures, the procedure for suture removal is not performed.
• Drug treatment is determined by the doctor depending on the patient's condition. In the case of infection of the wound using antibiotics. They may also prescribe immunomodulators and drugs that increase the rate of wound healing.
• In case of strong pain syndrome  painkillers are prescribed.
• Discharge after surgery may 1-3 days. In case of complications, the patient is in the hospital for longer.

Do you need a bandage?

Purpose of the bandage

Wearing a bandage after such an operation is necessary because the tissues must properly grow together. The bandage functions are similar to gypsum at fracture, the principle of operation is similar.

The duration of wearing is determined by the doctor. Sometimes the wearing period is only a week, but in case of serious problems, the patient can wear a bandage for several months. At first, it is necessary to wear a bandage all the time, then only during the day, and only a few hours later.

During the exercises, the first month is better to wear. It is necessary to restore muscle tone gradually, otherwise relapse is possible.

Cons of bandage

There are no minuses, however, if worn incorrectly, there may be unpleasant consequences. If everything is done on the recommendation of a doctor, wearing a bandage will not cause discomfort and negative consequences.

However, some adherents of alternative medicine believe that an inguinal hernia can be “pulled back” with a bandage.

Diet after excision of inguinal hernia

Proper nutrition for a quick recovery process is prescribed by a doctor. Diet, as a rule, for patients with hernia is the same.

The main task of the diet is to reduce the possibility of constipation or diarrhea, that is, to reduce absolutely any stress on the intestine.

Proper nutrition significantly improves the health of the patient.

• Food should be mostly liquid. Fat free soups without meat and potatoes, dairy liquid products, fresh juices, liquid cereals, etc.
• Eat in small portions every 3-4 hours.
• Drink plenty of water 2-3 liters per day, depending on weight.
• Particular attention is paid to proteins, their presence is necessary in the diet. Proteins promote faster healing muscle tissue. A week after the operation, it is already possible to include meat in the diet, preferably eggs, chicken and fish.
• Food should be chewed thoroughly, swallowing large pieces is not recommended, there is a risk of constipation.

Possible complications

In case of any operations, complications are possible, especially if you do not follow the recommendations of the doctor.

In the case of an inguinal hernia, complications can be as follows:

• The most frequent complication is dropsy. Can inflate one testicle or both at once. In this case, another operation is performed.
• Damage to the ilio-celiac nerve during repeated operations, or it was already damaged initially. It is dangerous that muscle atrophy occurs, pain spasms occur.
• Damage to the spermatic cord. Occurs if the surgery is performed by a surgeon without experience. It threatens with sterility and testicular atrophy.
• Damage to the hip joints. Occurs from improper stitching.
• Damage to the intestines. In this case, the infection may develop in the intestines and severe paindespite the removal of the hernia.
• Deep knee vein thrombosis. Most often occurs in older people, who plus everything else is obese.

Exercises after surgery

In the case of an inguinal hernia, you need to be as careful as possible. After the first week you can start exercising with a trainer. It is important to remember that before starting a course you should consult with your doctor.

• We lie on the floor, hands are along the body. Feet at 45 degrees. Then imitate cycling. Then we cross our legs like scissors. Three trips 10-15 times.
• We lay down on the right side, we pull out right handraise left leg  up. Then we turn over and do the same thing right. 5 times on each leg three sets.
• We carry out an emphasis lying, we do 5-10 times. The first 2 weeks are no longer recommended.
• Next, do incomplete squats. Knees for a sock do not go, pop parallel to the floor.

This is just an example of a few basic exercises that you can do at home, but after the operation it is better to work with a trainer.

Sex in the postoperative period

Possible complications:

• The reappearance of pain syndrome
• Seam damage
• The possibility of hematoma
• Bleeding
• Puffiness
• Infection in the wound

The inguinal hernia in the modern world is easily removed, the operation is quite simple. Medicine does not stand still, and to do such operations is becoming easier.

If you have an inguinal hernia, do not hesitate to visit! Remember that the earlier you ask for help, the easier it will be for you to recover and doctors treat you!

Inguinal hernia  called protrusion of the peritoneum in the inguinal canal. Due to the anatomical features of the body, the disease often affects men. Representatives of the stronger sex prefer to ignore the changes until changes in the body begin to cause serious discomfort.

