our colleagues from the minsk news agency have started a medical strike, a warning action and will last for 2 days. however, even at this moment one can judge the seriousness of the intentions of the latvians at the initial stage. it involves 316 workers against the backdrop of a deteriorating economic situation. they demand to raise wages, if the request is not met, the situation in the industry will inevitably worsen, unions warn. in particular, it will suffer urgently. medical care, which will naturally lead to deaths that could have been avoided. powerful storm heavy rains hit the south-east of spain, turned the streets into rivers, stormy streams demolished cars on their way rescuers report one dead. he slept in his house when the water broke through the walls and washed him away in the canary islands. bad weather caused a traffic collapse . several highways were closed to traffic. hundreds of flights were canceled. aircraft moved today to

alternate airfields and in moscow at sheremetyevo and vnukovo airports in the morning due to thick fog, more than a dozen flights were canceled in several areas of the russian capital club or other visibility is limited to 100 m, and in some places up to 10 in the yards it was not even visible to neighboring houses. interested in building up economic cooperation with belarus today, the minsk parties conducted business. the forum was attended by invited representatives of the business circles of the two countries, the mutual trade turnover at the end of last year amounted to almost $23 million, this year the pace has slowed down a bit, but there are reserves for growth. there are among the priority areas, mechanical engineering and pharmaceuticals. of course, we consider cuba as ours. e partner export-import operations, as an independently independent country, but at the same time a club, they are also considered how e islet is another platform a platform for entering e, the large market of latin

america is e, the unisela market, the bolivian market and the market of a number of large major countries that are present in the region of latin america the belarusian chamber of commerce and industry continues to work with the latin american market. finally a week scheduled meeting with the ambassador of argentina more information about my colleagues 15 hours. i say goodbye to you on this. all the best.

abdominal hernia, or as they are called medically nominal hernias, is one of the most common reasons for visiting surgeons throughout life. it occurs in six to seven percent of men and three percent of women. many people postpone hernia treatment, high-tech methods allow you to recover, a few days after the operation today represents this operation. and most importantly , these same hernias, and let's start, according to tradition, with the history of the disease last year. somewhere in the winter it was. felt pain. in the lumbar region

well, how was the coronavirus, did everyone write off everything they wrote off for the coronavirus? then there is the feeling. became worse and worse hospitalization, as such, they did not offer, because all the hospitals were packed this year already decided already, supposedly the recession went to the clinic turned to the surgeon said inguinal hernia. about a year ago maybe i noticed that i have formed some kind of education turned to the surgeon. he said it was an inguinal hernia. and i wanted to do an operation , the coronavirus pandemic began all operations,

therefore, when it was all over, i passed the tests. in 1919 i had three surgeries; an abscess was then appendicitis, and then he was grisha. well, the little one also removed it, and then she was scared away, she was small and well, she began to grow up and cuts her fist more. so you tried to somehow cope with it on your own, well, you tried wearing a belt and controlled it. well she doesn't care somehow interfered with it was very big. well, she wore clothes. well, as if the stomach of such a crooked body was here, well, i went to the doctor. the doctor said, this redhead must be operated on, because it still hasn’t gone anywhere, only three life histories, three case histories in all three cases will grow in the clinic and on the operating table of our heroes. they led to a hernia. this is

a disease in which the contents of the abdominal cavity exit through a hole formed in the manual wall of the hernia consists of hernia. the hernial contents and the hernial orifice are the defects of the abdominal wall through which the contents come out into the subcutaneous fat. this content may migrate into the living sac and back there are external hernias. there are internal hernias and external hernias. them. even the patients themselves already find themselves visualize, we can see them internal hernias are detected with certain research methods. here, according to the localization of the red abdominal wall, there is a femoral hernia of the white line, an umbilical postoperative hernia, that is, in depending on the location and the cause of their occurrence. here. and, of course, i would also like to see, of course, complicated uncomplicated, as a rule. the patient finds the hernia himself. a protrusion appears on the abdomen

or in the groin, it can independently go into the abdominal cavity and does not bother for some time, and then it appears again. the person may notice the asymmetry of the anterior abdominal wall and experience pain. usually it has a cramping character and is stopped by self-reduction of the hernial protrusion most often. additional diagnostic methods. it is detected when examining palpation of a live protrusion. in some cases, additional research methods are required, most often this is an ultrasound scan, which will show us exactly the live protrusion of the contents and the living sac. hmm, in very difficult to diagnose cases, sometimes computed tomography of the abdominal wall is required, it is not always and may require additional research methods. so the

