The Cut Should Be Made With The Account

The cut should be made with the account anatomo-topogra-ficheskoj characteristics of localisation of a hernial phlegmon. Over a hernia dissect fabrics. A hernial bag open-, delete purulent . Hernial gate cautiously make cuts so to take the restrained gut and its blind ends of resulting and taking away pieces. After removal of the restrained gut separate a mouth and a neck of a hernial bag from hernial gate. A plasticity of hernial gate do not make. On edges of hernial gate impose some seams for the purpose of the prevention in the postoperative period . Further delete a hernial bag together with the changed fabrics (at umbilical, hernias it probably to make the uniform block). Surgical processing of the purulent centre finish - wounds. The punched drainage stack on a wound bottom, the drainage ends deduce from a wound through healthy fabrics. Resulting - end of a drainage connect to system from blood transfusion with the antibacterial preparations, taking away end connect to a tube lowered in bank with an antiseptic tank Through a drainage - carry out long constant "flowing" washing of a wound by antibacterial preparations.

If Between The Allocated Ends Of A Gullet

If between the allocated ends of a gullet does not exceed 1,5 sm, impose direct the end in the end. At considerable the gullet ends a part it deduce on a neck in a kind , impose for a food of the child, subsequently - make . The choice of a kind of operation at a congenital stenosis of a gullet depends - on extent of narrowing. At narrowing to 1,5 sm make a longitudinal section of a wall of a gullet with cross-section sewing together of edges of a wound over . If the site of narrowing does not exceed of 2,5 sm on extent, performance of a resection of a gullet with the end in the end is possible. At considerable extent of narrowing it is shown . At localisation of narrowing in the field of physiological make mio-tomiju (operation of Gellera) with or plastic arts a diaphragm rag. Treatment traheo - and fistulas consists in crossing a course and the formed defects in both bodies At gullet doubling is shown or a resection a site. At a congenital short gullet and absence of complications spend conservative treatment.