The main frightening factor that prevents timely access to a doctor is the need for surgical intervention. Specialists have proven that conservative treatment and use of funds traditional medicine  they can only aggravate the course of the disease and cause serious harm to the whole body.

If a man has an inguinal hernia

At the first stage, he notices only a slight swelling. Gradually, it increases, reaching a size capable of interfering with movements.

Over time, the problem does not disappear on its own, but more and more serious symptoms appear:

• When straining (for example, during an act of defecation or coughing) swelling fluctuates,
• In the inguinal zone, there is a burning sensation or discomfort,
• When physical activity in the lower abdomen appears pulling blunt pain. In advanced cases, the pain manifests itself even at the slightest exertion,
• Infringement of organs causes frequent urination and malfunction of the digestive system.

Complications of inguinal hernia

Pinching the organ can cause its death or the development of peritonitis. Both conditions threaten the patient's life, so an urgent surgical intervention is performed.

Pinching a hernia is dangerous and other pathological changes in the body:

• Difficult urination can result in complete urinary retention.
• Disorders of the intestine lead to bloating, permanent constipation.
• Weak potency
• Impaired spermatogenesis in the ovaries can result in sterility.
• Inflammation of the inguinal hernia or testicle.

How to treat inguinal hernia in men?

An inguinal hernia is removed predominantly by surgery. However, this is not the only way out.

So, an inguinal hernia can be treated in the following ways:

1. Statistics show that conservative treatment in most cases turns into relapses. or not able to completely relieve the patient from the problem. It is resorted to at the earliest stages of the disease or if there are contraindications to the operation.
2. Surgical intervention.  An inguinal hernia can be removed in one of several ways, which makes it possible to completely eliminate recurrence of the disease and early rehabilitation with minimal risk of complications.
3. Ethnoscience.  Only funds are allowed. local application  to alleviate the condition, but only with the permission of the attending physician. Self-treatment can only aggravate the situation and provoke a condition that requires immediate surgical intervention to save the life of a man. The specialist may recommend a course of natural products only if a hernia is detected at the earliest stages.

Preparing for an inguinal hernia surgery

In order to successfully complete the operation and reduce the risk of complications in the postoperative period, the surgeon needs to obtain the most complete and reliable information about the condition of his patient to a minimum.

The patient must be given to a medical institution:

• The results of blood tests and urine, the direction to which he receives from his supervising doctor.
• Electrocardiogram.
• A completed questionnaire, where all the transferred diseases are indicated, features of reaction to various medications, the presence / absence of chronic pathologies.
• To pass the test for tolerability of the drug used as anesthesia.
• Smokers should a week before the operation to minimize the amount of nicotine consumed.
• 8 hours before the intervention, stop smoking, eating and drinking completely.

The purpose of the intervention is to force the organs to their natural location and to remove the hernial sac.

For the operation, local or general anesthesia is used. An appeal to general anesthesia is optional. This is a necessary measure when working with adolescents and overly nervous patients. If a patient falls into a state of hysteria on a surgical table, it is impossible to guarantee his safety using local anesthesia.

The duration of the procedure depends on several factors at once:

1. The surgeon's experience.
2. The shape, size and location of the hernia.
3. The general health of the patient.

Important! Freedom from bilateral hernia occurs in two stages. In one operation, you can remove the problem from one side only. Between planned operations must pass at least six months.

Hernia Removal Methods

The choice of removal method is left to the discretion of the medical specialist. He selects the most affordable and safe way to get rid of the problem.

Among the ways to remove a hernia, the following options are possible:

• Open.  During the operation, an incision is made allowing the doctor to detect the hernial sac. It is opened and checked the state of the prolapsed organs. In the absence of defects, they are simply reset, in other cases additional manipulations by the surgeon are required. Then the hernial sac is ligated, stitched and removed. In the next step, a muscle support tool is stitched in to help prevent the re-formation of the hernia sac.
• Laparoscopic.  Manipulations are carried out the same as with the open method, but to make them the surgeon makes three punctures in the peritoneum. All information about the state of the organs and the actions taken are displayed on a video screen.

