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HERNIA INGUINAL STRANGULATA - Coggle Diagram
HERNIA INGUINAL STRANGULATA
ANATOMI HERNIA INGUINAL
inguinal canal : 4-6 cm , cone shaped
bermula pada dinding perut posterior, dimana korda spermatika melewati deep inguinal ring & berakhir pada sisi medial pada superficial inguinal ring
batas batas inguinal canal
anterior: external oblique aponeurosis
posterior: transversus abdominal m. aponeurosis, transversalis fascia
lateral & superior : internal oblique m
inferior: inguinal ligament
spermatic cord
testicularis A
vas deferens
limphatik
faktor resiko dan klasifikasi
faktor resiko
obesitas
sering mengedan (BPH)
batuk kronis (PPOK)
tumor
sering mengangkat beban
kehamilan
ascites
klasifikasi hernia berdasarkan lokasi
indirect
direct
femoral
klasidikasi berdasarkan sifatnya
reponibel
ireponibel
inkarserata
strangulata
gejala klinis & etiologi
etiologi hernia
congenital
acquired
gejala klinis
pain ,nausea, vomitting
gangguan defekasi
makin membesar saat batuk atau mengedan
memberat saat berdiri dan hilang saat tidur
patofisiologi hernia
peningkatan tekanan intra abdomen yg meninggi secara kronik akibat berbagai sebab yg mencakup pengejanan
Cara menegakkan diagnosa
anamnesis
pemeriksaan fisik(inspeksi & palpasi)
finger test
zieman test
pemeriksaan penunjang
pemeriksaan darah dan foto polos abdomen
diagnosa banding
epididimitis
hydrocele
lipoma
limpadenopati
psoas abses
varicocele
ectopic testis
prognosis
With surgery hernia will healed and disappeared.
If hernia is not treated, it will make more complication
Obstruction hernia
Strangulation hernia
treatment
treatment non surgical
hernia truss
reduction of hernia contents
treatmen surgical
open
tissue repair
mesh repair
laparoscopic
transabdominal pre-peritoneal procedure(TAPP)
totally extraperitoneal procedure(TEP)
pencegahan dan edukasi
Consumption of enough water
Foods high in fiber are good for smoothing the defecation process
Stop the habit of smoking
avoid lifting too heavy loads or do with slowly