The groin of the choloviks: classification and appearance. Scythe of the groin grizzly at the head of the operation Can be in the place of the groin grizzly

Gryzha pakhova - symptoms and symptoms

What about the groin grove? The reasons for the diagnosis, diagnostics and methods of treatment are discussed in the statti of Dr. Svechkar I. Yu., Hirurga with 11 years of experience.

Date of publication June 2, 2017Updated 16 serpnya 2019 р

Visnachennya ailments. cause sickness

Pakhov's grill - a whole pathological camp, when through the "weak point" of the lower part of the cranial wall, and more precisely, the groin area, the pathology is seen, for example, the organs black wastes... Weak mice in this vipadku is the groin canal. Vin є in all people, in choloviks, a sinewy cord passes through a new one, in females there is a round uterine ligament.

Normally, the channel does not widen and pass without visibility. In some cases it will expand, and even in a new form, an additional - gryzhovy canal. Formuvannyu grizhі spriyayut zahvoryuvannya abo situatsії scho suprovodzhuyutsya pіdvischennyam vnutrіshnocherevnogo vise (vazhkі fіzichnі navantazhennya, Especially when їh "vibuhopodіbnomu" character - napriklad, shtovhannya rod in vazhkoatletіv, digit zbіlshennya masi tіla, constipation, skupchennya rіdini, velikі puhlini cherevnoї porozhnini i zaocherevinnogo expanse, Inodi - availability).

The singing role can be grati so called "weakness with good fabrics"- genetically overwhelmed, or in the interruption of life, the destruction of the natural balance of the components of the meat and full tissue, which leads to a decrease in tone and an increase in tension. Against the backdrop of dummies, traumas (fall, hit in the groin area), it is practical not to bring nicholas to herringbone formation.

In young adult groups, the rate of illness is growing. If you talk about an early life, then in children the groin grizzly grows more and more among the lads, to have an inborn character as a result of the incomplete growth of the young sheaths of the young and manifested in the first rock of life. In children, groin grizzly grows in the edge of the country. A young and mature person has a groin's grill - the share of people who are engaged physical practice... Closer to the summer season, in conjunction with a decrease in the tone of the meat and full tissue, groin groves develop more often, and again, in choloviks, in women, it is rather rare.

In case of any other symptoms, consult a doctor. Do not indulge in self-care - it is not safe for your health!

Symptoms of the groin grits

Clinical symptoms of inguinal grids of trocha, ale the stench to eat up and in a large number of droplets, are easily recognized by people without medical knowledge:

This is a major and most important symptom, which most often appears by the patient himself. Vipinnya can be of different sizes and forms, growing closer to the middle line of the abdomen or closer to the groin folds. Vono can go down into the scrotum and signified zbilshuvati її obsyag and deformuvati - in such cases, the need for differentiation will become a dropsy cell.

2. Bil. It’s a symptom that you don’t expect, less than half of the symptoms. To locate in the area of the most high-profile town of the grill canal and most often to inform about the growth of grits and the periodic pressures of the grill in the whole mix, which is an alarming signal. It is necessary to carry out the operation in the event of a step-by-step increase in pain without trivial lines. In addition, pain syndrome can occur when nerve stubs are crushed by the grizzly bear, which pass in this area - the club-inguinal nerve and the thigh.

3. Discomfort in the groin area. Sponsor more often, less bil, but the same time, it is more often rotated in the lesser world.

4. Destruction of sechovipuskannya(Difficulty, soreness, the appearance of an incomplete vyporozhnennya slash mikhura). It is seen in quiet weather, if a part of the chaff є of the groin in the place of the so-called groin groin, is seen in this part of the hump, the function is ruined and spilled. Vipadkiv gosudarstvennoy povnoy snatching of a slaughter on the floor is practically not spared.

5. Impairment of intestinal function. The knowledge of a part of the small intestine in the grizzly can lead to deformity and damage to the passage at the same time, which can be manifested by constipation, abdominal pain, damaged stomach pain, pain in living conditions. An extreme manifestation of a symptom is the development of gastrointestinal imperfections, as well as non-intrusive surgical aid.

6 . Impairment of fertile function in cholovikiv... The order of scientific studies, held in the remains of the rock, brought the ligaments of the groin to the damaged spermatogenesis, the decrease in the activity and the delayed health of the spermatozoa. Tse tied yak z mechanical injection So і from damage adequate to the temperature regime in the area of spermatogenesis. In this context, the operation from the inguinal grizzly can help us to understand the important both from the medical and from the social point of view of the problem.

The pathogenesis of the inguinal grizzly

Yak to form a groin braid? When the internal vise is pulled (important physical tension, cough, constipation, etc.), the muscles and tendon fibers of the inner ring of the inguinal canal stretch and deform (in the middle - from the side of the side). In the wider circle, the neck penetrates - a thin shell, which whistles through the middle of the middle. Oscillations of the inner groin are the most effective and durable component of the inguinal canal, further widening the lower ends of the inguinal canal to grow more easily and more quickly. In the world, press in the intra-abdominal grip with the grip of the gut penetrates all the distance along the expanding inguinal canal, molding the grizzly gum.

The shape and size of the grill mouse grows fallow in the form of the grill. In gryzhova mіshok, especially if it is a great one, there may be a small part of the great omentum, the small intestine, the appendix, the appendages of the uterus, sechovy mikhur.

Gryzhovy m_shok of the possibility of more and more significant sizes. Descriptions of the drops of giant inguinal-scrotal hernias up to 10 years in size, so that a large part of them were played by organs of the worms.

Classification and development of inguinal grizzly

Be-yak groin's grill can be used in the minds of the operative. In principle, all groin groves in fallowness due to the peculiarities of the groove canal be divided into:

1. Kosi- to enter through the inner lateral inguinal fossa, pass through the inguinal canal and the third inner circle, in choloviks it can descend lower into the scrotum. In choloviks, they are often one-sided. In women, it is practical to try to preserve the same mows of groin grids. Most often it is produced to the infringement, not straight grizzly.

2. Straight- go through the inner medial groin fossa, do not go through the entire inguinal canal, but go through the weakened back wall into the pediatric tissue of the suprapubic area. More often they are bilateral and at the choloviks. In women, it is rare. Mensh shilny to obmezhennya, nіzh spit form.

Also, they are used to create an anatomical and fixed hand to the food organ of a black empty - for example, a slice of a gut or a rectosigmoid intestine.

Folding inguinal grizzly

Alone, ala in the land of the dream, the accelerated groin grizzly - її obmezhenya. It’s worth going to the time, if at any moment the city is able to pass by the great community in the house of the city through the city of the city - the city gate, and as a result of the high society it is impossible to turn back into the country through the country.

In such a case, the blood loss of a damaged organ (ischemia), as in an hour or so, it can quickly provoke dead tissue (necrosis) and development in the edge of non-essential pests - peritonitis, phlegmon of the thyroid cellulitis. Intercourse can be seen from being overwhelmed by organs, but as a rule, you can find the most mobile structures of the empty stomach - the small intestine and the great omentum. As soon as the groin grizzly is interrupted, a term operation is required. Chim shvidshe will be the viconan of the operation, while in the lesser world there will be turns of ischemic changes in the infringement of structures, the less will be paid in hand and the more beautiful will be the prognosis of the outlook.

