Hernias - an output of internal organs for limits of an anatomic cavity under the general integuments of a body or in the next cavity. Contributing factors - the general (a floor, age, a degree of fatness, etc.) and local (the congenital or got delicacy of a wall of an anatomic cavity). Rising of pressure in a corresponding cavity is the making moment. Distinguish internal and external hernias.
Hernias internal - intraabdominal and phrenic. Intraabdominal hernias are formed as a result of hit of internal organs in various pockets of a peritoneum: about a blind or sigmoid intestine, an omental bag. Similar hernias are shown only during complications, at infringement the partial or full intestinal obstruction which results the patient on an operating table develops.
External hernias. Inguinal hernias make 75 % of all hernias of an abdominal wall (including slanting - 60 %, straight lines - 15 %), femoral - 3 %, umbilical - 9 %, epigastric - 3 %, postoperative - 9 %, rare forms - 1 %.
Signs, current. A characteristic sign of any external hernia is the diverticulum of an abdominal wall appearing at a physical strain or vertical position of the patient.
False strangulation of a hernia. At acute diseases of organs of an abdominal cavity the exsudate, getting in a hernial bag, can cause in itself development of inflammatory changes. Usually in 5-7 days after operation in occasion of the diffuse peritonitis caused by acute inflammatory diseases of a process, a cholic bubble, a perforated stomach ulcer or a duodenum when the condition of the patient improves, it starts to complain of a morbid diverticulum in the field of hernial hiluses.
