Radical Operative Treatment Consists In Defect At Prescription

Radical operative treatment consists in defect at prescription of damage of a gullet till 1 days. defect in a gullet wall make two numbers of seams in a longitudinal direction. Tightness of seams and their isolation from infected and a pleural cavity diaphragms, walls of a bottom of a stomach provide round them depending on level of an arrangement of defect of muscles of a neck, a site pleurae, a pericardium. and a pleural cavity for , introductions of antibiotics-, antiseptic tanks, enzymes. The reason of failures of radical operations - is frequent development of insufficiency of seams. Palliative operations (, , , , spaces of a neck, a pleural cavity) are shown at through wounds - of a gullet when time for radical operation is missed, and at heavy accompanying diseases. Recently at gullet punching - was extended a method active and tight -. Thus carry out taking into account a place of damage of a gullet, more often from a cut on a neck, also bring to a punching place a drainage tube which deduce away from an operational wound.

Treatment: Only The Surgical. After Removal Of A

Treatment: only the surgical. After removal of a hernial bag and make a belly wall on a method of Sapezhko or on a method of Mayo. Method of Sapezhko: two longitudinal sections bordering a - hernia, a skin together with a navel. Hernial - gate dissect upwards and downwards on a white line of a stomach to places where it is narrowed and is not changed. Open a hernial bag, set the internal separated from a hernial bag in a belly cavity. from a back - surface of a vagina of one of direct muscles of a stomach. a hernial bag, edges sew it. Separate seams grasping - on the one hand edge a white line of a stomach and on the other hand a part of a vagina of a direct muscle where , create from myshechno-aponevroticheskih rags "thus a rag located - superficially, file to bottom in a kind . Method of Mayo: two cross-section - cuts bordering a hernia - a skin together with a navel. From hernial gate from hypodermic fatty - on a circle distance 5 - 6 see After opening of a hernial bag divide unions, the soldered big epiploon, set an internal in a belly - cavity.

At First The Patient Empties A Bladder, And

At first the patient empties a bladder, and then after pressing on hernial there is a new desire on , and the patient starts to be wetted again. At suspicion on a sliding hernia of a bladder it is necessary to execute a bladder and . Last - to reveal the form and the sizes of a hernia of a bladder, presence of stones in a bladder. Treatment: only the surgical. If not to know anatomic features of a sliding hernia, it is possible to open during operation instead of a hernial bag a wall of a gut or a - bladder wall-. Surgical treatment - the basic method of treatment of external - hernias of a stomach. Operation - it unique possibility to prevent such heavy complications of a hernia, as its infringement-, an inflammation, etc. Operation of not complicated hernias spend on stages: dissect - fabrics over a hernial bag, dissect hernial gate, allocate a hernial bag, open it, set contents of a hernial bag in a belly cavity, stitch and tie up a - hernial bag in the field of a neck, cut a hernial bag and strengthen a belly wall in the field of hernial gate by a plasticity local fabrics or materials.