The first ones are not quick. Bil and the irreparability of the grizzly in the absence of intercourse (boo and so!) Is not accelerated, as it is often taken in respect, but the symptoms of ailment.

Diagnostics of the groin grizzly

The detection and establishment of the diagnosis of the inguinal grizzly is carried out by a doctor-surgeon. I will show you life, setting up a diagnosis by a therapist, a doctor home practice For the support of Kolei, for someone who has “three fatefuls of that bullet also, і її їївізали” - often doesn’t agree. Є sumnіvi - go to the reception until the surgeon. Bazhano before the surgeon, who himself can carry out operations on the groin grids, and there is no need for any additional information. Likar zbira anamnesis - the patient's experience, I will clarify, how long ago and for some circumstances there was a gryga, which took place in an hour and with some symptoms of suprahydration. Then the next part of the diagnostic process (and not ultrasound, as it does!) - look around and palpation of the groin area. According to the statistics, at all stages of additional information, surgeons will establish a diagnosis in 97-99% of cases. Diagnostic testing of current medicine in ultrasound, CT and MRI vigilance is not required for ailments. If I want to confirm the presence of the groin groin and help to confirm the presence of the groin and to help the virility of the knowledge.

Lіkuvannya groin gryzhі

Be-yak groin grill for a prompt treatment. Niyaki іnshi methods - taking medications, wearing bandages, catching the pleasure of people, tracing and admitting unconventional medicine, Її do not stick it.

Yakshho є groin grill - it is necessary to operate in a planned manner in a surgical manner. As soon as the groin grizzly became the rapt, the procedure for the operation was changed to the extremities. In the ideal, the operation was carried out for two years from the moment of intercourse. So it is more beautiful to see fears in the direction of and see the problem of yakomog earlier.

Now you can see the stasis for the treatment of groin gryzhi operations. Having seen the ubiquitous historical aspects and dozens of previously proponated author's techniques, as it has already become stagnant, it can be said: it has actually surpassed 3-4 methods of plastic surgery of the inguinal canal. Є Investigation method and laparoscopic.

Vidkritiy, abo zovnishniy way vividly- if it is spinal or spinal (ale not muscular, it has already gone in the past!) Then the grill can be absorbed - the way of seeing, opening and hanging of the grill, turning the grill into the place (gut, omentum or sečovy mihur) on its own place into the empty one. Dalіd slіd navazhlivіsha part of the operation - replacement, or plastic of the inguinal canal. All the variability of the author's propositions matched itself in the whole stage. It is practically infectious to make a choice for Lichtenstein, dressing with sewn into the back wall of the inguinal canal of a polypropylene sinus implant.

Polypropylene is practically the same material, which can be used to ruffle the hair of the ribs, only thinner, more plastic and with a kind of sterilization. Win douzhe mіtsny, so do not get wet, and threw out practical victories. The size of the net is selected individually. Attachment of the mesh is carried out with marginal sutures to the muscle tendon structures of the groin area. The triviality of the operation in the middle of 30 minutes to 2 years. The method is superior: 95-98% of the rate of relapse during the day. Z nuances - the possibility of muscular wounds accelerated (approval of the purchase of a birth close to the net, the possibility of suppuration of the wound, pain syndrome during surgery, in some cases - a stiff trivial pain syndrome, nerve tying for multiple zones

Laparoscopic way of seeing grizzlies. It is called transperitoneal preperitoneal laparoscopic hernoplasty (Tarr in English abbreviation) and total extraperitoneal inguinal hernoplasty (TEP). Brush to the critical method. The most successful, penetrating and superior method of removing the groin. For the first time in 1991 r in Europe, in a wide range of clinics in the Russian medical, some time recently - a stretch of 10 years. Visiting not in the skin class (it is necessary to have an expensive laparoscopic style and tools) or not to a skin guy (you need a singing stage of preparation and information). be held on gallant anesthesia, Like і be-like a laparoscopic operation. There are three razrizu-puncture of the gnarly stinka of 1-1.5 cm each. Carbon dioxide gas is injected into the empty gland (it is safe!) In the course of the operation from the middle, from the side of the black empty, we see the weaving of the grizzly. Then, in the middle of the middle, a partial implant will be installed (option, but in general, because of the fact that it will be installed with an open method). The anatomical ball of the sieve installation - preperitoneal - is developed according to a specific method. The rise in the laparoscopy of the mesh is larger, less in the case of the opposite method to Liechtenstein - in the middle 15x10 cm. The mesh is fastened with special staples to the tendon structures of the inguinal region and in the middle to be closed with the peritoneal membrane of the groin to unify adhesions. The need for the arch method: the rate of relapse is 1-5%.

When you see a patient, there are two options for development. The first one is the groin gryzha to be lost with people for all the life of a vigilante pathology and in this chi іnshіy world pouring into yo self-esteem. The other - in case of an interconnected grizzly, a given forecast of the velmi is variable and to lay down all the same factors (triviality, the nature of a pinched gryzh, the degree of ischemia or necrosis, as well as in the form of a brain, a supine sensation)

If you have a groin grill diagnosed - do not go around, see your answer and sign up for a planned operation, and in this case your problem will be seen. Good luck!

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The groin gryzha is the most widening type of gryzhovy gryzha, becoming 70-80% of the groin їkh number. There are two main types of inguinal grids, which grow out of the way from the empty space, - straight and braids (Fig. 68-2). Before the wild types of near-groin grids are introduced to the inner wall, courtyard, winter and peri-groin grids.

Small. 68-2. Raztashuvannya grits in the groin area.

At the beginning of the analysis of the majestic clinical material, it is the main reason for the formation of inguinal hernias is the weakness of the back wall of the inguinal canal ... With all types of inguinal hernia, the transverse fascia, which fixes the posterior wall of the inguinal canal, stretches, atrophies, loosens or raises, reduces the thickness of the groin. The primary significance of transverse fascia in the pathogenesis of inguinal grids has known its image in the most popular classification in all countries, presented by L. Nyhus and R. Condon in 1993.

Classification of groin grids (According to L. Nyhus and R. Condon as modified).

Type I. A scythe with a normal lumpy groin ring (grill in children).
Type II. The scythe of the grill with widening wide inguinal ring, the posterior wall of the inguinal canal is intact, the lower epigastric vertebrae change.
Type III. Grits with a defect in the posterior wall of the inguinal canal:
A - straight groin groin;
B - the scythe of the grill with widening wide inguinal ring, the reach of the Gesselbach's tricycle (inguinal-scrotal, zminna).
Type IV. Recurrent hernia:
A - straight;
B - braid;
С - combined.

