Truss

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Applied truss ligament (illustration from the 19th century)

A truss is a medical device that can best be compared to a corsage .

It is used to prevent an inguinal hernia or umbilical hernia from proliferating (stepping out) and is intended to stabilize the underlying abdominal wall to such an extent that an improvement occurs or the patient can live with it free of symptoms.

In earlier times, the truss band mostly consisted of a tight leather belt, sometimes with an elastic band, to which the pelotte , a plate originally made of wood and later made of metal , was attached. This was placed on the breach gate and should push back the break.

Nowadays, the procedure is no longer used in this form because the benefit was low, but the potential for damage is very high. In men, testicular atrophy with obliteration of the respective testicle often occurred under the influence of the hernia . The constant pressure also damaged the tissue and led to skin ulcerations until the hernia broke through the skin.

Modern pad

Today, gentle trusses and pads made of elastic plastic are available, which are connected to one another with Velcro. Although they can be ordered online in various sizes without a prescription, they remain controversial. If in doubt, we recommend a visit to a doctor and professional adjustment, e.g. in a medical supply store, before use .

The therapy of choice for inguinal hernias is the immediate operation . In addition to the classic open procedures (operation according to Bassini and its variations, operation according to Shouldice or Stoppa ), open and minimally invasive procedures with reinforcement of the groin with a polypropylene mesh (open: Lichtenstein operation ; minimally invasive: TAPP or TEP ) are available .

Trusses were developed very early to alleviate this clinical picture. From archaeological excavations were 22 to 1992 finds in front of trusses in Central Europe, almost all from the Merovingian come.

Web links

Commons : Trusses  - Collection of images, videos, and audio files
Wiktionary: truss  - explanations of meanings, word origins, synonyms, translations

Individual evidence

  1. ^ [1] The fear of men , Stiftung Warentest from July 26, 2007.
  2. Kurt W. Alt: Archeology and early medieval medicine. The first discovery of a truss ligament in Germany. In: Medical History Journal. Vol. 27, Issue 3/4, Steiner, Stuttgart 1992, pp. 363-371.