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 umbilical hernia in the elderly

Older people

Umbilical hernia in the elderly is not uncommon. This is due to a number of features in the structure of tissues that appear in old age. In addition, old age is often a person appears overweight, and it complicates the course of umbilical hernia and promotes the appearance of abuses.

Today, there is a tendency to increase the number of umbilical hernias and their abuses, due to the increase in life expectancy, the increase in the number of obese people.

Umbilical hernias in elderly people at the beginning of the disease often goes unnoticed. Since on the stomach they often have folds of fat, a protrusion of the navel, if it is not accompanied by a specific, related symptoms, can occur unnoticed and accidentally discovered during the inspection of the doctor.

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Symptoms of an umbilical hernia in the elderly

Protrusion navel thus can be negligible and only occur when the vertical position of the patient. When the patient lies down, protrusion disappears. The patient may also independently, palm of the hand to straighten a protrusion and it will disappear and the vertical position. But slowly (sometimes quite unnoticed by the patient, if the hernia is small) no longer reduce a hernia - it says that there were adhesions (connective tissue bands), which hold the contents of the hernia sac from the reduction. Adhesions develop inside the hernia sac and divide it into sectors, as well as between inmates occur in the hernial sac bodies and the walls of the bag. When adhesions formed, the hernia is nevpravlyaemoy.

Older people, even when invisible hernias are more likely than younger patients, concerned violations of the intestine.

Such violations occur, especially in constipation. Constipation become familiar and can disrupt the overall condition of the patient due to the fact that toxic products accumulated in the intestine, absorbed into blood again, and adversely affect all organs and tissues.

In addition, the constant, although small, compression of the abdominal cavity causes poor circulation in the area .  In elderly people, this is particularly dangerous, because they often have increased blood clotting, and poor circulation can lead to thrombosis mesenteric vessels - ligaments, which "suspended" gut .  The mesentery are the arteries that bring blood to the intestines and veins, carrying venous blood .  Thrombosis of mesenteric blood vessels is one of the most severe complications of umbilical hernia in the elderly .  Poor circulation leads to necrosis of the intestinal wall, there are pains in the abdomen, intoxication, then the inflammatory process can go on the abdominal wall and start peritonitis .  This is a very serious complication that is difficult to cope with even the young patients .  Older people also such a complication is often the cause of death .  Warn mesenteric thrombosis of blood vessels can only be operated on a patient in a timely manner .

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Infringement of umbilical hernia in the elderly

Older people with an overall a fairly quiet during umbilical hernias are often violated, it happens due to the fact that the disease usually takes a long time, and the longer it over, the more likely and conditions of infringement. Another reason for the frequent abuses of umbilical hernias in the elderly is that they have a large number of different diseases, including chronic diseases, which are contraindicated for routine operations.

The same constraint often is obesity. Therefore, surgeons are often wary to operate the elderly as planned, and therefore, there is a contradiction: on the one hand to reduce the number of complications is necessary to carry out the planned rehabilitation of the elderly, and on the other - due to a number of objective (and sometimes subjective - surgeons simply I do not want to bind) the reasons not to do it.

Strangulated hernia in the elderly can proceed atypically, without severe pain.

Sometimes it is simply a sign of infringement nevpravlyaemoy appearance of swelling in the umbilical ring, which is accompanied by a slight increase in pain. But in order to notice the change, you need to know about the presence of umbilical hernia, and many older people just do not notice it. As a result, infringement gradually begin to die tissue enclosed in a hernial bag bodies. Pain may worsen, showing signs of intoxication. If the patient is still not provided timely surgical care, he may die, he peritonitis - inflammation of the peritoneum - the serous membrane that covers the inside of the abdominal cavity.

Umbilical hernia Hernia: Types and symptoms - which are the most dangerous?  Hernia: Types and symptoms - which are the most dangerous?
   older people require constant medical supervision. Better yet, they operate in a timely manner in a planned manner, without waiting for the infringement.

Read more Treatment

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