Groin scythe

The entrance gate for the oblique inguinal groin is to serve as the groin groin, which is an opening in the transverse fascia and rosette in the projection of the lateral groin fossa. At the same time, the gates are located called the epicheral sudin. Gryzhovoy mishok - vipinnya of the parietal queue, how to enter into the groin of the groin, pass through the entire groin canal, go through the surface of the groin to the groin and reach the scrotum. In case of oblique inguinal ridges, the area of the inner inguinal ring can be reduced by 8-10 times. Yogo expansion zvvychay to see parallel to the inguinal zyaztsi in the medial side in between the groin gaps, which is not captured by the groin. The development of two principles is based on the form of oblique groin grids: vrodzhenu and driban.

at similar groin grills The vaginal sprout of the queue in its entirety is not an overgrowth, but its opening, which is turned into a black empty space, will expand. In this situation, the wine is already a ready-made mushroom, in which there is a small quiver with a cover, Which represents one of the th shells) і, as a rule, one of the loops of the intestine, or the great omentum. The shape of the griffes is typical for children, but the child can be developed and grown up. If a grown-up man at the operation knows a little boy in a gryzha, then it will tell about the natural character of gryzha. With such a rank, the signified "vrodzhena" is not a sign, in what is called a vineyard, but to indicate the deprivation of anatomical relations, known during the operation.

In some cases, it’s true, it’s quite a bit, there is a segmental obliteration of the vaginal sprout. Once the distal part of the vaginal membrane is not overgrown, ridin accumulates in it. Tsei stan will be named dropsy(Hydrocele testis). As soon as the middle part of the vaginal sprout is not overgrown, then it becomes a cyst - dropsy of the sympathetic cord(Hydrocele funiculi). At the same time, if the entire vaginal sprout, in all its own age, becomes visible, and the opening, which is closed with a black empty nut, sounds until the hairpin head breaks. Tsey stan be called with dropsy... In the cichs in the empty space of the child, as in the case of watery growth, it resembles the age, with this deprivation of growth, but when the water is empty it is periodically often empty in the empty room during the winter. Pererakhanі vrodzhenіy and winnіyuyut gadbіnі vіdnіy can be developed inіtіvіy kombіnatsіy. So, for example, by handing the dropsy box, the groin of the groin's grizzly can be developed.

Groin groin braid to establish itself with the introduction of new factors in the case of re-infestation of the vaginal sprout of the queue. At its own development there is a braid of the groin groin, on the view from the genus, there are a number of last stages:

pochatkova(The bottom of the grill mouse can be reached with a finger;
canal(The bottom of the grill mouse reaches the outer opening of the inguinal canal);
ropeway(Grisha go from the inguinal canal and start in the groin area);
inguinal-scrotal(Gryzhovy bear descends into the scrotum).

With an oblique inguinal grizzly, the grizzly bear is located in the same obolontsy with a cord and is encouraged to grow laterally from the main elements. In such a rank, the sheaths of the gray cord are wrapped around and on the cord, and on the cinquefoil.

Groin scythe with a straightened canal Get ready to learn from young children in case of a trivial interruption of the disease on the basis of the atrophy of the anterior cranial wall. Progressive enlargement of the groin is supported by the expansion of the large inguinal ring to the medial side, as a result of which it is more and more close to the surface opening. The pakhoviykanal expands, korotshaє, draws in its spit straight ahead, re-introducing itself into a straight wide canal. The entire posterior wall of the inguinal canal collapses, the lower epigastric vertebrae extends to the middle, and it is not easy to retract the hand with the straight abdomen.

Straight groin grill

Straight the groin grynge go through the medial groin fossa through the medial groin fossa, stretching in front of you across the fascia, and through the surface of the groin, the groin overlaps the groin canal. Gryzhovoypnannya roztashovuєtsya under the shkіroyu medial to the semiannogo cord. The lowering of the straight grizzly into the scrotum is the transverse fascia. The gryzhovoy bear itself is in the pose of the sheaths of the blue cord, and it can be easily seen. The edges of the grizzly grids with straight groin grizzlies are less well-rounded, not with oblique grizzlies. Expansion and improvement of gryzhovy vyt pereshkojaє from the medial side, the last edge of the straight meat, from the lateral side - the epicranial side. Straight grids are not so easy to be light and to replace the wall of the grill, as it becomes the medial style of the grill. Significantly grows in a gryzhoy mіshok, like a loop of the small intestine, eating a slice of a slice mіhura, covering it with a gut. The visualization of the extraperitoneal part of the grill without the grill mouse is also very easy to create.

Intra-wall inguinal grill

In atypical forms, the mushroom bear penetrates between the balls of the anterior cranial stem. Most often, in such vipadas, we are consumed by the aponeurosis of the external or internal oblique mucosa of the abdomen. Gryzhovy m_shok can also be consumed between the inner oblique and the transverse muzzle of the abdomen, in front of the transverse fascia, or in front of the neck; to develop internal groin groin. best frequent reasons Insight into the intra-wall grill to serve the surface of the groin and cryptorchidism. Yachko, not sinking into the scrotum, serve as a gateway to the groove of the gryzhny bear in the groin canal and the snake widen in an atypical straight line.

Yard of the groin grill

There are grids, which are developed in a standard mice, the prosthesis of some gryzovyh collars includes two gryzhovy bears; one of them goes straight in the characteristic groin groin, the other - between the balls of the groin. The qia form is called a dvorogiy gryzhey.

Peri-groin hernia

Specificity peri-groin grizzly in the fact that gryzhovoy mishhok goes from the inguinal canal not through the groin groin, but through the fissure defect in the aponeurosis of the lateral oblique abdominal mass. The main welcoming factors are the weakness of the aponeurosis of the lateral oblique meat of the abdomen and immediately the appearance of the lateral opening of the inguinal canal.

Combined grooves

Combination of groin grids is a single decal, not crocheted with gryzovy apparatuses, which can be used to decorate grizzly grids and gates. Per hour of surgery, 10-15% of patients with groin grizzly receive two or more gryzovykh illumination. Naybilsh widened by a scythe and straight groin grills. It is necessary to carry out a retinal revision of the groin area in case of a surgical intervention.

Zminna groin grill

They call it light groin grizzlies, for which one of the stinks of the grizzly mouse is set as a parietal neck, it is often covered with the stink of the adjacent organ. If you see a grill, you can see it when you are crooked, as well as when you have a straight groin. The most practical significance is the mutilation of the groin groin of the chaff and the slips (more precisely, the viscous) of the intestine. Early on sigmoid colon and female body organs. With the use of such head grids, the threat poses internal organs, Yaki take a fate in їkh approved.

Recurrent inguinal hernia

Recurrent inguinal hernia of unclear anatomical features. Її budov to lie down in view of earlier viconanoy plastic surgery of the inguinal canal і cause a relapse.

Differential diagnosis

Differential diagnostics of the inguinal grizzly should be performed with the lipoma of the synovial cord, the cyst of the round uterine ligament, the stegnaeus, edema, lymphadenopathy and cryptorchidism. Allowing complex key signs, Typical for grizhі. I do not know how to diagnose vicoristovuyt instrumental methods. Differential diagnosis Among other types of groin grids, they are difficult and not very important, as all the stench is susceptible to surgical treatment. From the hour of revision of the inguinal canal, the type of grill is established.

