Inguinal hernia
Definition
Hernia is the protrusion of an organ in the abdomen through a defect or weak part of the abdominal muscle wall.
Etiology
Congenital anomaly
Epidemiology
Profesion
Growing age
Chronic cough
Classification
Based on its location
Inguinal hernia
Femoralis hernia
Umbilical hernia
Diaphragmatica hernia
Scrotalis hernia
Based on the clinical
Hernia reponible
Hernia irreponible
Hernia strangulata
Hernia richter
Hernia interparietalis
Hernia insipiens
Based on its content
Hernia adipose
Hernia litter
Hernia sliding
Based on data from the Regional Health Research in 2017 in Indonesia, hernia is the second order disease after urinary tract stones as many as 2,245 hernia cases. The proportion of hernias in Indonesia is dominated by heavy workers at 70.9% (7,347), the highest is in Banten 76.2% (5,065) and the lowest is in Papua, namely 59.4% (2,563). In Indonesia, the infection rate for surgical wounds reaches 2.30% to 8.30%.
Pathophysiology
Indirect inguinal hernia occurs due to protrusion out of the cavity peritoneum through the internal inguinal ring which is lateral to the inferior epigastric vessels, then the hernia into the canal inguinal and if long enough, will protrude from the annulus external inguinal. If this bulge continues, it will reach the the scrotum in the same way as when the testes descend from the abdominal cavity to the scrotum.
Diagnose of hernia
Anamnesis
Physical examination
Supporting examination
Ultrasound
CT scan
MRI
Governance
Conservative
Definitive
Herniophy
Herniotomy
Complications of hernia
Sepsis
Infection on incision surgery
Injury nerve and vessels blood
Education
Explain the symptoms of hernia
Explain the danger signs of hernia
Who is at risk for having a hernia
Explain the prevention of hernia
Recommend consul to a specialist
Prognosis
Treated
With surgery hernia will healed and disappered or normal
Untreated
f hernia is not treated, it will make more complication like obstruction hernia
Prevention
Maintaining ideal and healty body weight
Avoid lifting heavy weights
Eat fiber food
Do not the right type of exercise
Stregth abdominal exercise
Stop smoking
Radiology of hernia
Indirect inguinal hernia
Strangulated hernia
Multiple small bowel loops in the scrotum due to right indirect inguinal hernia. Compression of the penile urethra with Foley's catheter is noted.
There is an anterior abdominal wall defect through which small bowel loops and omentum are protruding out of the abdominal cavity in a C-shaped configuration. The bowel loops involved in the hernia show wall thickening.
Clinical manifestation of hernia
Fever (high grade fever)
Constipation
Nauseous vomit
Redness at the hernia site
Mind Mapping
Nabila
2108260201
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Differential diagnosis
Testicular torsion
Epididymitis
Hydrocole
Varicocele
Spermatocele
Epididymal cyst
Testicular tumor
Clinical anatomy of hernia