The Typical Sign Of Infringement Of A Hernia

The typical sign of infringement of a hernia from , is not present intense hernial However the data (violent reposition of a hernia), a belly-ache, sharp morbidity at soft fabrics in the field of hernial gate, hypodermic hemorrhages allow to assume imaginary reposition of a hernia and urgently to operate the patient. The late complications which observed after spontaneous reposition of restrained hernias and have developed after operations concerning restrained hernias, are characterised by signs of chronic - intestinal impassability (a belly-ache, , humming , splash noise) They formation of solderings of intestinal loops among themselves, with other bodies, with - result - and cicatricial , narrowing a gleam of a gut formation cicatricial intestines occurs on a place from a mucous membrane to the subsequent development of a connecting fabric and its scarring. it is caused by presence in a hernial bag sra-shcheny an internal among themselves, and also with a hernial bag. Development is caused the bodies which are in a hernial bag.

Hernial Gate Dissect - On Obviously Sites. After

Hernial gate dissect - on obviously sites. After cautious - clearing and moving of intestinal loops from a hernial bag it take in. STOMACH AND DUODENAL GUT The stomach is located in the left half of top floor of a belly cavity and its only target department comes to the right for a median plane of a body. On a forward - belly wall the stomach is projected on area left and area, and at stomach filling its big curvature on the top department of umbilical area. In a stomach distinguish a part, a bottom and a body, department, the channel. Border between a stomach and a duodenal gut is . The duodenal gut bends around a head of a pancreas and at a sheaf of Trejttsa forms an excess. The length of this initial department of a small intestine 25 - 30 see In a duodenal gut distinguish three parts top, descending and bottom In a descending part of a duodenal gut on to a wall is located big - a place of a confluence of a gut of the general bilious channel and the main pancreatic channel. Arterial blood supply receives a stomach from branches a trunk.

If There Are No Obvious Signs , The

If there are no obvious signs , the restrained gut is irrigated with a warm isotonic solution of chloride of sodium. It is important to remember that guts begins with a mucous membrane, and change in a gut wall, visible from outside it a cover, appear later. The basic criteria of viability of a small intestine: restoration of normal pink colour of a gut, absence a furrow and subserous hematomas, preservation of a pulsation of small vessels and gut reductions. Indisputable signs of frailty of a gut: dark colouring of a gut, a dim serous cover, a flabby wall of a gut, absence of a pulsation of vessels , absence guts. The fifth stage - an impractical gut should be deleted. From visible from outside a border cover it is necessary not less than 30 - 40 sm of a resulting piece of a gut and 15 - 20 sm of a taking away piece. The gut resection should be made at detection in a gut wall furrows, subserous hematomas, the big hypostasis, and hematomas guts. At infringement of sliding hernias there is a necessity for an estimation of viability of that part of body which is not covered .

In An Average - Part Of Chest Department

In an average - part of chest department it deviates to the right an average line and lies to the right of an aorta, and in the bottom third of chest department again deviates to the left an average line and over a diaphragm is located in front from an aorta. Such anatomic arrangement of a gullet dictates corresponding operational access to its various departments - to cervical link sided, to - right-hand , to - link sided transpleural. The place of transition of a gullet in a stomach is called . The left wall of a gullet and a stomach bottom form a corner of Gisa. Gullet wall form four layers - mucous, , muscular and external a cover. The mucous membrane is formed multilayered flat which passes in cylindrical gastric at level of the gear line located some above anatomic . The podslizistyj layer is presented and by fibres. Muscular, the cover consists of internal circular and external longitudinal fibres between which large vessels and nerves in top 2/3 of gullet of a muscle are located, in the bottom third muscular cover consists of smooth muscles.