B.C. Savel'ev, N.A. Kuznetsov, S.V. Kharitonov

but we will protect you, you don’t want to shit the rope. When the surface of the fascia is closed with thin nibble sutures, it can be closed and the wound is closed, and the internal seams can be applied. Aerosol "Nobekutan" allows you to get around without applying a bandage.

The operation in females ends up being deprived of them, but when there is no need to so reliably spare the round uterine ligament. When the grizzly mouse is visible the grizzly gates are closed in such vise with one seam along Bassini.

Straight groin grill

Writing oblique groin grids for most extensions of the type of grids. Synonyms of straight groin: hernia inguinalisthose-dialisі hernia inguinalis directa. Straight groin groin is not boozy, you can get bootie only pidbanoi.

When there is a groin grizzly, the gates turn into the middle groin pit, the edge of the groin is not so turning, as in case of oblique groin groves. The enlargement of the gryzhovykh vorit from the medial side of the pereshkojaє is straight line of the abdomen, and from the lateral side - the epigastric (Small. 5-74).

In case of straight groin grizzly, insert the groin through the weakened wall into the medial groin fossa. The size of the grill with a straight groin grill is located in a straight fallow area from the size of the grill opening: the larger the grill, the larger the grill. To that, with straight groin grizzly, it grows even worse.

Lateral to the surface of the gryzogo mishka, it sticks to the medial edge of the gray cord covered with cremaster. The gryzhovoy m_shok itself, in such a rank, the pose of the shell of the sympathetic cord, and that is easy to see from the cremaster. Gryzhovoi mіshok vіtіsnya in front of him the aponeurosis of the lateral oblique mead of the abdomen in the right direction of the zvnіshny gryzhovykh vorіt. A wide, flat gryzhoy mіshok can not be here

Small. 5-74. Straight (medіyna) groin grill

Small. 5-75. Supravular and transrectal hernia

to pass, ale, as if the little one is vuzky, you can so widen the gryzhovo circle, you will go through the new shkіru order with a rope. Oscillations of the gryzhovoy mischiefs will grow into the posture of the cremasteries of the shell of the semiannual cord, not dropping into the scrotum, and just out of the way, overlapping the pupar ligament.

With straight groin grizzlies in the gryzhova mishmash, you can pick up and cut the grits. Most often, the grill is used to win, if the bulb replaces the medial wine from the grill.

Before the medial groin grizzly there are two different types of grids, fragments and for them characteristic grizzly gates, medially transformed into the epicheral grids. They are referred to as papus and transrectal grizzlies.

gryzhovy gate adipose grizzly(Hernia supravesicalis) grow medially with a typical straight inguinal groin, between the middle umbilical fold and the lateral edge of the straight abdomen. Gryzhovi gates transrectal hernia(Hernia transrectalis) is located more medially, between the fibers of the direct abdominal meat. Through the gates of both types of cich gryzh, call a little gryzhok to enter, call without vmistu (Small. 5-75).

Operations with straight groin grizzly are abundant in what are considered to be such in case of oblique inguinal grizzly. However, in the basis of these operations lie wayBassini.

Shkіrny rozrіz with cich grizzlies is the same as with surgery on Bassini, warm up the aponeurosis of the lateral oblique abdominal meat. At the same time, one can see the curl of the penny bear and laterally out of the ny blood cord in the oboloncy of the cremaster. Gryzhovoy mіshok is supplied and prepared with knives from navkolishnіh fabrics, as well as from a cremaster.

A large number of grizzly bears have no openings, and through the wide gates turn into a black empty space, if

gryzhovi gate above him (in front of him) zakryvayutsya.

Yaksho zh gryzhovoy mishok great razmіrіv If the decision was taken to be able to see it, then it should be opened from the lateral side, so that you do not want to show the mikhur. The extraperitoneal surface of the cuticle is easily recognizable by the crimson-red target fibers of the wall and the correct passage. Well, pomilkovo, after all, there will be a razkritiy sečovy mikhur, even more importantly as it is more important to give a pardon. You will see the characteristic signs, how to tell about the rosette of the chaff: its product, the mucky inner shell, the empty, and the wicked smell of the chaff. In general, it is possible to enter a catheter through a sechovid catheter, and it will appear at an early stage, when a microcritic cavity is created. Through the catheter, it is possible to inject methylene blue into the michur and water, which can also appear in the early days, when the michur is discharged. More than once they spared vip drops, if they took the spices of the fish by the hand and saw a part of it!

The openings of the open pomegranate slash mikhura are sewn up with noble vuzluvaty catgut-tovim stitches, in which only the grain of myazovy stink is thrown, the slime does not get rid of. For nobility, the springs of the cuttings of the cut are introduced by a catheter, which is left there for 8-10 days.

When you shoot a rosette of a grill bear, if it’s winn’t, then you’ll turn into a black one. See the next step of the yakomog I change the part of the grill bear, innakhe yogo. If you want to close the shyki even more importantly. Through the width of the shyki, it is recommended to close the stump of the resected grill mouse with a suture suture, moreover, it is necessary to stitch behind it, and from the medial side, and do not sew the edge of the chisel. As soon as it’s pomilkovo, it’s all the same, it’s possible to develop a septic tank, it’s important for information and a septic camp to come.

Buvaє, scho a braid of the groin grizzly appears in front of the straight groin. There are also small gates that can be pulled apart and distributed over the cranial vessels. Gryzhovoy mіshok oblique inguinal grizzly grows in the middle of the sheaths of the gray cord, and the mіshok straight gryzhі - the pose of it.

In such vipadkas, the creams-thorns of the shell are opened from the spatula, and they are prepared to the smallest grill bear with an oblique inguinal grill. Then they prepare the grill mice of the straight inguinal grill. At the enlightened mishka oblique gryzhі a finger is inserted, for the help of which a mouse is placed on a straight grill. A lighter wedge of a visonati, how to ob'dnati offend the gryzhovy mishka.

Between two bears, in the pre-abdominal adipose tissue, the supra-cranial judgment is exposed, їх

Small. 5-76. When combining an oblique and a straight groin behind an additional finger inserted into the lateral groin, the side of the medial mouse is pulled into the lateral right behind the epicranial bone

with a good thread. With a finger, we will introduce the mouse with an oblique grill into the education, pull the back of the sudin the wall of the straight grill into the lateral right-hand side (Small. 5-76), as long as the mouse is straight, the mouse does not know it; Now it is already necessary to see only one little bear - the Grizzly Mowers.

Painting a grinded mouse, or if you can see a grilled mouse, and an annoying yogo kuksi slid zakritta gryzhovykh gate, which is most often carried out by the method Bassini(Div. Stor. 361). The whole method is not very much recognizable from the closet when the groin is oblique.

The transverse fascia from the medial edge of the synovial cord to the pubic hump and in the same vypadnuyut, ale razrіz maє bolsh cranial directly (div. Fig. 5-76).