doctor determines the presence of a hernia during physical examination and no other tests where diagnosis is not required in other cases there may be symptoms of a hernia, but during a routine examination no obvious protrusion is found very rarely, but still it happens that some other formation resembles a hernia and differential diagnosis is needed, as they say in russia, our today's heroes had obvious hernias, but i found out i see somehow after the operation it would have been. i thought it wasn't scary. eh, when you went to the doctors. how much how long has it been since the discovery of the hernia? well, somewhere you have been with me for two and a half years, a year and a half, you have endured. yes, i was generally afraid to remove it, because it was not difficult for me to have the operations in 3 months. i did three of these operations, that's it, and that's the same. complex operators were not simple.

especially the first one. well, a hernia, how it interfered, it was impossible not to walk anything. the main thing is that we need to leave the infringed one, because she is in such a place that she had to be removed. she was not because of this, even if such a large hernia in itself significantly reduces the quality of life of the patient, however, the need to eliminate it is primarily dictated by the risk of possible complications. the most dangerous complication is the incarceration of a hernia, while any organ of the abdominal cavity gets into the living sac, most often the intestinal loops, which cannot cope back, the blood supply to the organ is disturbed and it begins to die. here, too, a lot depends on, uh, the person to whom this all happened, if the person revealed this in the early stages, and in the near future turned to the clinic, then we can operate and quite often the organ

turns out to be viable, that is, it does not need to be resected. if a person sits at home for a long time, this infringement sometimes disappears. we saw such patients for 12-24 hours, then, unfortunately, it is impossible to save this organ and it is necessary, in addition to the hernia operation, to remove the dead organ. our next hero knew about the potential danger of a hernia and he himself knew that the local therapist sent the surgeons here, the surgeon, right? came to consultation here. looked? the day of the operation was set. why i love my colleagues, she's all

in the process everything in the process said you give or afraid yes, i agree, what to recruit? no, i myself came to interrupt me in approximately the same scenario as our third hero. he, too, did not wait for complications. i went to the heads for a consultation, they went to the fifth clinic for yesenin as a surgeon. sent here. i went for a consultation and the surgeon looked, the head of the surgical department looked and said, yes, closer and appointed me on august 9 with reason. i went to his surgeon to see my tests, brought everything to him, he looked a few more, looked, there was one filmed. as they say, she lowered her shorts, and he looked said. yes , you have to do it. went, but she began

to deliver discomfort. how did she develop? she? yes, you know, before i somehow remove it, and then she corrects it. yes, and she begins, as it were, she does not worried, but she seemed to feel such a heaviness, our body is so arranged that it cleans itself, absolutely, nothing and hopes for a miracle, too, there is no point in the game. your life, in general, a hernia in itself is an absolute indication for an operation to exclude the expansion of the umbilical ring up to one centimeter, in which the contents of the abdominal cavity do not stick out. that is, it is not yet a hernia. but if the defect of the abdominal wall is more than one centimeter, these are indications for surgical treatment. and by the way , absolutely everyone can become a victim of a hernia. from

us, yes, redheads arise from absolutely diverse people and according to different constitutions and with different concomitant diseases. but of course, if we are talking about a hernia, it is, uh, weakness of the abdominal wall, that is, there is obesity, there are some concomitant diseases. that is, there must be some kind of producing factor for the weakness of the abdominal wall, for example, the patient suffers from some kind of chronic pulmonary pathology. there is a cough that increases intra-abdominal pressure regularly constantly in connection with this, redheads occur. if uh take on the floor, then here, for example, an inguinal hernia, in general, somewhere around 80% of men. that is, based on this, we can say that some kind of heavy physical activity is more involved. here and in connection with this, there are a greater number of inguinal, hernias. here at the age, of course, with

age, again. muscles become thinner flabby abdominal wall, and therefore the number of hernias increases, not only inguinal, but also renal and postoperative all. they treat belarus with respect and warmth, and when i arrived in minsk i was. first of all, i was struck by the wide streets of prostor and the sky for them is not just a second homeland. i don’t know how long god has given me to live, but i think i’ll live it in belarus and when they ask me, where are you from, i ’ll say i’m from the city, it’s here that the heroes found themselves determined their place in life. i am proud that i am here, and i will point out even more

