Inguinal hernia is the most frequent surgical pathology. Threatening complication of inguinal hernia Hernia: Types and symptoms - which are the most dangerous?   is its denial. Strangulated inguinal hernia Inguinal hernia - why is it dangerous?   among all other types of abuses is 60%, which is due to its wide dissemination. In strangulated hernia happens compression of the abdominal organs (bowel loops, the gland area, uterus, testis, bladder, and other), which are in the hernial sac. Strangulated inguinal hernia requires immediate treatment to the doctor, and emergency surgery, as delays can result in death of the patient.

Types of infringement of hernia

Inguinal hernia occurs when the abdominal organs stepping into the inguinal canal, which are damaging the wall. If the infringement of an inguinal hernia occurs compression of these organs, they disrupted the blood supply that leads to tissue necrosis, often breaking the walls of organs and peritonitis.

There are several types of infringement. These include:

• elastic infringement;
• fecal infringement;
• retrograde infringement;
• Richter infringement;
• infringement of Meckel diverticulum in inguinal hernia.

Mechanism infringement

For frequent forms of infringement are elastic and feces.

Elastic infringement is a result of the output, often sudden, most of the abdominal organs, especially the intestines. It provokes elastic infringement sharp increase in intra-abdominal pressure (for example, excessive physical exertion, straining or vigorous coughing). At the same bodies can not be released on their own shall be entitled to the abdominal cavity. Because of this compression takes place in a narrow ring hernial ring, resulting in a growing body of disadvantaged ischemia (blood disorder) and there is severe pain. On the other hand, the intense pain leading to enduring muscle tension anterior abdominal wall that aggravates the patient's condition and infringement. If, within two hours of the patient is not helped by the contents of the hernia sac necrotic.

Fecal infringement occurs when the upstream part of the intestinal loop, which is located in the hernial sac, sharply perenapolnyaetsya. Wherein the discharging part of the intestinal loops in turn undergoes a change. It becomes flat and squeezed into the hernial ring. That is, the fecal infringement similar to elastic, the only difference is the longer period for the development of disadvantaged organ necrosis. When fecal infringement of physical stress plays practically no role, because such infringement provoke bowel dysmotility and the weakening of its motility (contraction). Fecal infringement characteristic of elderly and senile age. In addition, the occurrence of fecal infringement promote excesses and twisting the gut, which is located in the hernial sac.

The clinical picture

The main symptoms of infringement are:

• intense pain in the area of ​​the hernia and / or throughout the abdomen;
• nevpravimost hernia sac;
• sharp pain and tension herniation;
• Negative symptom cough shock.

The main symptom is pain of infringement, which usually occurs at the moment of excessive physical exertion and disappear thereafter. The pain is so pronounced that may develop a painful shock. The patient becomes restless, pale skin dramatically, quickens the heartbeat and reduces blood pressure. Pain gives to the lower extremities, the lumbar and sacral region, spreads throughout the abdomen. In the case of intestinal obstruction pain gets cramping in nature.

If the infringement is observed irreducible hernia, due to the sharp swelling of the hernia contents. Voltage herniation occurs as a result of swelling of the hernia contents. Often there is soreness of inguinal hernia. Negative symptom cough shock (when the doctor does not define a concussion internal organs with the introduction of the finger into the inguinal canal and coughing patient) is due to spasms hernial ring.

Anna Sozinova

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