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• Epigastric hernia•• Incisional

• Burst abdomen •



Epigastric hernia

n Hernial defect in the linea alba from xiphisternum to the umblicus

n Felt as swelling n My be associate with painn Epigastric pain like that of DUn Treatment ;operative repair for painful

and big one



UmblicalUmblical pilonidalpilonidal sinussinus

• Is sinus contain hair • Disharhing pus• Treatment ;excision



Umblical fistulae

l Patent vitelointestinal ductl Patent Urachus



Abdominal wallAbdominal wall

• Burst abdomen ( abdominal dehiscence ) the viscera extruded to out side due to burst of abdominal wall suturing

• Incisional hernia ;partial disruption of deeper layer the skin remain intact



causescauses

nn Technique of wound closureTechnique of wound closurenn Factors related to incisionsFactors related to incisionsnn ResonsResons for initial operationfor initial operationnn Coughing, vomiting , distensionCoughing, vomiting , distensionnn General condition (obesity ,jaundice ,malignant General condition (obesity ,jaundice ,malignant

disease ,disease ,hypoprotinemiahypoprotinemia ,and anemia ,steroid ,and anemia ,steroid ,pregnancy ,,pregnancy ,ascitisascitis ))



Burst abdomen

n Serosanguinous discharge ,the pathognomonic feature

n Some time patient fell some thing giveway

n Emergency operation



IncisionalIncisional herniahernia

• Aetiology• Clinical features• Treatment



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