that i was allowed to lead a team of belarusians. in general, i believe that belarus is a blessed place, a special place, and this place has a special mission. watch the project look at belarus on our tv channel. these guys love to learn and are ready answer tricky questions. what is the difference between a circle and a circle? otko mathematical explanation, and it is not always difficult for krug to explain why, well, such an intuition would visit me that this is exactly option c. well, at least someone visited you today and it’s good, we recall the school curriculum together with the project participants. i know, perhaps the first picture shows a clipping, and the second one has embroidery, and then they have a common prefix. oh, smart girl, you should be proud

of such a child, watch an intellectually entertaining show on belarus tv channel 24. you are watching the medical secrets plus program and today we are at the minsk scientific and practical center for surgery, transplantology and hematology to reveal to you some of the secrets of the hernia roofs from latin garbage. this is a protrusion of some organ or its participation from the abdominal cavity under the skin through a natural opening or defect in the abdominal wall resulting from trauma or previous operations. patients with hernias make up the majority in any department of elective surgery. here is our film crew today i got the opportunity to visit in the operating room and see what the surgical treatment of a hernia is like. for me, a hernia is always. one of the most

anatomical surgeries, it seems very simple, this is what young doctors learn. i remember my student years, even surgeons were allowed to operate. we started with this, if you remember your student years, then we did plastic surgery for the spasokukotsky pozhirak and by and large. we were little interested in what would be inside the inguinal gap. we did plastic on the outside. we restored the integrity of the anterior abdominal wall, and that's it. was generally good 90% of the time ten percent of the time. we have seen a relapse. that is, these were all tension plastics, in contrast to modern approaches, when we use e-e implants. these are not stretch plastics, and therefore it is better tolerated and, of course. the number of recurrences has decreased significantly. although open surgery is the most traumatic incision can be 8-10 cm, depending on the size of the hernia, there are

situations when open surgery is indicated, for example, with a high risk of increased intra-abdominal pressure in age patients, in the presence of severe concomitant diseases in the case of previous multiple operations in the peritoneum, while laparoscopic intervention is performed without entering the abdominal cavity, surgeon. works behind the abdominal space such operations appeared relatively recently, about 15-16 years ago. we have made the first important point of understanding that this is a relatively new technique. it's not a completely new approach. and now everything is ready. literally the first puncture. thank you start anterior abdominal wall like the sandwich consists of several layers and the surgeon must seem to be in the right place in order to approach the hernia from the inside during the operation

, 10 mm is used, a port to enter the abdominal cavity and two ports of 5 mm each to isolate the hernia, a total of three incisions with a total length of 2 cm. surgeons visualize the hernial protrusion on a large high- resolution monitor, which allows you to perform the operation with high quality and eliminate the risk of complications. now let's look at the anatomy. here we entered the abdominal cavity, inguinal region. there is no left, unfortunately here how are you? see more spikes, you see, and if you dear viewers with a hernia, still try to fill your hernia with your hands, look carefully at the screen. you may want to trust professionals. and if we do not do this operation, we will try to live all our

life, it will increase. it will at some point interfere with the person will certainly grow older every year. it will appear additional problems of some kind of sex with pressure. possibly with lungs. it was clear to our children i draw your attention. actually in surgery nothing simple. here, too, it is very hernia. she is an insidious disease because she can provoke. infringement and necrosis subsequent. and this is a more serious problem to deal with this no roses and deal with this problem. in the meantime, the

isolation is slowly going on. it looks like a sliding hernia, when part of the living sac is represented by the intestinal wall. here, look, i 'll show you. this is the colon, the sigmoid colon. you see, she's pulled into the zone, and here she comes. here it is, here it is, gut, i'm showing, we can't say that it's very we are scared. some additional difficulty for sure. these difficulties during the operation appear most often precisely because of the long deliberation of the patient to do the operation or not, in the meantime, in illness. excuse the tautology, time goes by on its own. it develops and only complicates the life of the patient and the surgeon. look, here they are going.

