by itself, a hernia significantly reduces the patient's quality of life. 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 enters the living sac, most often the intestinal loops, which cannot cope back, the blood supply to the strangulated 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 on in the early stages, and soon went to the clinic, then we can operate and, uh, 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 with this infringement, sometimes we have seen such patients 12 24 hours, then

, unfortunately, this organ cannot be saved and it is necessary, in addition to the hernia operation, to remove the dead organ. the next hero knew about the potential danger of a hernia, and he himself surrendered to the surgeons , the local therapist sent here, the surgeon, surgeon, right? came here for a consultation. looked? appointed the day of the operation, and talk how to talk well, tell, they said in the process it will all be. for which i love my colleagues, we are all in the process, everything is in the process, what is the operation for? 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 head of the consultation for a consultation and the surgeon looked, the head of the department on august 9 argued. he looked another looked one starred. as they say they came up, or something, before that i went, but she began to deliver more uncomfortable. she developed it. yes, she understands, before i somehow remove it, correct it, and then she correct it, oh, this is a system error that we haven’t shown today, but when people want to remove it and think that

it will be removed, it doesn’t have to. yes, and she starts, as it were, she didn’t bother, 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, the hernia itself is absolutely an indication for an exclusion operation, the expansion of the umbilical ring up to 1 cm, 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, this is an indication for hobby. and by the way, absolutely everyone can become a victim of a hernia. each of us arises completely different 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, weakness of the abdominal wall must be some kind of producing factor, for example, the patient suffers some kind of chronic pulmonary pathology. there is a cough that increases intra-abdominal pressure regularly constantly in connection with this, redheads occur. if you take it by gender, then, 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. well here in age, of course with age. again, the muscles become thinner flabby abdominal wall, and therefore the number of hernias increases, not only inguinal, but also umbilical and postoperative all. we follow the

sports life of our country, the dream team 7.0 star team has begun preparations for the minsk half marathon 2022, which will be held on september 11, we will find out how new heights are reached, belarusian by origin pavel karnaukhov won the gagarin cup brought him home to minsk a good athlete directly different from the average athlete that he always have to develop always have to learn and move forward. well, in any profession. if you don't work hard at it, you'll never achieve anything. and how do you want to beat someone. if you can’t run, jump, overtake your opponent and help keep yourself in shape, training is aimed at working on something, improving and improving the technique of this movement. we just need a coordination ladder and 10 minutes of free time. do not miss

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watch in the program composers of belarus on belarus 24 you are watching the program of medical secrets plus and today we are at the minsk scientific and practical center for surgery, transplantology and hematology to reveal to you some secrets of hernia hernia from latin garbage. this is a protrusion of some organ or part of it from the abdominal cavity under the skin through a natural opening or defect in the abdominal cavity. wall resulting from trauma or prior surgery, patients with hernias make up the majority in any elective surgery department. here is our

film crew today i got the opportunity to visit 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 operations, it seems very simple, this is what young doctors learn. i remember in my student years they even let me operate on this, if you remember my student years, then we did plastic surgery devourer of the spasokukotsky. 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 everything was generally good in 90% of cases, ten percent of cases. we have seen a relapse. that is, it was all stretch plastics. this is 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 the most traumatic incision can be 8-10 cm, depending on the size of the hernia, there are situations when an open operation is indicated, for example, with a high risk of increased intra-abdominal pressure in aged 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, the surgeon works in the retroperitoneal space. such operations appeared relatively recently somewhere around 15-16 years ago. we have made the first important point of understanding that this is a relative methodology. it's not a completely new approach. and now everything is ready. literally the first

puncture. thank you, we begin the anterior abdominal wall, as a sandwich consists of several layers and the surgeon must appear in the right place 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 highlight the hernia, total three incision with a total length of 2 cm. surgeons visualize the hernial protrusion on the 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. no no no, left, unfortunately, how are you here? you see more adhesions, 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, if we try all our life, it will increase. person he will certainly grow older every year, he will have additional problems with some kind of heart pressure. possibly with the lungs. and yet, he will come for an operation, but then the risk of operations will be many times higher, that is, it was clear to our children, i draw your attention, as it were, maybe a simple operation will seem to someone. actually in surgery. nothing is simple. and here, too, it is very necessary to understand that a redhead is an insidious

disease in itself, because it can provoke a non-cross. infringement and necrosis subsequent. and this is a more serious problem to fight this necrosis and fight this problem. in the meantime, the isolation is slowly going on, when part of the living sac is represented by the intestinal wall, an additional danger. 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, the gut. i show that this is very some additional difficulty to be sure . these difficulties appear at the operation

illness, meanwhile. excuse the tautology, time goes by on its own. it develops and only complicates the life of the patient and the surgeon. look here. here it is at the top, yes. and here is the contents of the hernia. here we are from there showing that they removed the yeast sac from the yeast gate, then the surgeons extract the hernial sac and bring its contents into the abdominal cavity onto the hernia gate, a mesh implant is installed that closes the space between the layers absolutely free, you see, there is nothing there. yes, we have a fixation point at the bottom. we have a point

fixation at the top and now still lateral we will process a little lateral, yes, and we will put a mesh mesh endoprostheses are sterile meshes made of biological inert polypropylene monofilaments that do not lose their elasticity and strength under the influence of the body fluid of the infection and mechanical influences for 3 days and the patient is discharged. and what time? it's already tomorrow. we let go normally adapts. how much time will it take? if we speak? oh, well , for example, the football players are already in their third week comes out completely. a program about unique

personalities breaking stereotypes as an example from their own experience, someone admires cars there, please, now someone doesn’t know what bracelets, than smartphone watches. and this is like more stories. by the way, this is quite a rare device. it was launched during the war, it was called either trench or tank, very compact and i think that it really participated in combat battles, but a good thing. she well, a small amount is done. quality things cannot be many. i know for sure that if i hadn’t spent some 300 dollars, they bought this device, we just ate it, investing in old things, especially in good condition, they are unlikely to depreciate these things. i think from it.