Disadvantages and advantages of a method

Both methods are considered to be the most effective, but appeal to them does not always depend on the capabilities of the medical institution. The surgeon takes into account the individual characteristics of the patient, the nature of the hernia itself and the nuances of each of the techniques. Removal of an inguinal hernia follows the same scenario, but in different situations one of the methods turns out to be the most advantageous.

Pluses of methods:

1. Laparoscopic method  conducting surgery allows you to minimize the risk of infection. The rehabilitation period and the duration of the operation itself do not take much time. Within two weeks, the patient can return to normal life, and on the body there will not even be a trace, reminiscent of the experienced intervention.
2. Open way  allows you to carry out all manipulations under local anesthesia. To carry out such operations, it is not necessary to go to an expensive paid clinic; they can also be performed by a surgeon in a regular district hospital. The probability of recurrence is almost zero (subject to compliance with all recommendations of the attending physician during the rehabilitation period). Any way to remove hernia in this way.

With all its strengths, each of the methods has significant drawbacks:

1. Laparoscopy is strictly contraindicated for the elderly. If a man has previously had to undergo surgery on the lower part of the peritoneum, then the removal of the hernial sac is thus prohibited to him. All manipulations are allowed to be carried out only by an experienced, constantly practicing surgeon. And even a high-class specialist will not undertake the removal of a large inguinal hernia using the possibilities of laparoscopy. The operation is performed with the obligatory use of general anesthesia. When installing a supporting mesh, it is not always possible to secure it securely, which can further lead to a relapse of the pathology.
2. With an open method of removal, the risk of complications is quite high., and the rehabilitation period is extended to three weeks. A man can return to normal life no earlier than in 3 months.

Cost of an inguinal hernia removal operation

The cost of surgery is determined by the limits in 15000-50000 rubles .

It consists of several factors:

Effects of the operation

In most cases, after the intervention, the incision is gradually tightened, the sutures are removed, and the man slowly increases physical activity. A reminder of the pathology remains a scar.

However, in some cases, complications are possible:

• When deleting sliding hernia  an inexperienced surgeon runs the risk of intestinal disorders or damage to the spermatic cord.
• The imposition of rough seams can cause damage to the hip joint.
• The most common complication is dropsy of the testicle. Pathology visually looks like an increase in the scrotum. The patient needs a second operation.
• Infection during the intervention.
• The appearance of a hematoma that could not be prevented by the imposition of ice immediately after the operation.
• Passive lifestyle of the patient in the rehabilitation period.
• Neglecting the doctor’s prohibition on weight lifting can lead to seam divergence and other complications.

Rehabilitation after surgery

During the rehabilitation period, attention is paid to several important points:

Diet for inguinal hernia

Before surgery, a man should exclude products leading to constipation, spicy food. The ban should be and dishes that can provoke gas formation. When inguinal hernia, sweets, yogurts, dairy products, many fruits and raw vegetables, and alcohol are dangerous.

If, before the operation, the man can afford some “relaxation of the regime”, then after the intervention he must strictly adhere to the doctor’s recommendations.

The removal of an inguinal hernia remains the only correct treatment option today with minimal risk of recurrence and complications. For men, this disease is a particular danger, since it can result in infertility, because when the first symptoms appear, you need to contact a surgeon to undergo diagnosis and to schedule a planned operation. without surgery entails a number of negative consequences, including constant discomfort, pain, impaired potency and diseases of the gastrointestinal tract. To make the right choice of treatment options, it is necessary to become familiar with each method of hernia removal, review reviews, examine the positive aspects and possible negative points.

1. In the abdominal cavity, the surgeon makes three punctures with the trocar;
2. The first trocar is inserted near the navel to lower the laparoscope;
3. The remaining tubes are required for the insertion of surgical instruments;
4. Instruments for fixing the grid and clamp are introduced by trocars;
5. The clamp is fixed implant, which is fixed by sutures.

The indications for laparoscopy in men are obesity, sports, tolerance of anesthesia. According to reviews, this minimally invasive technique does not require long-term rehabilitation, wounds heal quickly, leaving no traces, and complications are extremely rare.

