HERNIA

Es Jumiati 21117051

Hani Nur Azizah Batubara 21117058

Hondini pratama 21117065

Kartika Ulfa Alfiyah 21117072

Muhammad Ikhlas Kesatria P. 21117078

Mirza Alepandi 21117084

Nursyamsi Oktariani 21117090

Rahmadiya Rendra 21117096

Hernia

Hernia is a protrusion of the contents of

a cavity through a defect or weak parts of the
wall of the respective cavity. In the bowels
abdominal hernia protruding through a defect
or weak parts of the layers of the abdominal
wall (Sjamsuhidayat, 2004).
Etiology
Age

Obesity and
Gestation Gender

Ancestry Morbidities
 Pathophysiology
Hernia develops when intra-abdominal growth pressure as the
pressure when lifting something heavy, during bowel movement or
coughing strong or sneezing and transfer of part of the intestine to
the abdominal muscles, excessive pressure on the area abdominal it
certainly would cause a weakness probably due to the abdominal
wall is thin or not sufficiently strong in those areas where it exists
since the condition or occur from long development process,
abdominal surgery, then there was a hernia.
 Clinical Manifestations

• a lump.
• Their pain at the bump area .
• There are symptoms of nausea and vomiting
or distension if there are complications.
• There are complaints such as dysuria urinate
on femoral hernia containing bladder.
 Complications
• Adhesions occur between the contents of the
hernia with the contents of the hernia sac so that
the contents of the hernia sac cannot be restored,
this condition is called the ireponibilis lateral
inguinal hernia.
• There is an emphasis on the ring hernia due to the
large number of intestines that enter. This condition
causes disruption of intestinal contents followed by
vascular disorders (strangulation process).
 Medical Management

1. In conservative (non-operative)

2. Operatively
 Chronic cough, lifting heavy objects, push during defecation

Intra-abdominal pressure

The defect in the muscle wall of the inguinal ligament is weakened

Protrusion of the stomach contents lateral to the inferior epigastric vessels

of the spermatic pheniculus

Inguinal hernia

Herniorafi / Herniotomy

Bleeding Surgical incision Risk of infection with the

entry of microorganisms

Fluid volume Inflamatory process

Muscle spasm Fear of motion

Pain
Motion
Comfortable feeling : intolerance
pain
NURSING CARE PLAN
(NCP)
 Diagnosa Tujuan dan kriteria
No Intervensi Rasional
keperawatan hasil
1. Impaired sense of After nursing measures NIC : Pain
comfort (pain) related for 2x24 hours, nursing Pain management : management
to nerve compression, problems are resolved 1. Assess for 1. Helps
muscle spasm by the results criteria : complaints of determine
NOC : Level of pain pain, note the intervention
Characteristic limits : location of the choices and
Criteria aim
1. Restless duration of the provides a
2. Feeling - The pain attack, trigger basis for
uncomfortable 5 factors or comparison
reported
3. Irritability aggravate. and
- The length of
4. Moaning 2. Maintain bed evaluation of
the episode of 5
5. Lurking behavior rest during the therapy.
pain
acute phase, 2. Bringing the
Related factors : - can’t rest 5 place the bed in a
1. Symptoms Indicator scale : patient in a comfortable
associated with 1 : Weight semi-fowler position
pain 2 : Quite heavy position with allows the
2. Treatment 3 : Medium spinal bones, patient to
program 4 : Light waist and knee reduce
3. Annoying 5 : Nothing flexed, supine muscle spasm
environmental position with or to reduce
stimulation without pressure on
elevating the head certain body
10-30 degrees on parts and
the lateral facilitate the
position. reduction of the
disc protrusion.

3. Limit activity 3. Reducing

during the gravitational
acute phase as forces and
needed motion that
can eliminate
muscle spasm
and reduce
edema and
pressure on
the structure
around the
intervertebral
disc.

4. Instruct 4. Focusing the

patients to client's
carry out attention
relaxation or helps
visualization to reduce muscle
techniques tension and
improve the
healing process.

5. Collaboration in 5. Fast
providing therapy intervention and
speed up the
healing process.