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• Hernia merupakan penonjolan yang tidak
normal organ dalam abdomen melalui suatu
defek yang terdapat di bagian pusar (umbilikus).
• Hernia umbilikalis terjadi pada 10-20 % bayi.
PENDAHULUAN
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• Kebanyakan pada bayi kurang dari 6 bulan
• Terjadi pada 10 – 20 persen bayi.
• Rasio laki laki : perempuan sama.
• BBLR dan prematur lebih tinggi angka
kejadiannya
INSIDEN
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• Pada saat kehamilan tali pusat (umbilikus) keluar
melalui celah kecil pd otot-otot perut bayi.
• Celah ini akan segera menutup setelah bayi lahir, tetapi
jika otot ini tidak menyatu dengan sempurna pd garis
tengah tubuh, maka usus halus bisa menonjol keluar
melalui bagian yg lemah pd dinding perut tersebut.
• Usus halus bisa menonjol keluar saat anak batuk atau
mengedan ketika buang air besar.
• Usus halus jarang terjepit & hernia bisa menutup dgn
sendirinya (tanpa terapi)
ETIOLOGI
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ETIOLOGI
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1. Anamnesis.
Alloanmnesis : didapatkan benjolan pada pusat yang
lebih jelas terlihat jika bayi tersebut menangis,
mengedan pada saat buang air besar.
2. Pemeriksaan Fisik
Inspeksi : terdapat benjolan pada pusat, dapat
mengecil ketika didorong kedalam rongga perut.
DIAGNOSIS
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• Pada Anak : Bila didapatkan diameter cincin hernia 2 cm
atau lebih dan tidak menutup spontan, maka dilakukan
tindakan pembedahan pada usia 2 atau 3 tahun.
• Pembedahan dianjurkan untuk anak’ dengan hernia
umbilikalis yang :
• Terasa nyeri
• Berdiameter lebih dari 1,5
• Ukuran hernia tidak berkurang setelah 6-12 bulan
• Tidak menghilang saat anak mencapai usia 3 tahun.
• Terjepit atau menyebabkan sumbatan usus.
PENATALAKSANAAN