here it is on top, yes and here is the contents of the hernia. here we are from there, they removed it from the yeast sac from the yeast gate, then the surgeons extract the mud sac and bring its contents into the abdominal cavity on the hernial gate, a mesh implant is installed, which closes the space between the layers absolutely free. see nothing, we have a fixation point at the bottom. we have a fixation point and we will supply a mesh. mesh endoprostheses are sterile meshes

made of biologically inert polypropylene monofilaments that do not lose their elasticity and strength under the influence of infection body fluid and mechanical influences for 3 days and patients are discharged. and what time? it's already tomorrow, maybe the day after tomorrow we let go normally adapts. how long does it take for his proscopic surgery if we're talking about a smaller one? well, for example, the players are completely out already in the third week. belarus 24 presents a new project about young excellent students of fire and rescue sports , someone will say that the dignity of the heroes and

the main prize will be recognized in the game by 16 best teams and 48 selected from all over the country by our participants. the toughest test awaits. all players. the chosen ones do not frighten them, neither water, nor height, nor even fire, it seems that he has always achieved superpowers what they can achieve. even some of their twenty real emotions and serious trials. and i was able to win, look at the new sports and entertainment show heroes on our tv channel.

i tell everyone who just turned on their tvs that you are watching a program of medical secrets, plus we reveal the secrets of hernias of the spinal cavity together with doctors and patients of the minsk scientific and practical center for surgery, transplantology and hematology about what a hernia is, how they appear. and how should they be treated. we have already said the most it's time to ask patients how they feel after the operation you are told the operation. yes, i agreed immediately. and they did the operation. i when i inserted my teeth, i was more, but i slept here, that's all, i didn't feel anything. absolutely i went to bed yesterday. today i had surgery and tests. they checked everyone here. so i really want to draw your attention to the fact that the operation was performed

today and today we already got up and went with a smile. sat wrung out wrung out i can wring out no question. this is next time. well, i think that you are a good fellow, probably not. only me me too. well, probably, uh, the doctor who did it, that is, the anesthesiologists and the sisters and the doctor who makes the relationship very so caringly good, they brought the effective result they brought it, put it, stroked it, turned it off, woke up, everything is ready. this is what i consider a professional. whatever one may say, this is aerobatics and i specifically leave the words of gratitude from patients to my friends so that you, dear viewers, can look for professionals for yourself and do not accept fate, but

do it yourself here and now our next heroine through the thorns, but still fell into the hands of competent specialists. they were just recently brought to the ward from the operating room. how do you feel? well, that's bad. i didn't make a mistake. i said half an hour to an hour somewhere you are postoperative unlike the two previous patients. this patient is not feeling well. for two reasons, the operation was literally an hour ago. the second reason is the severity of the disease, however , according to the doctor in charge of our heroine. everything will be fine and waiting for her. i think recovery. well, of course you have to will, of course, fulfill our recommendations in terms of limiting physical activity, because if a person receives heavy physical activity in the postoperative period, then

no even the best plastic surgery can give a 100% effect. we have just a couple of minutes left and instead of the usual wishes to you. i asked our heroes what, in their opinion, caused their hernia. i don’t know, most likely, i used to do weightlifting and most likely, this is what she got out of. well, now i keep in shape, but i no longer pull, only only at home. well, here are the weights, maybe they are there for the general development of 10 kg there, maybe in connection with this story it will heal and again, so i won’t change, that is, i won’t throw the weights, it’s a little. e weight, well, 10 kg is not so heavy, let's say. probably, this is the main one, well, i won’t say the second reason, because it

is connected. less fighting, less fighting, more less stress. this is this experience, like a boss for his subordinates, somewhere something is not working, somewhere there is equipment. these are the emotions emotions, when you lose your temper somewhere you need to shout. this, too, most likely gave, that is, one must not calm down, something like that. and then everything will be fine, do not drink. no, let's put it mildly, the situation is similar. let me remind you that our second hero is only 56 years old. it's hard. do not breastfeed more than necessary. well, as the

doctors recommended, and then you need to take it later. well, yes, we will try to have 56 years. yes, although i emphasize the age of the patient, but a hernia can happen to anyone, regardless of age, even with a small child, but you must understand that up to 15 years. for example all inguinal hernias, congenital they are not associated with a defect or weakening of the abdominal wall in adults. most often, it is physical activity that becomes, thereby the trigger for the development of a hernia, hard hard work, physical activity, working as a cook. oh, somewhere something rises. well, the forces of all sorts of heavy things. well, i worked like this everywhere, it's very hard. the doctor says what you need.