False infringement of a hernia

False infringement of a hernia . In acute diseases of the abdominal cavity, exudate, getting into the hernial sac, can cause in it the development of inflammatory changes. Usually, 5-7 days after surgery for spilled peritonitis caused by acute inflammatory diseases of the appendix, gallbladder, perforated ulcer of the stomach or duodenum, when the patient's condition improves, he begins to complain of a painful bulge in the area of ​​hernia gates. Locally - almost typical picture of infringement: painful compaction, unrecoverable, cough push is negative. With radiographic examination of the abdominal cavity, signs of intestinal obstruction are not detected.

Treatment operative. After opening the hernial sac, purulent contents are removed. The hernial sac is removed, the plastic of the hernia gates is made.

The unrecoverable hernia is caused by the development of adhesions between the hernial contents and the walls of the hernial sac. The hernial contents can not be pushed into the abdominal cavity, while the ballroom is worried by a drawing pain in the area of ​​the hernial protrusion with irradiation in the lower back. The postoperative and umbilical hernias are irreversible more often.

Treatment operative: produce the same principles as with free hernia.