For the most discerning new fabrics, the gates are widened and already large. The zakritta їх is carried out with seams along Bassini, the tension of which is relaxed by the additional growth on the lumpy front leaf of the straight belly meat Halsted(Div. Stor. 363) Special relevance is required when the most medial suture is applied along Bassini, so yak here the most frequent nagoloshu relapse of straight inguinal grits. At the seam, the ovaries of the pubic hump will be thrown into a spike mm. Introduce in the direction of the ropes, with p'yatma-shistma seams along Bassini reconstructing the posterior wall of the inguinal canal.

Pislya overlaying a wide row of seams along Bassini Sew up the aponeurosis of the lateral oblique abdominal meat and renew the lateral groin. Fold the fatty cells of the decilcoma with sutures to the base, close the skin wound with scrapings or stitches.

operation on Girard unsuitable for close grids (div. st. 365). With this method, the groin is moved behind the surface. With this method, do not close yourself

weak with a given ailment, the point of the back wall of the inguinal canal - the middle medial kut.

More beautiful than hernoplasty Kirschner(Div. Stor. 365), as I move the ring of the groin from the center of the weak point and with one (other) ball at the same time with the aponeurosis of the lateral oblique abdominal meat, it closes and the medial cut.

The times of the great gryzhovykh vorit have the greatest need for an operation on Lotheissen(Div. Stor. 372), yak, however, more important and foldable, not simple hernoplasty. When combining medial griffins with stegovy or medial, lateral and stegnous grids, the close grizzly grips can only be closed by the way of the operation.

stegnova grill

Operation with stegovaya gryzhі can be used by a viconan yak with stegnovy, as well as with groin access. The essence of the stegnoy access to the field is that the preparation of the grill mouse side quilted, Yak and set it together and close the grids. With groin access, all the manipulation is carried out from the middle, from the side of the black empty. In some cases, preparation of the grill mouse is carried out from the side of the quilt, and the closing of the grill is carried out from the side of the black empty. I call such a combination method the inguinal-stegnum one.

Stegovy access for stegovy gryzh operation

Shkіrniy rozrіz is carried out, yak during operations110 Bassini. To become naked, or not to discolour the aponeurosis of the lasting oblique abdominal mass. The edge of the shkiri and the pediatric cell to the inguinal zgin is prepared from the aponeurosis of the lateral oblique meat of the abdomen. The food in the medial rose is evidently felt or the mushrooms of the stegnous grizzly can be felt, the rosettes in the child's fat cells (Small. 5-77).

Gryzhovoy mishok is much smaller, it is not built through the bagatosharovyh shells. Rіznі versty cover the gryzhovy bear, it is dumb about the leaves of cabbage. The entire conglomerate is carefully dissected with a finger with a blunt path from the navkolishnykh fabrics, right up to the point of the twine, to the oval opening.

Having opened all the shells and placed them on the offensive sides, in the center of the tsikh fabrics to display the gryzhok miskhok. Often, it’s possible to build, when we have a grizzly bear in front of us, ale appears, but the preparation is carried out still in the small balls of fatty cells.

As a rule, there is an omentum in the grizzly bear, a little more there is a hole and a loop of the small intestine; With a pinched gland, the oil seal is also most often interlocked; unrepentant and small intestine interchange Littre(Div. Stor. 344) .Infracted bowel loop

Small. 5-77. operation on Fabricias in case of stegnous grizzly, 1. Gryzhok is above the interface from the pupar's ring, medially - from the gaps with the ring, below - with the Cooper's ring, and laterally - with the stinging vein

you can spontaneously go into the empty space, the first time it is carried out more thoroughly. Such vipadkah hirurg, behind the words Brucke, to sit in front of the opening of the stegovy canal, like a kit in front of a mishachoy hole, with a loss of growth, but the intestinal loop will definitely not appear again from the opening. This is the very thing and it is recommended to Lotheissen.

When the sheaths of the gryzny mouse are rosted, it is necessary to stitch behind the timbers; Often, about the rosette of the grill mouse, it is deprived of those who, before the surgery, appear to see for their structure of the fat globules of the wen -transparent to internal surface gryzogo mіshka oil seal. Introduce the anatomical tweezers along the way, open the grill mouse and let it dry up the mountain, poke it into the empty hole. The omentum is knitted from the cross emptying і is resected in the boundaries of healthy tissues.

As soon as a gut loop appears in the grill bear, then I push it back into the empty hole. If necessary, in a medial context expand the gryzovі gates in such a way rozsіkayut lacuni sound (Gimber-nati). If the grip is pinched, if the grip is pinched, it loosens, then the bowel loop can be squeezed from the black empty, the grip is squeezed outward, and when consumed, the bowel resection is performed.

The shyka mouse circularly sounds from the inner surface of the grizzly gates. The distal part of the grizzly mouse is extended; Gryzhovy mishka for the help of anatomical pincers can be easily destroyed by gryzhevnyh vyshchevit into the empty wood. kuksa

even the grizzly gates are curled up on their own; If the gates of small sizes are small, then the workers do not care about the need to close them for help.

Pislya burrowing mushroom mouse is a bit of a fatty conglomerate of mushroom shells in size from hairy mountain. The sheaths are used to poke around with two plates of wide fascia stegna in the under-groin tricycle. The superficial plate of the fascia serves as a leaflet for all musculature of the stigma, the glib plate covers the front surface with a comb-like and club-transverse mucosa. Make sure that the two fascias plates lie one on one, only in the presence of the stink of the stink of mushroom shells. Gryzhovi shells with a finger stupidly see through the wide fascia stegna. It is necessary to stitch after that, so that the stegnous vein does not go into the lateral view, from which to the shells of the grill, there are not many spikes.

A conglomerate of musk sheaths, which can be stored from fat cells, can be seen from navkolishnyh tissues up to mussel collars, and can be seen circularly (Small. 5-78). This rank provides access to the pupar connection, the grizzly door, as well as the draining of the upper head of the lonnoy brush. There is also an accessible compartment and a further extension is a scallop fascia, under which there is a ridge and from the side of it is a femoral vein.

potim slid zakritta gryzhovykh gate, which is most often carried out by the method Fabricius. Pupart link is stitched in decile millimeters from the edge, then it is stitched and a part of the scallop fascia is attached (Small. 5-79). If the scallop fascia is not enough, then the head is pricked to prevent the formation of a comb-like fiber. However, it is not recommended to stick it in a bow, since it is necessary to pass the obturator nerve locks with a comb-like ointment. Lateral first suture next to the lining of 1-2 additional sutures; Immediately, the assistant is dumb with a dumb slider in the lateral right-hand side of the stegovian vein, so that it does not move.

Pislya za'yazuvannya overlapping seams of the pupar ligament and scallop fascia kindly lie down one to one.

It’s a bit of a trick for a young man to change over when someone is stressed, who is asking for a cough. To look around is also Stegnova Vienna (not a vinik in this meeting). As soon as everything is in order, then the decalcoma with seams will be closed by the adipose tissue, as it will be attached to the base of the wound. Shkirna wound close up with seams or overlaid skrіpok.

