Observe Cases Of Spontaneous Rupture Of A Gullet.

Observe cases of spontaneous rupture of a gullet. Factors contributing to spontaneous ruptures of a gullet, are alcoholic intoxication, an overeating, vomiting during emetic movements occurs simultaneous disclosing , pressure of muscles of an abdominal tension, reduction of a diaphragm and a muscular cover of a stomach, glotochno-pishchevodnyj remains closed. As a result of pressure substantial increase in a gullet there is longitudinal or cross-section a rupture of its wall, more often directly over a diaphragm ( in 95 %, right in 5 % of cases) gullet Rupture arises at attempt to constrain vomiting or at coordination infringement in work specified above as a result of strong alcoholic intoxication, diseases of the central nervous system. Rupture looks like a linear wound is more often, can extend on a stomach. Develops sharp , at damage pleurae - it . At spontaneous ruptures of a gullet the pain arises suddenly (more often during vomiting) in area a shoot, can in area, a back, the left shoulder.

The Diagnosis Represents Great Difficulties. On Clinical Displays

The diagnosis represents great difficulties. On clinical displays the infringement of a gut differs oi infringements of a gut from it . There are no shock phenomena. Symptoms of intestinal impassability can be absent as contents occurs freely in the diarrhoeia is sometimes observed. There is a constant pain in a place of infringement of an intestinal wall in a hernia where it is possible to probe small painful dense formation. The pain is unsharply expressed as according to the restrained site of a gut is free. It is especially difficult to distinguish infringement when it happens the first clinical display of the arisen hernia. At corpulent women it is especially difficult to probe a small swelling under a sheaf. The general condition of the patient can remain in the beginning accrediting then progressively worsens in connection with development of a peritonitis of a phlegmon of fabrics surrounding a hernial bag At patients with the started form in a femoral hernia inflammation development in fabrics surrounding to a hernial bag can feign infringements sharp or .

Seed Stack On The Generated Back Wall The

Seed stack on the generated back wall the channel. Operation finish creation an external slanting muscle of a stomach and formation - of an external aperture the channel. Way the Poppy-blowing - Venglovsky. Kukudzhanova is close enough by the way. Its essence consists in narrowing of an internal aperture the channel and reconstruction of a back wall the channel. Deep a ring form by a cross-beam - On a vagina of a direct muscle of a stomach do big a cut in length 4 - 5 sm to improve mobility - of sewed fabrics. Cross-section together with the connected - sinew of internal slanting and cross-section muscles frequent seams sew to to a sheaf (from howl sheaves to femoral vessels) Stack seed and in a kind sew an external slanting muscle, forming an external aperture the channel. The way Postempsky consists in a complete liquidation - the channel, an interval and in creation the channel with absolutely new direction. Seed as it is possible further in a direction, at the medial - party narrow internal a ring.