- Deterioration Of The General Condition Of The

- Deterioration of the general condition of the patient, pain strengthening testify to development of inflammatory process in -, character of a body temperature, short wind and - tachycardia strengthening-, increase in leukocytes, increase . In the absence of treatment patients with purulent die within the next few days. Profuznye bleedings arise at extensive ruptures of a mucous membrane of a gullet by Frequent complication at damage - pleurae is pleurae. At distribution of inflammatory process on a backbone, - covers back and a brain there is a pain at movement of hands, at pressing on awned shoots of vertebras, a headache In the remote terms can develop and the cicatricial deformations of a gullet shown . Radiological research is the basic method of diagnostics of damages of a gullet It begin with survey and at which it is possible to find out an emphysema , expansion of its shade, , an emphysema necks In the absence of air in investigate a gullet with contrast substance in position - of the patient lying on a back, on right and left to a side, on a stomach.

Strengthening Of A Back Wall The Channel By

Strengthening of a back wall the channel by till the normal size internal rings should be an obligatory stage of operation at all - forms hernias. The fourth stage - a plasticity the channel. At a choice of a method of a plasticity the channel it is necessary to consider that a formation principal cause hernias is weakness of a back wall - the channel. Strengthening of a forward wall the channel with obligatory deep rings till the normal sizes can be applied at young men at small slanting hernias. At direct hernias and difficult forms hernias (slanting with the straightened channel, sliding hernias, recurrent) - strengthening of a back wall the channel should - be made. There are some ways of a plasticity the channel. The way Zhirara provides strengthening of a forward wall - the channel. Over seed to to a sheaf sew - at first edge of internal slanting and cross-section muscles of a stomach, and then separate seams - the top rag an external slanting muscle. The bottom rag fix seams on the top rag , forming thus from rags an external slanting muscle of a stomach.

Having Passed Through An External Aperture The Channel,

Having passed through an external aperture the channel, settles down at a root over a sheaf in the form of roundish formation. Cross-section interferes with lowering direct hernias in . Often direct - the hernia happens bilateral. Allocate special group hernias. At these hernias the hernial bag is located between various layers of a belly wall. Allocate hernias when the hernial bag is located between and cross-section , intermuscular hernias when the - hernial bag is located between various layers of muscles and ; superficial hernias when the hernial bag - is located for superficial a ring between an external slanting muscle of a stomach and superficial . Clinic and diagnostics: to distinguish generated a hernia Easy typical the anamnesis is: sudden occurrence of a hernia at the moment of physical pressure or gradual development hernial , occurrence a belly wall at , in vertical position of a body of the patient and hernia reposition in horizontal position of the patient. Patients disturb a pain in the field of a hernia, in a stomach, feeling of inconvenience at walking, the phenomena, and at sliding hernias of a bladder arise the phenomena.