Restricted hernia: clinical picture and varieties
An injured hernia is considered to be one of thethe most common complications of hernias. In medicine, the disease belongs to the field of acute surgery. In general, among problems with the abdominal cavity organs, the hernia occupies the fourth place, while the "top three" are formed by appendicitis, cholecystitis and pancreatitis.
Why is a strangulated hernia formed? Doctors associate her appearance with the contents of the hernial sac, which is squeezed in the so-called "herniated gates." In modern medicine, it is customary to distinguish two of its varieties: primary and secondary. It should be noted that the first option is rare. As a rule, in a patient with predisposition, the primary strangulated hernia appears as a result of a great physical effort. Diagnosis in this case involves some difficulties. All other forms are included in the category of secondary. Among the most common can be called a typical classic infringement, which, in turn, also splits into two forms: elastic and caloric.
Injured hernia in
On what grounds do doctors usually diagnose"Strangulated femoral hernia"? First, you need to pay attention to the pain syndrome. On the place where there was a hernia, a large swelling is formed, which for every touch responds to extremely unpleasant sensations.
Less common are such varietiesstrangulated hernia, both pristenochnaya and retrograde. The first case is observed mainly in small inguinal, femoral and umbilical hernias. Pristenochnoe infringement is rightly considered the most dangerous of all kinds, as it develops almost asymptomatically. The maximum that the patient can complain about is a mild abdominal pain. However, the lack of proper treatment in this case leads to the fact that the intestinal wall is necrotic, an opening may appear in the intestine, which in turn provokes the development of acute peritonitis. With retrograde infringement, the symptoms described above are more typical of intestinal obstruction than for hernia. In most cases, stigmatization is observed in the elderly. The intestinal loops, which appeared in the hernial sac, gradually bend, there the accumulation of stool masses, the stomach swells. Treatment of strangulated hernia is significantly hampered by intestinal atony, which is characteristic of many patients at this age.