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SURGERY CLASS

HERNIA

Agata Christi
Vanessa Budiawan
Nadia Puspa
Shelin Olivia
B.Rezha

1523011001
Lidya Candra
1523011002
1523011003
Septania Gunawan 1523011011
1523011015
Widia Isa Aprillia
1523011021
1523011029
Theresa Devi
1523011032
1523011048
Yongky Gousario
1523011050

What is Hernia
where an internalpart of the body pushes through a
weakness in the muscle or surrounding tissue wall
As a result, some of the contents within the abdomen can
then push through (bulge) under the skin.

Types of Hernia :

Sources : http://www.nhs.uk/conditions/hernia/Pages/Introduction.aspx

Symptoms

Usually nosymptoms
Some peoplehave discomfort or pain
The discomfort may be worse when you stand,
strain, or lift heavy objects
In time, most people will complain about a bump
that is sore and growing.
If a hernia gets bigger, it may get stuck inside
the hole and lose its blood supply. This is
called "strangulation." If this occurs, you will
need urgent surgery.

Sources : http://www.nlm.nih.gov/medlineplus/ency/article/000960.htm

Clinical Features
Hernia inguinalis lateralis (indirect) : protrusion in the region
inguinalis runs from lateral to medial bottom.
Hernia inguinalis medialis (direct): protruding straight ahead
througt Hasselbach triangle

Pain : - mild: rarely (appeared - disappeared)


- severe: suspicious incarserata or strangulata
(accompanied: nausea, vomiting)

Responsible hernia : a lump in the fold thigh


(appears - disappeared)
Irresponsible hernia : ussualy caused by the contets of the bag
attach to the perineal hernia pouch

Patophysiology
-Defect in the abdominal wall can be congenital (eg.
umbilical hernia, femoralis canalis) or acquired (eg. due
to an incision) and limited by the peritoneum (sac).
- Increased intra-abdominal pressure further make the
defect become more weak and cause some intraabdominal contents (eg. omentum, small intestine) out
through the slit.
- The contents of the intestine are trapped in a sac
causing incarceration (inability to reduce the content)
and may become strangulation (impaired blood flow to
the area which suffered incarceration).
Bendavid R. Abdominal Wall Hernias Principles and Management. In: Abrahamson J,
Flament JB, et al., editors. United States of America: Matrix Publishing Services; 2001. p.
166-168

Treatment..
In adults, inguinal hernias that enlarge, cause
symptoms, or become incarcerated are treated
surgically.
In infants and children, inguinal hernias are always
operated on to prevent incarceration from occurring.
1.Open hernia repair. also called herniorrhaphy
2.Laparoscopy.

Ibuprofen or acetaminophen: These medicines


decrease pain

http://digestive.niddk.nih.gov/ddiseases/pubs/inguinalh

http://emedicine.medscape.com/article/932680-

Complications
Irreponobilis
Hernia Richter
Hernia Littre
inflammation, when
appendix
Peritonitis
Reposition en bloc / en Masse

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