Treatment of a hernia.

Hernia. The description of disease.

Hernia - a diverticulum of any organ entirely or partially under a skin, between muscles or in internal pockets and cavities through apertures in anatomic formations. It can be existing in norm and the apertures which have enlarged in pathological conditions or intervals, and also the apertures arising on a place of defect of a tissue, a thinning of postoperative cicatrix. Differ on localization.

The Reasons causing a herniation, are rising intraabdominal pressure (at constipations, the tussis, the complicated emiction, sorts, a raising of gravities, etc.) and weakening of an abdominal wall as a result of its stretching and a thinning (at repeated pregnancy, traumas, age changes, diseases, etc.). Hereditary predisposition, age, a floor, features of a body build and an anatomic structure of area of occurrence of a hernia play a role.

The most typical attribute hernias - presence of the tumescence appearing in position standing and disappearing in a prone position or after manual diaplasis. The tumescence in places of typical occurrence of the hernia, not giving in to diaplasis, can be caused a notset hernia. In an initial stage of development of a hernia it can be found out, having entered into the hernial channel a finger. At a strain or a tussiculation of the patient feel out of hernias - a sign a jerk.

If hernial contents is the loop of an intestine at a percussion above area of a diverticulum the tympanic sound is audible, and at auscultation - intestinal hums. Contents of small hernias can be a part of the big omentum, thus the percutory sound is truncated, at a palpation lobular formation is defined softly elastic, sometimes. Patients often complain of a pain in the field of a diverticulum. The eructation, a nausea, constipations, an abdominal distention, disturbance of an emiction are possible, etc.

Treatment of a hernia.

Treatment of a hernia surgical. Presence of a hernial diverticulum and especially its augmentation, pains, disturbance of a working capacity and risk of development of complications - indications to an operative measure.

Conservative treatment is possible only at uncomplicated hernias, at presence of serious contraindications to operation or flat refusal of the patient, and also at small umbilical hernias at children of early age.

Contraindications to scheduled operation are acute infectious diseases, a dermatitis, an eczema in the field of a surgery field, diseases of cardiovascular system and organs of respiration in stages of a decompensation, late durations of gestation, senile age, etc.

Conservative treatment of a hernia consists in restriction of exercise stresses and wearing of a bandage. The operative measure can be executed both under local, and under the common anesthesia. The last is especially shown at greater sizes of a hernial bag and hernial hiluses at easily erethitic sick and small children.

For preparation of given article materials of "The Medical encyclopedia" Russian Academy of Medical Science were used. It is not recommended to use the given materials for independent treatment of a hernia. In any cases it is necessary will address to the surgeon.