Lichtenstein surgery is performed with the need to strengthen the mesh implant, which is fixed behind the spermatic cord. This method is recognized as a classic, and it has several advantages: the risk of recurrence is reduced to zero, rapid rehabilitation, weak pain syndrome after surgery, a low percentage of postoperative complications from vital organs.

Endoscopic hernioplasty is performed under video control. can be performed extraperitoneal or preperitoneal way. Advantages: two-way control of the operating area, small cuts, quick recovery with the ability to return to physical exertion.

Obstructive hernioplasty involves obturation of the hernia gate with a mesh without hemming the inguinal canal. Benefits are similar to the endoscopic method, in addition, pain after surgery is almost absent.

Postoperative period

The rehabilitation period lasts from several weeks to six months. All this time, the man should follow the rules recommended by the doctor, which are necessary for the prevention of complications, improvement of health and rapid recovery.

1. Daily suture treatment with antiseptic solution;
2. Balanced diet; diet;
3. Taking painkillers;
4. Wearing an inguinal bandage during physical work;
5. Normalization of the psychological state, taking sedatives.

Hernia is a protrusion of any organs under the skin. Occurs due to hereditary factors, injury, during pregnancy and childbirth, as well as during straining while going to the toilet or after lifting heavy objects. As a rule, a person with a hernia is tormented by pain, and protrusion brings a lot of trouble on the aesthetic side. The only way to fight a disease is to remove it by surgery.

  Need to know

What to do if uterine adenomyosis is diagnosed?
  Use of oral contraceptives. Contraceptives inhibit estrogens, while their level of adenomyosis is reduced, they decrease or disappear completely. This is a very effective method in the initial stages of the disease, which quickly returns the possibility of getting pregnant.

An inguinal hernia can be reversible and irreducible. In the first case, the protrusion can be shifted by hand inside, that is, to correct the defect. And in the second case, it is impossible to right out the protrusion by yourself, the tissue is trapped. In order for the inguinal pinched hernia to cause no more harm, an urgent operation is necessary. The surgeon will make an incision, put the contents of the hernia in its place or completely remove the inguinal sac, strengthen weak tissues and sew up the wound.

After the operation, the patient needs rehabilitation, the duration of which can be up to one year, depending on the individuality of the person. The patient spends the very first week in the hospital under the supervision of doctors. After the operation, it is allowed to walk independently after 2 hours, but only very little. Bed rest and medication are the main treatment for the first time. A week later or a little more, stitches are removed from the patient, and discharge is made to go home.   But this provided that the operation went without complications, and the rehabilitation after the operation of the inguinal hernia also lasted without problems. In most cases, patients return home on their own, with their feet.

At first, the person will feel pain, it is quite normal to reduce it - painkillers are prescribed. A bandage is applied to the wound, dressings are done every day. At discharge home, the doctor gives some recommendations, in particular this:

• not to lift weights - more than 5 kg in the first days, then physical exercises should be done, but gradually. Prescribe physical therapy can doctor;
• wear a bandage, the length of stay in the bandage is determined by the doctor depending on individual factors;
• after taking a bath, you should powder the skin with baby powder to avoid irritation;
• drink more fluids and avoid constipation;
• always keep the dressing clean to avoid contamination of the wound;
• to keep food under control, it is better to eat in 4-5 receptions, but little by little. Especially to use foods with a high content of protein, thanks to which the regeneration of damaged tissues will occur faster - chicken, mushrooms, fish, milk and dairy products.

Hospital leave may last up to one and a half months, while the patient must comply with all the recommendations of the doctor. If the patient has the ill-fated habit of smoking, then you need to get rid of it. This is because smokers have a characteristic cough, and after surgery to remove a hernia, a cough can cause an increase in internal pressure, which leads to seam rupture.

One month after the operation, you can establish your stable life, that is, go in for sports, go to work, go for a rest. The walls of the abdominal cavity finally get stronger and will take a normal state in six months.

Following these recommendations, the postoperative period will pass without complications, you can not worry that the inguinal hernia will reappear. If the patient requires a second operation, then it should be carried out only after the six month period.

Rehabilitation after removal of inguinal hernia

Since an inguinal hernia most often appears due to muscle weakness, during the postoperative period an important point  preventive measures aimed at strengthening the muscular wall of the abdomen and groin.

What determines the duration of the rehabilitation period?

