Internal hernias

Hernias internal - intra -abdominal and diaphragmatic. Intra-abdominal hernias are formed as a result of the ingress of internal organs into various pockets of the peritoneum: near the blind or sigmoid colon, the omentum bag, near the Treitz's ligament. Such hernias appear only in the period of complications, with infringement there is a partial or full intestinal obstruction, which leads the patient to the operating table. During laparotomy, infringement is found in the internal hernia. The disease is rare. The prognosis depends on the timeliness of the intervention.

Diaphragmatic hernia is divided into traumatic and non-traumatic by origin. They can be false, while the abdominal organs, not covered with a leaflet of the peritoneum, move into the thoracic cavity through birth defects of the diaphragm, and true. The latter arise in the weak zones of the diaphragm when the intra-abdominal pressure rises. In this case, the organs of the abdominal cavity or the preperitoneal fatty tissue go into the mediastinum or pleural cavity. There are retrokostosternalnye hernia (right - Morganyi, left-Larrae), lumbosacral-hernia (Bohdaleka), retrosternalnye hernia. Patients are usually concerned with dyspeptic phenomena (clinical picture of peptic ulcer, cholecystopancreatitis, colitis) and pain of stenocardial nature.

The diagnosis is clarified by X-ray examination of the chest cavity organs, which reveals an increase in the shadow of the mediastinum, the contrast radiographic examination of the gastrointestinal tract, irrigoscopy, in some cases impose a pneumoperitoneum with subsequent X-ray examination (air in a hernial sac localized in the mediastinum).

Treatment is operative - suturing the defect of the diaphragm.