In the case of the great gryzhovy vorit, strongly tightened seams can easily overwhelm the comb-like fascias and create a comb-like ointment. In such cases, the puparte connection is recommended

Small. 5-78. operation onFabricius with stegnovoy gryzhі, II. Victorinennya of the fatty conglomerate of the herringbone sheath

Small. 5-79. operation on Fabricius with stegnous grizzly, 1 II. Gryzhovi gates are closed by stitching the pupar link from Grebeshkov fasciya

sew up to the cooper zv'yaztsi, as it will become good, like a blunt slider through the pupart folds, burn down.

When operating a method Fabricius Pupart ligament is pulled out with sutures in the dorsal straight line, as a result of which the groin grizzly expands, and the groin grizzly expands. There is a great shortage of this method, you can get ahead, having stuck in the way, breaking up by the Ugorsk surgeon P61ua.

It is a common way to prepare a piece of Kravetsky musk, the best surface from the stegovy mussels, for which the ointment is roasted at the border of the upper and middle third. The proximal stump with a re-cut mucosa is used to prepare from falling asleep and to the tip of the head, to the dekilkoma with knotted sutures to slide up to the pupar ligament, from the bottom side, to the ridge.

Malunok 1. Schematic image of the groin groin Pakhovís grove (PG) is a disease, when it is established that the organs of the black empty are set up through the natural openings in the groin of the stomach. There is no more than one type of gryzh, but more often it borrows from people of middle and senior age. (Fig. 1)

The groin area at the choloviks and females has the form of a tricycle, surrounded by copiously perpendicular lines, passing through the pubic opening from the bottom and the most prominent part of the pelvic brush to the side.

Among the choloviks it is the anatomy of the given region, but not among the women. At the groin area, the structure is even more important to pass through - a cord, in the warehouse of a different artery, venous gossip and a similar flow. The first step from them is to bring shelter to the testicles, venous gossip to bring shelter into the empty space (if the blood is stagnant, varicocele may develop), and sperm from the testicle can be introduced through the flow.

The main bar of the groin area є m'yazi and fascii - the half-tissue structure is strained, yaka ogortє m'yazi and serve as a zahist. The zovnishnya scythe, the inner oblique and the transverse muzzle encircle the groin canal, and the transverse fascia protrudes in the role of the posterior wall. The very weakness of the back wall is the reason for the diagnosis of groin grits.

Malunok 2. Anatomical structure of the grizzly Anatomical structure of the grizzly (Fig. 2) is stored in the offensive:

Gryzhovi gates are the end of a circle, as they are stored in a generous fabric, through which to see the organs in the school. Itself in this mісtsі there is a possibility of the interconnection of the gryzhі. Razmіri vary from 2-3 cm to 10-15 cm with groin grizzlies. In the meantime, the very high school gates are often smart enough to be enclosed in place of a gryzha bear.
Gryzhovoy mishok is a part of a queue (a thin shell, a yak covering the midsection of the abdomen), yaka went through the gryzhovy gate to the shkiru. Gryzhovy mіshok can be up to 2-3 cm in size, or even up to the size of majestic sizes up to 30-40 cm.
Gryzhovy vmist - I can be a ruhomous organ of a black empty. In the case of groin grids, the entire small intestine (close to 4 meters), spleen, appendix, part of the intestine, the entire omentum (an organ that can be stored in adipose tissue, as if curved all organically) can go through the whole small intestine (close to 4 meters).

See the groin grills

Here is a list of the following:

Vrodzheni - to be diagnosed, if the growth of the vaginal sprout of the cervix does not occur, when the yoke is lowered into the scrotum before the growth. The stench is just oblique.
Pribuli - they are more important in older adults, who see strong physical options. The stench is loud and straight and braid.

For the anatomical classifications, grizzly there are advancing species:

Another important classificatory classification is as follows:

Malunok 4. Inguinal grizzly is affected

reducible PG - is characterized by self-reliance or, behind the help of hands, the reduction instead of the grizzly into the empty cell. Call a lot of small sizes and for cob stage development, if the adhesions between fabrics have not been established;
irreducible PG is a winy with a trivial manifestation of grizzly, if grizzly bears are made by adhesions from adipose cells. With a lot of grizzly, you shouldn't be thrown into the empty hole, protest not stressed, and you can slightly change or change;
Affected by the PG - when interconnected, it is unwise to navigate from the outside help to put it instead of the gryzha into the empty hole. With a lot of gryzhok stress, sore. (Fig. 4)

Visually, if the groin is pinched, it is possible to see a simple task - if you use your hand on the grill, you need to cough the griffin. It’s easy to get rid of it and change it when it’s getting rid of it. In the first place, if you cough up your throat, you don't change your growths and keep getting sick - better for everything, the grill is pinched!

It is even more important to remember that a term operation is necessary in case of interconnected grids!

Causes of the incidence of groin gris

Among the main reasons for the appearance of groin grids, there are steps:

genetic anomaly - in case of such presence, the weakness of the tissue is genetically summed up. At the same time, it is not only the groin grids that can develop, but the stegnov, umbilical, and also the ridge, types of vyvikha slopes;
inconsistent pathology - characterized by an incomplete overgrowth of the sprout of the queue, such as a vine in all the lads in the groin area before the nation, and is guilty of shrinking in the first period of life;
over-the-top physicality - the importance of the robot, professional sports, the importance of athletics;
injuries;
problems with shlunkovo-intestinal tract- lock up;
knock nervous system- stroke with the development of a parallel from one side of the body.

Symptoms of the groin grizzly or how much are there?

The main symptom of the groin grizzly in cholovikiv is the tense of the groin in the groin area. In such a situation, it is necessary to conduct a final survey of the groin areas. It is necessary to note that it is possible to know in case of a sinuous position of the body, protea with a cough, it penetrates into the skin and becomes visible.

With palpation (washing with hands) the groin area with the presence of a grizzly, it is possible to see a rounded, soft consistency, more elastic, at least not ailing.

As soon as it was sanctified, it was manifested, that it was necessary to spread a hand on the groin gryzha and immediately cough, as if it would be lost and changed in communication, then it means that the grizzly could not be reversed. Well, if you cough, you do not hesitate when you cough, then you should know about the coughing of the mushrooms and the term is not needed. surgical involvement. dane doslіdzhennya I will name it - a symptom of "cough shit".

With a significant increase in vipinnya, you can start to visit the mosquitoes and booty gigantic razmіrіv. At the same time, it is necessary to see the ultrasonic scan, the scrotum is seen instead of the scrotum.

It is not necessary to create a straight braid between oneself and a groin gryge, because it is practically meaningful only for a surgeon.

How robotic when groin grits appear?

Here the recipe is even simpler - not panikuvati, as simple as a reducible or irreducible groin grill. In the planned order, it is necessary to come to a routine before the surgery and the completion of the operation.

However, as soon as the groin gryzha is detected, it is inadvertently required I will help the shvidka and hospitalization in surgery. If the gryzha has been adjusted independently for 2 years, then the eye of the car is required not less than 2 dB, in this situation it is necessary to have a safe operation.

