Pressure Increase In Physiological Thus Is Secondary And

Pressure increase in physiological thus is secondary and is caused by its reaction to - constant pressure of contents filling a gullet, rubtsovo-inflammatory changes in fabrics of terminal department - of a gullet and loss of elasticity by them. At simultaneously change a tone and - a gullet. Instead of extending to a stomach - reductions appear (- not providing a passage) waves, join them segmentary reductions of a wall of a gullet. The food long is late in a - gullet and arrives in a stomach owing to mechanical disclosing under the influence of hydrostatic pressure of a column of a liquid over it. Long stagnation of food weights, a saliva and slime in a - gullet leads to considerable expansion of its gleam, development and that in turn aggravates infringements - a gullet. Pathological anatomy: in the expressed cases of disease mark gullet expansion in diameter to 15 - 18 sm, its lengthening owing to what it can accept the S-shaped form. Its capacity reaches 2 - 3 l instead of 50 - 100 ml at healthy people.

Treatment: Principles Of Surgical Treatment At A Sarcoma

Treatment: principles of surgical treatment at a sarcoma same, as well as at a gullet cancer. Some kinds of sarcomas well - give in to beam therapy. In the started cases of disease - spend symptomatic therapy. DIAPHRAGM Diaphragm - the suhozhilno-muscular formation dividing chest and belly cavities. The muscular part of a diaphragm begins on a circle - of the bottom aperture of a thorax from a breast, an internal surface of cartilages VII - XII edges and lumbar vertebras (, costal and lumbar departments of a diaphragm). Muscular bunches go up and radially and - dome-shaped cambers come to an end - with the centre, forming on the right and at the left. Between and costal department is available space (a triangle - of Morgani, Larreja), filled . Lumbar and costal departments are divided by pojasnichno-costal space (a triangle of Bohdaleka). The lumbar - department of a diaphragm consists from each party of three legs: external (-), intermediate and internal (medial). Suhozhilnye edges of both internal (medial) legs of a diaphragm form at level of I lumbar vertebra more to the left from a median line an arch limiting an aperture for an aorta and a chest lymphatic channel.

At A Stomach Specify An Arrangement In Relation

At a stomach specify an arrangement in relation to a diaphragm, study a condition - of the part of a stomach moved to a - thorax and its mutual relation with a gullet and . it is shown at suspicion on an ulcer a polyp or on a stomach cancer. Treatment: at not complicated sliding hernias - diaphragm apertures spend conservative treatment - which is directed on decrease zheludochno-pishchevodnogo a reflux reduction of the phenomena , the prevention of increase of intrabelly pressure. The patient recommend to sleep with the raised headboard of a bed, to avoid the positions of a body facilitating - occurrence of a reflux, to watch regular function of intestines a Food should be in the small portions 5 - 6 times a day last food intake for 3 - 4 to a dream. Depending on expressiveness appoint mechanically and chemically sparing diet (a table 1, 16, 1 on Pevzneru). The food should contain a - considerable quantity of fibers. Appoint , enveloping-, astringents, preparations, , , , sedative means and vitamins Surgical treatment at a sliding hernia diaphragm apertures is shown at a bleeding, development a gullet, and also at unsuccessfulness of long conservative therapy at patients with the expressed symptoms a reflux-ezofagita (see has undressed "Gullet").

Superficial - Quickly (1 - 2 ), Deep

Superficial - quickly (1 - 2 ), deep heal with formation of granulations and a connecting fabric. Healing occurs slowly, a connecting fabric and - hem formation probably during 2 - 6 months Are the period chronic - . Cicatricial narrowings of a gullet - are formed more often in several places, in process is quite often involved surrounding . Unions and - gullet deformation develop-. Rubtsovo-ulcer process in a gullet after chemical burns can last for years. As a result of it at separate patients cicatricial narrowings of a gullet arise even after the lapse of 10 - 20 years from the moment of a burn. Thus, at a burn it is possible to distinguish four stages of pathoanatomical changes conditionally: I stage - and a mucous membrane hypostasis, II stage - and , III stage - formation of granulations, IV stage - scarring. At chemical burns of a gullet the substance accepted inside renders, besides local, and action on an - organism from which first of all suffer heart, a liver, kidneys. Heavy nephritic insufficiency can develop.

Closing Of Hernial Gate Make By Sewing Together

Closing of hernial gate make by sewing together by an internal plait, cross-section muscles, an upper edge cross-section with and sheaves. It is necessary to pay attention to width of an internal aperture - of the channel and if necessary it should be taken in till the normal size additional seams on cross-section . A round sheaf of a uterus (seed ) stack on muscles. A plasticity - of a forward wall the channel make by an external slanting muscle of a stomach. UMBILICAL HERNIAS Umbilical hernia name bodies of a belly - cavity through defect of a belly wall in the field of a navel. At - normal development the umbilical ring completely grows. To a skin it is direct umbilical and . - Disease of an umbilical hernia reaches the highest point twice - the first time in the early childhood, and the second time is elderly about 40 years. At women the umbilical hernia meets twice more often, than at men that is connected with a stretching of an umbilical ring during pregnancy-. Umbilical hernias at children arise in the first 6 after a - birth when the umbilical ring was not generated yet.