1. Complications of the hernias of the abdomen
The cathedra of the faculty and hospital surgery of the treatment faculty of the Tashkent medical academy
Complications of the hernias of the abdomen

2. Complications of the hernias of the abdomen
Unsetting
Coprostasis
Strangulation
Complications at 10-15% of hernia-carrier
Inflammation

3. Types of the strangulation of the hernias
Elastic strangulation
Excrement strangulation

4. Retrograd ctrangulation

5. Near-wall (Richter’s) strangulation

6. Clinic of the strangulated hernia
Sharp begining
Pain in the area of hernia
Unsetting of the earlier setting hernia
Sharp painful, compaction, effort of the hernia
The symptom of «cough pushing» is negative

7. Stages of the operation at the strangulated hernia
Tightly section of the tissues to the aponeurosis and stripping of the hernia’s bag
Opening of the hernia’s bag, liquidation of the hernia’s water, keeping strangulated organ
Section of the strangulative ring
Identification of the vitality of the strangulated organs
Resection of the not viable organs
Plastic of the hernia’s gates

8. Signs of not viable intestine
Absence of the peristaltic
Absence of the pulsation on the mesenterial vessels
Blue-black color
Absence of the briliance of the peritoneum

9. Tests to indentify the vitality of the intestine
Novocain test
Mechanical test
Test with the «hot compress»

10. Separation of the hernia’s bag Opening of the hernia’s gate

11. Section of the strangulative ring

12. Resection of not viable department of the intestine

13. Intraintestinal anastomosis “side-by-side”
Nasoenteral probe
Intubation of the small intestine

14. Independent or forcible setting of the strangulated hernia
It is impossible to define the state of the strangulated organ
Possibility of setting with the strangulative ring
Possibility of defeat of the strangulated organ

15. Complications of the forcible setting of the hernia
Breakup of the hernia’s gates
Perforation

16. Inflammation of the hernia
Sources of the infection of the hernia’s bag
From the inside
From the outside
Strangulation of the intestine
Acute appendicitis
Diverticulitis
Terminal ileitis
Typhoid fever’s ulcers
Perforation of the small intestine
Inflammatory processes of skin
Defeats of the skin
epydedimitis, orchitis
lymphadenitis

17. Unsetting
The complication of the hernias, connected with the formation of the soldering among hernia’s bag and hernia’s content as a result of their trauma or aseptic inflammation

18. Unsetting

19. Hernia and loose-hanging abdomen

20. - stasis of the excrements in the intestine
Coprostasis
- stasis of the excrements in the intestine
The development of the coprostasis promote:
Unsetting of the hernia
Less activity of the life
Rich feeding
Coprostasis more frequently occurs:
At fat patients of elder age
At men at the inguinal hernias
At women at umbilical hernias

21. Treatment of the coprostasis
It is necessary to reach the evacuation of the content of the intestine
At setting hernias it is necessary to try to keep the hernia at set state
Use small enemas with the hypertonic solution, glycerin
The using of the purgatives is contraindicated!

22. Prevention of the complications of the hernias
The surgical treatment of all the patients with the hernias in planned regime