The duration of the recovery period of the male or female body is directly proportional to the applied hernia repair and the type of anesthesia.

The duration of the outpatient period after surgery is from 8 to 10 days. At this time, patients are advised to comply mainly with bed rest, save strength, avoid physical activity. They are prescribed a special diet.

A prerequisite is a regular visit to the doctor. Medical observation allows you to quickly respond to changes, if necessary, take measures to control the intensity of pain and change tactics aimed at rapid recovery after surgery for an inguinal hernia.

During the outpatient period, exercise (including the implementation of light exercises) is prohibited. The duration of abstinence from physical activity is determined by the attending physician. But in the future they are extremely necessary, since it is with the help of a special complex that muscle fibers can be significantly strengthened, their tone raised, thereby avoiding the recurrence of a hernia.

The objectives of the rehabilitation period at a later date

After a certain time after the operation, the main goal is to eliminate provoking factors that are potentially capable of provoking a relapse of the disease. The following events are held:

• strengthening the muscular system in the abdominal region;
• uniform distribution physical exertion;
• measures for the prevention and treatment of predisposing pathologies that are accompanied by chronic constipation or prolonged cough;
• getting rid of excess weight, the presence of which significantly increases the load on the abdominal wall, leading to its weakening;
• getting rid of bad habits - in particular, this refers to smoking, contributing to the rapid deterioration of muscle tissue, premature manifestation of signs of aging muscles and provoking coughing attacks (all of these factors can cause a hernia to relapse)

Causes of pain

It has already been said about the dependence of the method of rehabilitation after excision of the inguinal hernia from the selected anesthesia.

Basically, after only four hours, patients can move independently. At the same time, pain of a whining or cutting character may occur with localization in the area of ​​the incision made.

The origin of the pain syndrome is different.

1. Its appearance can be evidence of the process of healing of wounds, repair and accretion of tissues, because during the surgical incision of soft tissues small portions of nerve fibers are damaged, which leads to an increase in the sensitivity of the operated area.
2. Another cause of pain after inguinal hernia surgery is tissue swelling.
3. Probability of occurrence pain sensations largely due to the thoroughness of the surgical intervention. Inadequate medical qualifications cause improper manipulation of tissues, leading to their unnecessary injury.
4. Pain is not in all cases evidence of scar healing problems. It may be of muscular or neurological origin.
5. Significant loads in the postoperative period sometimes provoke a relapse of the disease, in which there are sharp painful sensations. In this case, it becomes necessary to repeat the operation.
6. Pain syndrome may indicate an external or internal divergence of operating sutures

Recovery period

In most cases, the operation is carried out in the morning.

The first dressing is carried out in the evening. Most of the wounds are observed discharge, which is the norm.

During the ambulatory period, ligation should be done daily. They may last longer in case of suture suppuration and increased pain.

In the case of using a silk suture material, the removal of sutures is shown from the fifth to the seventh day. Recently, more and more doctors prefer the use of catgut self-absorbable threads, due to which it is possible to achieve maximum invisibility of the scar.

Drug treatment in the postoperative period after removal of the inguinal hernia depends on the presence of some symptoms.

In case of severe pain syndrome, immediately after the intervention and in the early period, pain relievers are used.

When complications are appointed:

• antibiotic therapy;
• drugs to improve tissue trophism;
• vitamins and minerals that strengthen the walls of blood vessels;
• immunomodulators (drugs to strengthen the immune system).

With regard to physical activity, the first 10-20 days it is desirable to exclude. Then you can gradually return to normal mode, avoiding intense exercise and lifting weights weighing more than 5 kg.

Read more about the features of the disease in adults and children.

Do you need a bandage?

Medical bandages are designed to prevent the development of hernias, and, if available, to prevent an increase in protrusion, to prevent incarceration.

In the period after the operation, these products help to avoid stretching the muscles, reduce the load on the abdominals, thereby significantly reducing the likelihood of recurrence and complications.

The wearing of the inguinal band ensures an even distribution of the external load and intra-abdominal pressure on the operated area, reducing the compression on the scar area, which contributes to its rapid healing.

The length of use of the bandage is determined by the doctor depending on the initial size of the hernial protrusion, the contents of the bag, the duration of the operation and its complexity.