Likuvannya groin gryzhi at cholovikiv

Likuvannya without surgery

The ingestion of the groin without a transfer operation is injected on the main reason for the development: the change in physical pressure, the mode of handling, which does not lead to constipation, it is necessary to unify the trivial static adjustment of the time dikhalnyh nobles, Scho pivyschuv internal vise.

Malunok 5. The efficiency of the bandage belt for the inguinal grizzly is very low. likuvalny effect... And if the operation is not indicated, for example, in case of oncological pathology, important secondary pathology of the nervous, cardiovascular system. In case of improper grizzlies, the fixation of the bandage is not indicated. (Fig. 5)

Surgeons do not recommend wearing a bandage belt if a right groin is evident, since the efficiency of this groin is already low, and if prompt engagement a massive spike process appears, which can lead to an accelerated relapse.

In such a rank, the vicarious bandage is deprived of the imperious approach, but in any case it does not replace the operation.

promptly lykuvannya

Prior to the operative technique of the inguinal grids, it is necessary to go and individually. It is better to perform the operation at the cob stage of the development of the grill, if it can be done right. It is also an important moment є the performance of the operation during the winter-winter period.

The type of anesthesia is vibrated by an anesthesiologist, depending on the patient's organisms, it can be used as anesthesia, spinal anesthesia (the drug is administered in spinal cord, With a great feeling of feeling all the underlying parts of the body), epidural anesthesia (an anesthetic drug is injected into the ridge, when there is only one zone of tuluba), zagalny anesthesia.

Deyakі vidіkі vіdіkіnuyu vtuchanem:

Hernioplasty with wet fabrics- Polyagaє in the usunenny grill mouse and the plastic surgery of the inguinal canal with wet tissues:

Hernioplasty behind the aid of sieve (allograft)- primer on synthetic materials to close the fabric defect. with a given methodology, the sieve does not dry out, the leaves of the polyurethane, polypropylene. The main challenge in front of the opposite type of plastic is the visibility of the tension of the fabric, the greatness of the piece material is great.

laparoscopic hernoplasty- surgery is not a matter of course, and even step-by-step is introduced into the practice of a whole new type of plastics. Some of them are short-lived and poorly widespread in the rural regions of the country. The whole kind of engaging in the work is not only a specific instrument, but the highest quality of a surgeon.

period of operation

While the operation of hernoplasty of the groin grizzly was performed in a planned manner, the ailment was close to blame for the post-treatment regime. For spinal anesthesia, the patient will not be seen bottom part tila approximately 4-6 years. If sensitiveness turns, you can turn to the bik. The first drink of water can be made in 12-24 years, and you can make a step from the soup, jelly, malt tea or simple mineral water. The distance of the day is expanding and it is allowed to be sniffy for the patient.

Getting up from the bed is allowed on the coming day of the operation, bazhano for the help of outsiders. Dalі to act, to appear, or it is allowed to walk and independently.

Drug therapy:

antibiotic preparations should be injected for the first 3-4 days;
antibiotics (in the form of triviality during the operation) during the period from 1 to 3 days;
anticoagulants (drugs that significantly reduce the throat of blood) for 7 days, when є ailments, Вік після 40 rocks, obesity, ailments of the veins of the lower edges.

For 1-2 months, it is categorically fenced in to engage in important physical robots, it is necessary to conduct a sparing way of life, for the 2nd month it is necessary to step up the installation.

accelerating

Maybe you should see that the groin grizzly is not a very difficult physical pathology, as it is possible to ignore it. However, there is even worse danger of slowing down, as it occurs with a trivial manifestation of the gray at the head and can lead to a worse serious heritage... Axis of them:

Sharing the groin grizzly is even more dreadful, as you can win in any hour, finish it, navigate in peace. A little more often, with a visit to physical navantages, a sharp increase in sleep, a cough, and a difficult time. If the body is interrupted for 2 years, it is necessary to carry out an operation, if the organ is pinched, then just fix it, carry out a Hernioplasty using digestive techniques. If the organ is not tightly pinched, then it is necessary to make it visible or resection (partly visible to the organ) and to repair Hernioplasty.
Gostra kishkova impermeability - the goal of accelerating the winery in case of adhesions in the black empty with trivial manifestation of the grizzly and permanent fixation of the bandage. It can also be found in case of interconnected grids, if the small intestine is infringed upon. At the same time, it is necessary to rotate laparotomy (the growth of the abdomen along the vertical line from the navel to the pubis), look at all the organisms and suspect the reason for the development of failure. period of operation in the whole range it is significant to increase, to become close to 9-12 dB.
damaged function intestinal tract- vinikє with trivial manifestation of the gryzi, especially since there are great razmіrіv. At the same time, a large part of the small intestine is consumed in the gryzhova, distant from the shkiru, the anatomical position of the intestine, which can lead to constipation. The problem can only be violated by a quick way.

heritage

It will be necessary to repeat again - the groin grill is lіkuvatisya tіlki operatively. Wearing a bandage, uniqueness of operation, self-adjustment of a bandage is not a matter of time, and it is not guilty that it is not guilty that it is a residual lick.

Tastes of unopened inguinal grizzly in choloviks, who have already lost their head, may be depleted, discomfort in the groin area, pain in physical options, Appearance of adhesion to the process in the black empty, trivial constipation, abdominal asymmetry.

Having performed the operation according to one of the described methods, the patient will be able to get rid of the problems that have occurred before, related to the apparent inguinal grizzly.

The groin grizzly is accepted as a pathology, which is characterized by the displacement of organs in the black emptying and the small pelvis towards the side of the groin. It’s given zsuv to see the groin canal, which, due to its structure, can slightly stretch the power.

Statistics are growing, so that 70% of all grids can be found in the groin localization. At the cholovikiv given pathology to be developed more often, approximately 5.5 times, less at the female half of the people. The reason for this is the structure of the cholovic inguinal canal.

The groin canal is a wide gap, which is a partition from the top and in front of the belly area, from the side to the bottom - a ringing groin, and from the back - a transverse function.

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The cholovik groin canal is larger and shortened; Women have a round uterine ligament there;

To get involved, most often the grill in the groin area is on the right, but it is not visible and bilateral.

You can instead of the groin grill:

zhinochiy yachnik;
oil seal;
fallopian tube;
a loop of the small intestine.

Classification

scythe	Organize to make up your mind through the rope. Win in his heart can be found in the warehouse of the seven ducts, judged with lymph and blood, wrapped in a shell of the zagalny sign. The inner groin of the ring will make the position, like the gate of a given type of gryzha. It was accepted to distribute the braids of the grizzly to the inguinal-scrotal and just the groin.
straight	Instead of entering the groin canal, when the cord is torn, it is not tied up. The grizzly can only be of a certain kind and be seen from the front of the mice to the position of the gryzha.
combined	In case of a given pathology, more than one gryzny bear is spared from one side, with a whole stench, not one to one is tied. One hour you can get on with a sick person і braid, і straight hair.

symptoms

At women

The scythe of the gryzha is developed among women dushe rіdko, nagato rіdshe, nіzh near cholovіkіv.
At the first stages of vipinnya є small і th size, it is practically not a turbulent woman.
If a woman is a child, or an important subject that can be written, it is possible to see a lot of puffiness, as if it were a singing progression.
Most of the symptoms may increase during menstrual bleeding a couple of days before they appear.
If the grizzly doesn’t suffer, it’s the size of the grizzly. It is necessary to lead to uncontrolled oblique grizzly and immobility and pinchedness to move.

