The Interval Of Lesgafta - Grjunfelda Is Between

The interval of Lesgafta - Grjunfelda is between an internal slanting muscle of a stomach - in front and from below, longitudinal muscles of a backbone and a square muscle from the - middle, the bottom gear muscle and XII edge from above. The interval looks like a - quadrangle. A bottom of this interval is a cross-section muscle - of a stomach. Through these intervals there can be lumbar hernias. On an aetiology they happen congenital, got (traumatic and spontaneous). Diagnostics of these hernias is not difficult. Treatment: the surgical. Zapiratelnye hernias leave through defects membranes apertures. Meet at women in advanced age is more often. It it is possible to explain in the big size apertures and more expressed - inclination of a basin at women. Hernial settles down on a lobby -. However happen hernias when visible approximately is not present. Such hernias are distinguished only at infringement - during operation. Treatment: the surgical. Promezhnostnye hernias (forward and back).

Lymphatic Vessels Cross, Their Central Ends , And

Lymphatic vessels cross, their central ends , and peripheral with veins on type the end sideways or the end in the end. Thus carry out to 6 - 10 . The operations executed in initial stages chronic , completely normalise from the amazed - finiteness, in later stages allow to achieve considerable reduction of a hypostasis of a skin and hypodermic -. GULLET The gullet represents a muscular tube in length about 25 sm, inside a mucous membrane and surrounded with a connecting fabric. It connects to a drink with a stomach part. The gullet begins at level of VI cervical vertebra and is stretched to level of XI chest vertebra. The input in a gullet is located at level a cartilage and will defend from a first line of the top cutters on 14 - 16 sm ("a gullet mouth"). In this place there is a first physiological narrowing. a gullet divide into three departments: cervical (5-6 sm), chest (16 - 18 sm) and - (1-4 sm). The second physiological narrowing of a gullet is approximately in 25 sm from edge of the top cutters at level tracheas and crossings of a gullet with the left main bronchial tube, the third corresponds - to level apertures of a diaphragm and is located on distance 37-40 see In a cervical part and in the beginning of chest department to an arch of an aorta the gullet is located to the left from an average line.

At Complications Illness (an Ulcer, A Bleeding), To

At complications illness (an ulcer, a bleeding), to the expressed hernia a diaphragm aperture, and also unsuccessfulness of long conservative therapy accepts - surgical treatment. Carry out on Nissenu. Operation consists in department of a gullet a wall of a bottom of a stomach. A stomach fix to a diaphragm around apertures several seams. Good results are noted more than at 90 % operated. PEPTICHESKY ULCERS OF THE GULLET Peptichesky ulcers of a gullet make about 1,5 % of diseases - drinks and a gullet. To thicket men, - mainly average and advanced age fall ill-. Aetiology and : in development of an ulcer of a gullet action the factor matters. Disease is often combined with a stomach ulcer of a stomach and a duodenal gut, with a hernia diaphragm apertures, a congenital short gullet, observed after the operations breaking function physiological , after imposing ezofagogastro-anastomoza, i.e. In those cases when there is a zheludochno-gullet th a reflux. Presence at sick infringements of nervous regulation a wall and changes in the central departments of nervous system (in a cerebral cortex, gipotalamiche-skoj areas, a grey hillock) is doubtless.