Pengenalan asas mengenai HERNIA

1. HERNIA
Disediakan Oleh : Nassruto

2. DEFINISIDEFINISI
Satu penonjolan(protrusion) tisu intraSatu penonjolan(protrusion) tisu intra
abdomen yang abnormal akibat dariabdomen yang abnormal akibat dari
kelemahan otot dinding abdomenkelemahan otot dinding abdomen
KLASIFIKASIKLASIFIKASI
1.1. KongenitalKongenital
2.2. AcquiredAcquired

3. JENIS (TYPES) HERNIAJENIS (TYPES) HERNIA
1. Inguinal (direct/indirect) - 75-80%
2. Femoral
3. Umbilical & para umbilical
4. Incisional
5. Epigastric

6. Indirect Inguinal Femoral
Hernia

7. Tekanan pada external
Inguinal ring
Tekanan pada internal
Inguinal ring
DIRECT INGUINAL HERNIADIRECT INGUINAL HERNIA

8. UMBILICALUMBILICAL
HERNIAHERNIA

9. AETIOLOGIAETIOLOGI
1. Kongenital
2. Acquired
• Peningkatan tekanan intra abdominal
• Ch. Cough
• Straining
• Urinary obstruction
• Abdominal distention
• Prengnancy
• Obesity
• Constipation
• Operative/trauma

10. DIAGNOSIS PERBEZAANDIAGNOSIS PERBEZAAN
1. Hydrocele
2. Abscess
3. Testicular tumour
4. enlarge lymphnodes
5. lypoma of the spermatic cord

11. PERBEZAAN HERNIAPERBEZAAN HERNIA
CIRI-CIRI DIRECT
HERNIA
INDIRECT
HERNIA
FEMORAL
HERNIA
Kejadian
(Umur)
Bilaterally
Origin of
swelling
Pertengahan
Dan lanjut
55%
Above
inguinal
ligamen.
Directly
behind and
through
external ring
Semua
peringkat
30%
Above
inguinal
ligamen.
Hernia sac
enters
inguinal
canal at
internal ring
Kerap pada
perempuan
Jarang
Below
inguinal
ligamen

12. PERBEZAAN HERNIAPERBEZAAN HERNIA
CIRI-CIRI DIRECT
HERNIA
INDIRECT
HERNIA
FEMORAL
HERNIA
Scortal
involvement
Impulse
location
Rarely
At side of
finger in
inguinal
canal
Commonly
At tip of
finger in
inguinal
Never
No felt by
finger in
inguinal
canal.
Mass below
canal

13. PENGURUSANPENGURUSAN
1. Strapping – plaster
2. Operative
• Herniotomy : sac removed
no repair needed
• Herniorraphy : sac excised
structured defect is repaired
techniques : Bassini repair
Mc Vay’s method
Shouldice repair
• Herniorrphy with orchidectomy
• Hernioplasty

14. PENGURUSANPENGURUSAN
1. Strapping – plaster
2. Operative
• Herniotomy : sac removed
no repair needed
• Herniorraphy : sac excised
structured defect is repaired
techniques : Bassini repair
Mc Vay’s method
Shouldice repair
• Herniorrphy with orchidectomy
• Hernioplasty

15. ““ Bukanlah kemuliaan itu denganBukanlah kemuliaan itu dengan
memakai pakaian cantik danmemakai pakaian cantik dan
segak tetapi ia adalah dengansegak tetapi ia adalah dengan
ketenangan(sopan santun) danketenangan(sopan santun) dan
merendah diri”merendah diri”
(Riwayat Ad-Tabrani)(Riwayat Ad-Tabrani)