Postoperative . Danger Of Infringement Of A Hernia

Postoperative . Danger of infringement of a hernia to a life of the patient increases in process of lengthening of time last from the moment of infringement before operation. after the operations made after the beginning of infringement - in first 6 , makes 1,1 %, in terms from 6 to 24 - 2,1 %, later 24 - 8,2 %. After operations during which time made a - gut resection, makes 16 %. At a phlegmon of a hernial bag when a gut resection made by a paw-rotomii, reaches 24 %. Complications after independently set, - violently set and operated restrained hernias. The patient with the restrained hernia spontaneously set, should be urgently hospitalised in surgical branch. Danger of spontaneous reposition before the restrained gut consists that as a result of the infringements which have arisen in it of blood circulation it can become a source and an intra-intestinal bleeding If at inspection of the patient - at the moment of receipt in a surgical hospital diagnose a - peritonitis or an intraintestinal bleeding, the patient it is necessary to operate urgently.

Most Often (at 50 % Of Patients) Insufficiency

Most often (at 50 % of patients) insufficiency , leading a reflux-ezofagitu and to a gullet ulcer, observe at hernias diaphragm apertures (the section "Hernias diaphragm apertures" see). Reflux-ezofagit : disease - is caused by repeated influences on a mucous membrane - of a gullet of gastric juice, and also bile, intestinal or - pancreatic juice. A disease current or chronic. Aetiology and : the reason the reflux-ezofagita is zheludochno-pishchevodnyj a reflux which at a part of patients - is connected with infringement of switching function physiological -, at others arises after various surgical - interventions (a resection , , a stomach resection, , etc.), . Peptichesky it is most often observed at - hernias diaphragm apertures, it is frequent at a stomach ulcer of a stomach and a duodenal gut, , a stenosis, a cholecystitis. Pathological anatomy: in mild cases mark moderated and a mucous membrane hypostasis, in heavy - - inflammatory changes not only a mucous membrane, but also subject layers, presence of erosion and , hems, in some cases there is a shortening of a gullet of Change are localised mainly in gullet department, they can be , grasping a considerable part of a mucous membrane of a gullet above , and limited.