约翰霍普金斯综合疝气中心在巴尔的摩和华盛顿提供世界一流的疝气修复手术, D.C. areas. 我们的多学科小组疝气专家使用各种手术技术,为我们的推荐十大正规网赌平台提供个性化的护理, including referral patients whose complicated conditions cannot be treated elsewhere.
Why Choose Johns Hopkins for Hernia Care?
Find out what sets our clinic apart.
Multidisciplinary Team
We combine our specialized knowledge with expertise from other disciplines, such as internists, wound specialists and plastic surgeons, to provide input and help us maintain safe, comprehensive care.
Individualized Care
Depending on the type and severity, 疝气可能是轻微的刺激,也可能是危及生命的情况,需要紧急手术. 我们知道每个病例都是个体化的我们提供一系列的手术选择,包括 minimally invasive and robotic procedures.
Commitment to Excellence
We carefully monitor our work to constantly improve the care we provide, 并确保我们继续尊重并回应每位患者的价值观和需求.
Conditions We Treat
疝气通常具有相同的一般特征:肌肉层的弱点或间隙可以允许肌肉正常包含的组织通过. Our guide will help you identify a hernia, whether it could be dangerous and when to contact a physician, as well as provide you with more information about specific types of hernias.
- Hiatal hernias
- Incisional hernias
- Inguinal hernias
- Parastomal hernias
- Sliding hiatal and paraesophageal hiatal hernia
- Sports hernias
- Umbilical hernias
- Ventral hernias
If you experience any of the above symptoms of a strangulated hernia, contact your primary care provider as soon as symptoms occur. If you cannot contact your primary care provider, go to the closest emergency room.
Learn More About Hernias
Repairing a Hernia with Surgery
Hiatal Hernia Repair FAQ
Ventral Hernia Repair
What to Expect from Your Hernia Surgery
We want to make sure you’re prepared for your procedure. This guide will help you along the way.
Preparing for Surgery
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After you make an appointment, 您将被安排与团队成员开会,他们可以回答您的问题,并制定行动计划,为您提供尽可能安全的程序. Things you will want to keep in mind or write down before this meeting:
- Your symptoms. How long have you had discomfort, and have your symptoms changed or worsened recently?
- Your medical information. Are you on any medication? Do you have any other diagnosed conditions? Include any nonsteroidal anti-inflammatory medication (NSAID) that you currently take, even aspirin or ibuprofen.
- Questions for us. Although we’re happy to answer questions at any time, 把你的问题写下来可以防止你在会议中忘记问任何重要的问题,也可以让我们马上回答你的问题.
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一旦你和我们的团队见过面并做了必要的改变以降低手术并发症的风险, you will need to see your primary care provider for a pre-operation physical. Physicals may differ depending on the patient and type of surgery, 但所有这些都将确保你的整体健康,并检查那些可能导致不建议手术的未被发现的情况.
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Before surgery, 一定要遵守疝气治疗小组设定的预约前限制,比如在手术前一周内避免服用非甾体抗炎药(NSAIDs),比如阿司匹林和布洛芬,手术当天不要吃东西. Try to get a good night’s sleep, and if your procedure requires a hospital stay, make sure to bring anything you will need during that time.
Treatment Options
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Laparoscopic, or minimally invasive, 手术使用多个长度不超过1厘米的小切口进入疝. 然后腹部被二氧化碳充气,为外科医生提供工作空间, and the hernia is repaired with a small, flexible device called a laparoscope. Mesh is sometimes required to secure and reinforce the hernia. 这个手术需要疝气专科医生熟悉微创技术,通常产生较少疤痕和术后疼痛, reduced risk of wound infection, shorter postoperative hospital stay length and a faster return to normal activities. With a skilled surgeon, 并发症或复发的风险与开放手术大致相同. However, not all patients will be candidates for minimally invasive procedures, including patients with large hernias or adhesions from prior abdominal surgery.
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Open procedures use a single incision to open the abdomen and access the hernia, after which the hernia is repaired using mesh. Open procedures are ideally suited for patients with large or multiple hernias. 曾经做过腹部手术的推荐十大正规网赌平台也适合开腹手术, 由于腹部的疤痕组织形成粘连,使得微创手术变得困难甚至危险.
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腹壁重建修复腹壁缺陷,同时减少腹壁张力并提供结构支持. 这可能需要进行成分分离,以便疝间隙的肌肉边缘可以再次结合在一起.
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补片常用于加强疝修补,降低复发风险. 综合疝中心的外科医生使用专门的补片,旨在改善疝修复的结果. As each case is different, your surgery may not require the use of mesh. If you have questions about mesh and its use, please ask your surgeon.
After Surgery
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手术后的恢复时间取决于你的疝气类型和所需的手术类型. 接受微创手术的患者通常能在手术当天回家,并能在手术当晚行走. Some patients, 尤其是那些做过腹壁重建或部件分离的患者, may have to stay in the hospital for a few days.
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Discomfort is typically handled with over-the-counter medication, 尽管有些推荐十大正规网赌平台可能需要非处方药和阿片类药物的结合.
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所有的推荐十大正规网赌平台都需要在手术后两周进行随访,以确保他们的疼痛得到很好的控制,没有感染. 手术更复杂的患者可能有复杂的绷带或负压敷料需要评估, 我们需要确保所有的手术引流管正常运行以避免感染. Depending on the patient’s progress, a second follow-up appointment may be necessary.
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After surgery, 大多数患者会被要求在前两周避免举起超过15磅的重物, though more complicated patients may have differing limitations. Different patients will have individual restrictions, but in general, you should be as active as your provider permits. 如果您在手术后有任何问题或健康问题,请立即联系您的医生.
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技术和医学知识的进步大大降低了疝气手术后并发症的风险, 我们的专家使用最新的做法和设备,以提供最安全的程序. However, there is still a chance of recurrence or infection after surgery. Obesity and smoking increase these risks substantially, 许多疝气专家会要求患者在手术前减肥并戒烟, unless tissue is incarcerated or strangulated. Additionally, 应避免增加疝修补部位腹内压力的活动, as even a persistent cough or constipation can increase the risk of recurrence. Chronic pain is also a risk. Although most pain will go away with conservative management, in rare cases, further surgery may be necessary to alleviate the pain. 健康的生活方式,定期锻炼,定期与初级保健提供者进行检查,也有助于减少任何手术的风险.
Locations
The Comprehensive Hernia Center has clinics at The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center and Sibley Memorial Hospital.
Johns Hopkins Bayview Medical Center
4940 Eastern Ave
Baltimore, MD 21224
Johns Hopkins Outpatient Center
601 N. Caroline St
Baltimore, MD 21287
Sibley Memorial Hospital
5255 Loughboro Rd, NW
Washington, DC 20016