At the cholovikiv

Vipinannya in the area of groin, yake maє viglyad pukhlini and supervodzhutsya pain. Tse is the main sign of a disease. Gryzha grows stronger and hurts harder for an hour of physical nurturing. The very last fact allows the doctor to develop a correct diagnosis. In early terms, pain may not be in the hospital. In such vipadkah licar ask for the growth of the physical right or just straighten the abdomen.
Not the power of the small rope of the war It is easy to give a drink to the drug when you look around.
Constipation і pains in the lower abdomen, which extend into the area across or across. These are the signs of power being manifested in the development of new grids, which may be the same and great size. A great grizzly creates a normal oversaturated people and an elementary physical appearance. The standard patronage of the victim is greatly reduced.

See the inguinal grizzly scythe

vrogena

The Danish kind of gryzhi may not show itself at once for a folk child. Most types of pathology appear in the period physical activity baby: if it’s okay to start, sit and walk.
In some mami I will help you for an hour, I cry for an hour or a cry of a child, or a cough or a cough.
The reason for the built-in oblique inguinal gryzha polyaga was not closed to the necessary terms of the vaginal storage part of the queue. Vona descend under the grip of the yauchka through the groin canal, and a loop of intestine is pressed into the chilin.

dribble

The reasons for the dumb look are scolding in the weakness of the groin canal or the grip of the groin in the middle.
Entering a group of people with a whole group of people, who in their life are often frantic to strong physical character, suffer from a busy life, constipation due to chronicity and interruption and an unruly way of living.
For the prevention of this type of pathology, it is also important to correctly harchuvatis. Diet is even more important in case of overwhelming vases and constipation. Physical navantazhennya also goes to speed up to reasonable boundaries.
As soon as for the help of harchuvannya you will give in to the normalization of style and decrease in mass, then the internal vise will decrease.
For a child, it is necessary to make at least 40 grams. bіlka in doba. You can also update the calls myazovy apparat, Yaki take part in the springiness of the walls of the inguinal canal.

obmezhennya

With great respect, it is necessary to put yourself to your own health and self-esteem, since you have diagnosed a braid of a groin grill. In case of pinching, it is necessary to turn around for help.

Symptoms of gryzhі nashennia:

zagalnaya weakness to the body;
tediousness and bloating;
sharp beat in the lower abdomen;
swelling of the abdomen;
as long as it is nasty on the spot, the grill cannot be adjusted;
people do not see gas and at a new day of the day there is a style.

As soon as you don’t turn for help, you’ll see the critical acceleration. Peritonitis or sepsis may develop.

diagnostics

If a lyudin turns to death with symptoms that are overwhelmed by the viscera, then the diagnosis is not made immediately. Fakhivtsyu need to include such pathologies, such as:

dropsy in choloviks;
the grill is quilted;
lymphadenopathy;
cryptorchidism;
lipoma of the synovial cord;
cyst of a round uterine ligament in women.

In cichs, illnesses є similar symptoms, ale additional indications of licar for an additional complex of key signs, characteristic of the grizzly, are necessary to sort out the diagnosis.

As soon as diagnostics will be complicated, it is more possible to use instrumental techniques.

Reinstate the appearance of the groin grizzly not in principle, for that all the vidy of the surgical engagement. The І residual type is possible even before the hour of the operation.

lykuvannya

Why do you get a groin braid without surgery? Unfortunately, the opinion is negative. єdino good method lykuvannya - surgical involvement. It will be aimed at restoring the integrity and springiness of the black style.

If a patient turns around for help with symptoms of pinching, then the operation is carried out extraordinarily.

Stretching the plastic with the fabric of the patient

Buvag front and back view.
In the great land of the country, the light has come standard likuvannyam plastic according to Sholdays (E. Shouldice).
Also vikoristovuyutsya inodі for Cooper (Cooper), Bassini, Holsted (Holsted), Postemsky.
In the case of some oblique inguinal hernia, the vicorisovas were earlier than the anterior plasty. But through a great number of relapses, in every form, they were seen everywhere.

The main minus of this technique:

a high rate of relapse;
strong more before the hour of operative rehabilitation;
the most recent term of being transferred to the clinic;
It’s trivial to spend at the end of the day.

Tension-free plastic with synthetic materials

If there are a few species in hand, as I will increase the risk of reprimand and relapse:

obturation hernoplasty - sew the obturation sieve (Perfix Plug or Tyco) into the inguinal canal;
Operation on Liechtenstein - the change is carried out behind an additional polymeric grid;
Endoscopic method in hand - the operation is carried out behind the aid of the endoscope, if the installation of the mesh is carried out in parallel with the diagnosis.

Outside of this method:

100% viklyuchennya recurrence of oblique inguinal grids;
insignificant pains immediately after being involved;
short term transfer to the hospital;
technical documentation and updating works.

This operation can be carried out for additional help new species anesthesia:

zagalny;
regional;
mussevy.

Incomplete endoscopic type of engagement:

it is unwise to carry out a muscle anesthesia;
high anesthetic risik;
visoka price of operation.

prophylaxis

the foundation preventive visits- a change in the queue. It is necessary to put down all the factors that reduce the tone of the mucous and move the inner vise.

To please the patient:

engaging in physical culture or sports, ale to viklyuchiti to take important objects;
to lay the rational mind and dotrimuvatisya її rules by stretching out life;
to include in the race a large number of cells for the prevention of constipation;
do not bear gravity in the haunted life;
taken from tyutyun and alcohol;
Women should wear a special bandage during the period of vaginosti.

As soon as it was carried out promptly in hand, then a day (like the same - say a likar) will need to be unique for any important objects.

Surgery for the operation will provide you with additional recommendations to help you improve your health and lead an extraordinary way of life.

Service in the army

Article 60 of the Rosklad of ailments (hereinafter the RF PP "On the solidification of the provision for Vyskovo-lykarsky examination" dated February 25, 2003), it should be said that in the event of a successful result of the operation on the treatment of young people, they are serving as prize winners.

As soon as it is diagnosed to expand the groin without the obviousness of the appearance of the physical type, then such a prizewinner can also be accustomed to.

Leads for accessibility:

vidmova vid operative engagement or prototype before yogo vikonannya;
grizzly vimag of continuous streaming with a bandage;
grisha has a relapsing character;
great size of vipinannya;
how vipinnya go to vertical position with weak physical navantazhennyah abo coughs;
the grizzly is weak to the point of being restrained by the visnov's surgeon.