The - Hernial Bag Is Formed By Means

The - hernial bag is formed by means of a stretching and progressing - . Clinic and diagnostics: the Basic symptoms - of disease are a pain in the field of a hernia and in a stomach, presence in one of hernial zones. appears at or in vertical position of the patient, - disappears or decreases in horizontal position after manual reposition. The pain in the field of hernial arises at - physical activity, walking, sharp movements, at changes - of barometric pressure. Quite often there is a nausea, an eructation, a stomach swelling, locks. Hernia development occurs, as a rule, slowly. In the beginning in a place of a formed hernia there is a pricking pain at physical activity, walking, run, weight lifting. After a while appears which disappears in horizontal position of the patient and again arises at - physical activity. gradually increases, - gets the roundish or oval form. At the hernias which have sharply arisen - at the moment of sharp increase of intrabelly pressure, patients feel a severe pain in the field of a formed hernia, sudden occurrence a belly wall and a hemorrhage - in surrounding fabrics.

Treatment: In Connection With Infringement Possibility At -

Treatment: in connection with infringement possibility at - operation is shown a hernia. At right-hand localisation of a hernia operation make through access to the fourth , at hernias the best - access - top median , at link sided hernias it is shown access to the seventh - the eighth -. After division of unions, clearings of edges of defect in a diaphragm reduce the moved bodies in a belly cavity and take in defect separate central seams with formation . At the big sizes of defect resort to alloplasti-cheskomu to replacement of a diaphragm by artificial limbs from kapron, nylon, teflon, lavsan, etc. At hernias (a hernia of Larreja, a hernia) reduce the moved bodies, turn out and cut at a neck a hernial bag, impose and consistently fasten P-shaped seams on edges of defect of a diaphragm and a back leaf of a vagina of belly muscles, a breast and edges. At hernias of pojasnichno-costal space defect - of a diaphragm take in separate seams with - formation . At restrained hernias access -.

The Distalnyj Site Of A Gullet Is Sharply

The distalnyj site of a gullet is sharply narrowed, in it find out a dystrophy cages and fibres nervous textures up to their �destruction. In a - muscular layer observe a dystrophy of muscular fibres, growth of a connecting fabric, especially in a wall of the narrowed segment, - , expansion of vessels, occurrence round them - from and plasmatic cages. In all layers walls and in surrounding fabrics find out signs - of inflammatory process. A gullet mucous membrane , , places . - Changes near to the narrowed site of a gullet are More expressed-. Clinic and diagnostics: for the - triad of symptoms is characteristic: , , pains. - the basic and in most cases the first symptom of disease-. At one patients it arises suddenly, as though among full health, at others develops gradually. Strengthening at the majority of patients mark after nervous excitation-, during hasty meal, at reception of the dense, dry and badly chewed food. It is sometimes observed paradoxical -: the dense food passes in a stomach better, than liquid and semi-fluid.