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OTHER NAMES
DEFINITION
It is the surgical repair of the muscular wall of the abdomen, when, for weakness of the same one, an exit or displacement of organs has taken place out of the abdominal cavity (rupture).
During the intervention there put themselves, also, in his place the wrongly placed internal organs (normally intestinal handles).
DESCRIPTION
The rupture can develop in the abdominal wall around a previous incision (rupture incisional), in the groin (inguinal rupture or rupture femoral), in the middle of the abdomen (epigastrio), or in the muscle (diaphragm) between the abdomen and thorax, around the esophagus (hiatus hernia). The ruptures in the children rarely are caused by a more common damage or break of textiles and are like a result, in the development, of an incomplete closing in the groin (rupture inguinal) or about the bellybutton (umbilical rupture).
The rupture inguinal is a frequent illness in the males (2 %) in which intestinal handles move towards the scrotum (indirect rupture) or towards the groin (direct rupture).
The (intestinal) textile can remain caught in the rupture (rupture incarcerada) and if the blood flow stops (strangulated rupture) or the intestine blocks (obstruction), there takes place a surgical urgency, which is necessary urgent intervention.
This intervention is realized under general anesthesia, spinal anesthesia or under sedation and spinal anesthesia or under sedation and local anesthesia. An incision is realized on the rupture.
The big textile, or the wrongly placed organ re-gets in the abdomen. Then the muscular textile is repaired and, finally, it turns to close the skin.
INDICATIONS
- If there exists risk of incarceración and strangulation for the volume of the wrongly placed intestinal handle.
- If the rupture is painful.
EXPECTATIONS AFTER THE SURGERY
The surgery can repair most of the ruptures with minimal risks for the patient. There is obtained an entire improvement of the pain and distension.
It is avoided of additional complications of incarceración or strangulation if the surgery is realized on time, as soon as the diagnosis of the rupture was realized.
CONVALESCENCE
It is recommended to move the day of the intervention. The small children do not need any change in his normal life after a routine rupture intervention. The children more the biggest must avoid the sports in less 3 weeks. The rupture intervention does not perform risk, but a blow in the area might re-open the surgical wound.
It is possible to wait for a finished recovery of the surgery between 2 and 4 o'clock weeks.
It is necessary to avoid to lift weights for several weeks after the surgery. Also to avoid the bath at least up to 5 days after the operation, because, on having wetted the wound, the stitches can come undone before the due thing and can produce a break of the skin to. The hygiene must be done by sponge in small children and by shower in the adults, being careful not to wet the wound and the sutures, or drying them quickly.
RISKS
The risks of any intervention under anesthesia:
- Reactions to the medication.
- Respiratory problems.
- Hemorrhages.
- Infections.
COST
The cost of any surgery changes significantly between surgeons, medical facilities, and regions of the country.
If the indication happens in small children the care must be more exhaustive.
The costs can be ordained for groups:
- Surgeon: 451,00 to 1.205,00 euros.
- Anesthetist: 120,00 to 300,00 euros.
- Hospital expenses, including taken care of infirmary and operating theater: 300,00 to 1.205,00 euros.
- Medicines: 30,00 to 180,00 euros.
- Other additional expenses, if complications exist (transfusions, etc...) or analysis or Rx are realized: 120,00 to 905,00 euros.
The changeability of every case is a fact being able to be considering to be a basic cost for 1.080,00 euros by intervention without complications.
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