However, such preventive measure  not necessary: ​​the use of the latest surgical techniques ensures reliable fixation of the areas of inguinal hernia by using mesh implants.

Such bandages will be useful during the initial period after surgery, when pain still persists, and with the resumption of physical activity.

Diet after excision of inguinal hernia

Patients after an operation of an inguinal hernia are prescribed a special meal. The diet is prepared in such a way as to reduce the likelihood of intestinal disorders (diarrhea, constipation, increased gas formation) to a minimum, and to improve the functioning of the digestive system.

Proper nutrition prevents complications and reduces the risk of recurrence of an inguinal hernia.

• During the recovery period, emphasis should be placed on liquid food.
• Portions should be small.
• There should be no rush, thorough chewing food.
• The best is four meals a day.
• Particular attention should be paid to protein products: their presence in sufficient quantities is a necessary condition for the rapid recovery of muscle tissue. The diet should include: chicken breast, turkey meat, fish, cottage cheese (preferably low fat), eggs, milk. Milk is not indicated for individual intolerance: in this case, its use may cause problems with the work of the gastrointestinal tract and increased gas formation.
• It is necessary to exclude other products that lead to flatulence: yeast products, legumes, chocolate, sweets, pastries, dairy products, fruits, yogurt.
• It is better to refuse coffee.
• Spicy, spicy, sour foods (including vegetables and fruits with a sour taste) should be avoided.
• All soda and alcohol should be excluded from drinks.
• Attention must be paid to the compatibility of simultaneously consumed products. An unfortunate combination also causes intestinal disorders, gas accumulation and, as a result, an increase in pressure inside the abdominal cavity. This leads to a significant risk of recurrence of the disease.

Possible complications

Any surgical intervention to a certain extent leads to the destruction of the integrity connective tissue  and is an artificial penetration into the human body, to which the body can react in a rather unpredictable way.

This also applies to the removal of the inguinal hernia. It can be followed by a rather short rehabilitation, when recovery is taking place at a very fast pace. But another scenario is possible, in which a number of complications arise. Their causes can be very different: non-compliance with the rules of the postoperative period, infection penetration, etc.

The most frequent consequences after an operation for an inguinal hernia are:

1. Suppuration of the suture - occurs after many surgical interventions, leads to the appearance of pain and an increase in temperature in the area of ​​the affected area.

2. The recurrence of the disease is often the result of ignoring the patient's recommendations of the doctor. The risk of recurrence of hernia increases significantly:

• in violation of the diet;
• as a result of increased physical exertion;
• due to smoking (it provokes coughing spells that cause recurrence of protrusion);
• due to failure to wear a bandage;
• the reason for the recurrence of the hernia may be incorrectly performed operation or the wrong choice of the method of surgical intervention;
• re-development of pathology is possible in the case of weakness of the walls of the inguinal canal or insufficient strengthening of the posterior wall during surgery.

3. Formation of hematomas. Small sized formations are eliminated through the use of compression bands and cold compresses. For large hematomas, puncture is used to eliminate them.

4. Damage to blood vessels, nerves, elements of the spermatic cord. Such complications are a consequence of the mistakes of the surgeon. Adequate qualifications of the doctor reduces the likelihood of their appearance to a minimum.

• If nerves are damaged, there is a decrease or loss of sensitivity during the postoperative period. skin cover  in the scrotal area and on the inside of the thighs.
• When part of the spermatic cord is injured, sexual function suffers - up to the development of infertility.
• Damage to the vascular system of the spermatic cord can cause testicular atrophy.

5. Hydrocele (dropsy of the testicle) is one of the most common complications after hernioplasty.

With unilateral dropsy increases half the scrotum.

Often develops and bilateral dropsy, due to which there is a bilateral increase in the scrotum, sometimes reaching such an extent that leads to difficulty and restriction of the patient's physical activity. The occurrence of hydrocele requires mandatory surgical intervention: conservative therapy for this disease is not indicated.

6. Thrombosis of deep veins of the legs. Most often, this complication is manifested in elderly and debilitated patients. The disease is manifested by the presence of pain in the calf muscles. The appearance of the legs does not change, the temperature is kept within the normal range.

