Phlegmon hernial sac

The phlegmon of the hernial sac arises as a result of bowel necrosis in the strangulated hernia and the subsequent transition of the inflammatory process from the hernial sac to the abdominal wall tissue.

Diagnosis with long periods of infringement (more than 3-5 days) and typical inflammatory changes surrounding the hernial sac tissue does not cause difficulties. With a survey X-ray study of the abdominal cavity, multiple small intestinal fluid levels are detected.

Treatment operative: a medial laparotomy, a resection of loops of a gut, imposing of an intercusive anastomosis. After suturing the medial laparotomic wound, a cut through the hernial protrusion is made and the hernial sac is removed with a single block with necrotic bowel loops. Plastic hernial gates do not produce, sewing only aponeurotic tissues.

The prognosis is often unfavorable.