Inguinal Hernia
Definition and Etiology
An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles
Congenital differences in the strength of your connective tissue (collagen).
An opening or weak spot from previous abdominal surgery.
Chronic straining to pee or poop.
Chronic coughing or sneezing
high intraabdominal preasure
Clasification
Based on location
Hernia Epigastric
Hernia Inguinal
Hernia Femoral
Hernia Umbilical
Diagnose
History taking
Physical Examination
Supporting Examination
RLQ abdominal pain since 2 days ago
Painful feeling due to lump at the right inguinal area
Fever
The lump existed for about 1 year ago
The lump will be felt if the patient stood up, lifting weight, and Valsalva maneuvering (mengejan) The lump will be gone if the patient took a rest or lye down The lump can’t be massaged back but previously able to be massaged back.
Inspection: Distention
Palpation: RLQ abdominal pain, jelly consistency, the lump can’t be massaged back, and more painful whenever there’s pressure on the lump.
Percussion: Increased tympany sound.
Auscultation: Increased peristaltic sound.
Complete Blood Count
Ultrasonography
Testical Examination
Diferential Diagnose
hernia, hydrocele, epididymitis, testicular torsion, femoral artery aneurysm
Risk Factor
Occupation
BMI
History of hernias
Male gender and old age
Chronic Conctipation
Chronic Cough
Anatomy of Inguinal
Inferior epigastric vessels
Musculoaponeurotic layers
Inguinal Ligament
Rectus Abdominis Muscle
Hesselbach's triangle
Patophysiology Hernia
A hernia refers to when an internal body part pushes through a weak area of muscle or the surrounding tissue wall. Hernias often do not cause any symptoms, although swelling may appear in the abdomen or groin.
A painful dragging sensation may be felt, as well as pain and swelling in the scrotum and testicles
Complication
persistent groin pain, sexual dysfunction, deep incisional/mesh infection, recurrent hernia
Treatment
Using surgery to push the bulge back into place and strengthen the weakness in the abdominal wall
M. ASRAF DWI FATHAN/2108260261
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