The main treatment for this type of thrombosis is pharmacotherapy. It includes:

• anticoagulants;
• thrombolytic drugs;
• fibrinolytics;
• disaggregants.

Correct selection of drugs for conservative treatment  mainly gives positive results, prevents further development of thrombosis and contributes to the restoration of patency of the affected vessels.

7. Violation of the bowel. To such a complication leads to improper handling of the hernial bag. Most often this happens when excision of hernias sliding type.

8. Damage to the hip joint - is the result of imposing on the incision in groin area  too rough seams.

9. Infectious complications are quite rare, but most dangerous consequences  removal of inguinal hernia. If necessary, patients are prescribed a course of broad-spectrum antibiotics.

Exercises

In the first weeks after the operation, rest is recommended for patients.

Then gradually it is necessary to proceed to the exercise. In the initial period, only light movements are permitted, aimed at strengthening the muscle fibers in the abdomen and groin area, contributing to the restoration of their tone. Do not forget to consult with your doctor about physical activity!

The following exercises are recommended:

1. Lie on the floor, arms stretch along the body. Raise straight legs at an angle of 45 degrees to the surface of the floor and cross them. This famous exercise is called “Scissors”. It is performed to increase. You can start with 3-4 repetitions for each leg, adding one each time.
2. Lying on your back, raise your legs and start imitating cycling. On the first day, it is enough to do 5 repetitions.
3. Get up on all fours, leaning on your knees and elbows. Slowly lift the right bent leg up. After a fivefold repetition, do the same movement with your left foot.
4. Lie on your left side, stretch your arm forward, straighten your legs. Raise your right leg up. Repeat 5 times. Turn to the right side and perform the same movement.
5. Taking the emphasis sitting, put your foot forward. Bend the knee, hands lean on him, start slow swaying. Change leg and repeat the whole cycle of movements.
6. To do incomplete squats (legs are set shoulder-width apart). Depth of squats is determined by well-being. In any case, should be moderated.
7. Emphasis lying. Complete pushup is performed. To facilitate the exercise should rest on your knees.

The described complex is suitable for daily execution. During training, you need to focus on your feelings. If discomfort or pain appears, stop charging immediately.

Load should be increased gradually. The number of repetitions increases or decreases depending on the course of rehabilitation. If there is a weakness in classes, it is better to temporarily give up.

Execution of any complex therapeutic exercises  allowed only after consulting your doctor.

Sex in the postoperative period

Early sex after an inguinal hernia operation can cause a number of undesirable effects:

• increased pain syndrome;
• increased swelling;
• hematoma development;
• bleeding;
• the appearance of a wound infection;
• teething seams;
• implant displacement.

In the normal course of the rehabilitation period, the absence of edema, pain, discomfort, intimate relationships can be resumed 14 days after the operation of the hernia, avoiding pressure on the operated area and excessive stress.

How long is the postoperative period?

Despite the fact that the operation is not difficult, time for rehabilitation of different men is spent in different ways. It directly depends on the type of anesthesia that was used for the intervention.

When anesthetizing with local anesthesia, recovery time is an order of magnitude less because the patient is conscious. If there are no unforeseen postoperative complications, the man leaves the hospital after 5-6 hours after surgery.

However, be sure to visit the treatment room daily. Doctors will do dressings and monitor the condition of the suture. This will allow to diagnose in time. possible complications.

If a general anesthesia was used during the operation, the body may need a day or two to finally move away from it. In this case, in the absence of complications, the man is discharged after a few days, usually no later than five.

The first weeks after the operation are prohibited any physical activity. However, as soon as the patient recovers, it is advisable to perform a gymnastic complex of strengthening exercises. This will prevent possible complications and recurrence of the disease.

Tip! Do not refuse to perform a complex of gymnastic exercises as soon as the attending physician considers it possible to perform it. This will speed recovery from surgery.

What complications can occur?

Any surgical intervention, especially abdominal surgery, is stressful for the body. If a man is strong, he will recover without any consequences in a short period, but sometimes unforeseen complications may arise, provoked by various factors. What can prevent rehabilitation?

