HERNIA DR.AHMED KENSARAH. HERNIAS Definition Classification Etiology Composition of a hernia.
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Transcript of HERNIA DR.AHMED KENSARAH. HERNIAS Definition Classification Etiology Composition of a hernia.
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HERNIA
DR.AHMED KENSARAH
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HERNIAS
Definition Classification
Etiology Composition of a hernia
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Definition of a hernia
• A hernia is the protrusion of a viscus or part of a viscus through an abnormal opening in the walls of its containing cavity
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Composition of a hernia
• A hernia consist of three parts The sac The covering of the sac The contents of the sac
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The sac of the hernia
• Is a diverticulum of peritoneum consist of: Neck Body Fundus
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Covering of the sac
• Are derived from the layers of the abdominal wall through which the sac passes
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Contents of a hernia
• 1 Omentum 2 Intestine 3 A Portion of the circumference of the intestine 4 A portion of the bladder 5 Ovary 6 A Meckel”s diverticulum 7 Fluid
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Aetiology
• Congenital eg:the remain of the processus vaginalis Aquird :any condition which raises intra-abdominal pressure eg: Whooping cough in childhood Chronic cough Straining on micturation Chronic constipation Intra-abdominal malignancy Stretching of the abdominal musculature
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Classificaions
• Congenital OR Aquired External OR Internal According to the anatomical site Irrespective of the site
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According to the anatomical site• Inguinal
Femoral Umbilical Epigastric Rare :Interparietal, Spigelian, Lumbar, Perineal, Obturator, Gluteal and sciatic Hernias
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Irrespective of site
• 1. Reducible 2. Irreducible 3. Obstructed 4. Strangulated 5. Inflamed
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Inguinal Hernia
• Types Indirect [Oblique] Inguinal Hernia Direct Inguinal Hernia
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Complications of the hernias
• Acute Chronic
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Acute complications
• Obstruction Strangulation
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Chronic complication
• Incarceration
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Diagnosis
• History Increase intra-abdominal pressure Clinical Examination
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Diffrential diagnosis
• Between inguinal – femoral Anurysm Lipoma Saphena varix
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Investigations
• The causes
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Treatment
• Medical – Indication Surgical - Indication