Para-peritoneal hernia

　　It is a free jejunal loop (occasionally transverse colon) that can enter the omental bursa through the gastrocolic ligament, hepatogastric ligament, or transverse mesocolon due to a rupture or small omental foramen caused by trauma or surgery.

　　In addition to general symptoms, it can also cause other diseases. This condition is prone to complications such as electrolyte imbalance, intestinal necrosis, and toxic shock. Therefore, once detected, it requires active treatment, and preventive measures should also be taken in daily life.

　　The symptoms are mostly acute onset of abdominal pain, which is severe in the upper abdomen, and can present as severe, persistent distension or colic pain, which can radiate to the lumbar and sacral region, accompanied by nausea, frequent vomiting, vomiting bile-like stomach contents, no flatus or defecation, physical examination can find the upper abdomen is full, the left upper abdomen can often be palpated for a cystic mass, local tenderness, rebound pain, and abdominal muscle tension, severe cases can develop into generalized abdominal pain, with mobile dullness, hyperactive bowel sounds, high-pitched water over gas sounds, abdominal puncture can withdraw light yellow exudate or bloody exudate, can be complicated by serious water and electrolyte imbalance, intestinal necrosis, toxic shock.

　　There is no specific preventive measure for this disease. The patient's diet should be light and easy to digest, with more vegetables and fruits, a reasonable diet, and attention to sufficient nutrition. In addition, patients should also pay attention to avoiding spicy, greasy, and cold foods.

　　1, X-ray examination features include:

　　(1) An enlarged intestinal loop can be seen in the upper abdomen;

　　(2) There may be multiple or single liquid levels in the small mesentery pouch;

　　(3) If it is difficult to distinguish the level of gas and liquid in the stomach, it can be observed after gastrointestinal decompression;

　　(4) In addition to the gas in the stomach, there is another circular gas area in the upper abdomen;

　　(5) The corpus of the stomach can be pushed to the left and deformed under pressure.

　　2, B-ultrasound examination:It can indicate that there is an expanded intestinal loop in the small mesentery pouch, and the movement of the involved intestinal tract has disappeared.

　　Postoperative Peritoneal Hernia Diet Formula:

　　1, Jilin Shen 4 grams, American ginseng 3 grams, stewed with lean meat.

　　2, Dongsun 4-5 pieces, stewed with lean meat or chicken breast (drink the soup).

　　3, Beiqi 15 grams, Dangshen 21 grams, Huai Shan 30 grams, Lianzi 15 grams, stewed with lean meat.

　　4, Tuifuling 30 grams, raw Yiren 30 grams, Yuanro 3 pieces, stewed with grass carp or water turtle.

　　5, Dangshen 17 grams, Shizhi 21 grams, Jiazi 10 grams, Yiren 15 grams, stewed with lean meat or chicken.

　　6, Tianqi 3 grams, ginseng (or red ginseng) 3 grams, stewed with lean meat or chicken.

　　The only treatment method is emergency surgery. When the intestinal tract is复位 after surgery, it should be first decompressed in the intestinal cavity, and the retention or resection should be decided according to the vitality of the intestinal tract after复位. Then, the omentum should be sutured with high pores or repaired with a large omentum to prevent recurrence.