• Bacteria entering the wound. This can happen if the situation in the operating room was not completely sterile. To prevent wound infection and suture suppuration, the patient is prescribed a course of antibiotics.
• The appearance of hematomas. If a cold compress or ice is not applied to the patient immediately after the operation, hematomas may form.
• Damage to the spermatic cord. Most often this happens due to insufficient qualifications of the doctor. Removing the hernial bag, the doctor may inadvertently damage the cord, so you should act with extreme caution. This is a rather terrible complication, since it can cause infertility.
• Dropsy of one or both testicles. It manifests itself by an increase in the scrotum. This complication is treated exclusively by surgery.
• Deep vein thrombosis of the legs. Most often formed in older men, they are concerned about persistent pain in the calf. Treatment of complications is carried out with the help of drugs, using the appointment of thrombolytic drugs and anticoagulants.
• Damage to the hip joint. May occur if the seams were applied too roughly.
• Relapse of the disease. First of all, it is provoked by the patient’s negligent attitude towards the doctor’s recommendations. Refusal of the diet, return to bad habits, excessive exercise and increased activity immediately after rehabilitation - all this can greatly delay the healing process. Therefore, it should be the most responsible attitude to the postoperative period in order to avoid the return of the disease. The opposite phenomenon - the patient begins to take care of himself too much and refuses from any physical exertion. It relaxes the body's muscle tone.

Why do pains occur after surgery?

There are situations when the patient carefully fulfills all the prescription of the doctor, but he is still very worried about pain in the groin area. Perhaps they are caused by swelling in the seam area or indicate the formation of adhesions. If the surgery was performed carelessly, the soft tissue fibers are severely injured and the patient will experience discomfort for a long time.

But if the pain is sharp, intolerable, it may indicate a recurrence of the hernia, or a divergence of the internal suture, so you should immediately consult a doctor.

Tip! If the background sharp pains  in the area of ​​the seam, rose heat, you need to immediately call an ambulance.

Do I need to wear a bandage?

Modern surgery uses mesh implants when fixing the place of hernia formation, so the doctor may not prescribe wearing postoperative bandage. But if the doctor considers that there are still objective reasons for wearing a bandage, you should not neglect this prescription. Bandage put on without getting out of bed. It must firmly fix the body, and, so that no irritation is formed under it, the skin can be powdered with baby powder.

Properly formulated diet is of great importance to shorten the rehabilitation period. Firstly. It should be aimed at normalizing the patient’s gastrointestinal tract, that is, to prevent constipation or diarrhea. Inguinal hernia in men puts pressure on the intestines, so after the operation it is not necessary to overload it.

What products need to be excluded:

• all leading to increased gas formation. These include apples, grapes, cabbage, beans, tomatoes, radishes, rye breadbaking yeast dough;
• products that provoke constipation and are heavy for the stomach: fatty meats and fish, millet porridges, rich soups, smoked meats and various preservation;
• beverages are excluded carbonated beverages, including regular mineral water, coffee, strong tea, kvass, beer, natural village milk. Under strict prohibition is alcohol.

What foods should be included in the diet during the rehabilitation period? Within a few days after the operation, the food consumed should be liquid and as dietary as possible: vegetable broths, broths on lean chicken meat, for example, from the breast, jelly, grated cottage cheese, steam meatballs from lean meat, white dried bread, dried fruits steamed in boiling water. Allowed to use on the day of one egg, boiled soft boiled or hard boiled.

Gymnastic set of exercises

You can start gymnastics no sooner than the doctor allows. Here are some effective exercises:

1. 1 "Bicycle". Lie on your back, put your hands behind your head, make movements with your feet as if pedaling a bicycle.
2. 2 "Scissors". Lying on your back, lift your legs, and do their crossing.
3. 3 Lie on its side, put the head on an outstretched arm. Swing your leg upwards in the amount of 10 times, then change the side and swing your other leg.
4. 4 From the prone position. Alternately pull the left knee to the right elbow, and the right knee to the left elbow twisting movements.
5. 5 Breathing with weighting. Lie on your back, put a load on your belly, try to push out the belly as much as possible while inhaling, draw it in while breathing out.

In secret

• You may suddenly feel pain.
• You are tired of wearing a special corset.
• You are “addicted” to painkillers.
• You may have tried a bunch of drugs, but nothing helps.
• And you are ready to take advantage of any opportunity that will help you get rid of.