HERNIA

FK Unswagati semester IV
 Hernia
What is Hernia ?
Kind of Hernia :
Sites
Characters : Reponible, Irreponible, Incarcerated,
strangulated
Abdominal Wall Hernia
Abdominal Wall Hernia
 INGUINAL OR GROIN
HERNIAS
Anatomy
Sign and Symptom
Causes
Examination
Predisposition
Differential Diagnosis
Treatment
INGUINAL OR GROIN HERNIAS
Indirect inguinal hernia is associated with a
peritoneal sac that protrudes through the
internal ring into the inguinal canal and lies
anteromedial to the spermatic cord or round
ligament.
Direct inguinal hernias, protrusions through
Hesselbachs triangle as a result of weakness of
the posterior wall of the inguinal canal.
Femoral hernias occur when a segment of the
peritoneum protrudes through the femoral ring.
Inguinal hernia: Anatomy
Inguinal hernia: Anatomy
Inguinal hernia: Anatomy
Inguinal hernia: Anatomy
Inguinal hernia: Anatomy
Inguinal hernia : Anatomy
Ingunal Hernia : Symptom
Bulge at inguinal are or scrotal
Obvious when you stand upright, especially if
you cough or strain.
Disapear when lie down
Ingunal Hernia : Symptom
Reponible
Irreponible
Incarcerated
Strangulated
 Ingunal Hernia : Causes

Indirect and Direct inguinal hernia, the

primary abnormality is weakness of the
posterior wall of the inguinal canal, leading to
a bulge through Hesselbachs triangle.
Femoral hernia : also widening of the femoral
ring.
 Ingunal Hernia :
Predispotion
Increased Abdominal Pressure
The construction worker who attempts to lift a heavy
object
Chronic cough,
Constipation
Straining to urinate as a result of prostatic
hypertrophy.
Pregnancy
 Ingunal Hernia :
Examination
Supine and standing position
With or without Valsava manuver
Finding bulging : I,P,A
Finger tip into scrotal sac up into inguinal canal
: Tip or side
 Ingunial
Hernia :
Diff.
Diagnosis
 Inguinal Hernia :
Treatment
Reponible and Irreponible : Elective Surgery
Incarcerated and Strangulated : Emergency
Surgery

ER:
Fasting, decompression with NGT
Rehidration with urinary catheter
Laboratory and X ray Finding
Prepare for surgery
Inguinal Hernia :
Treatment
Inguinal Hernia :
Treatment
Inguinal Hernia :
Treatment
Inguinal Hernia :
Treatment
Sliding Hernia
 Pediatric inguinal hernia
Most inguinal hernias in children are indirect,
Related to a persistent patent processes
vaginalis.
Rightsided hernias are twice as common as left
Silk glove sign
DD/: hydrocele, undescended testicle,
varicocele or even a testicular tumor
Treatment : herniotomi or high ligation
Thank You