HERNIA

HERNIALatin: rupture ABNORMAL PROTRUSION OF AN ORGAN OR TISSUE THROUGH A DEFECT IN ITS SURROUNDING WALLSEMERALDA 2014NOMENKLATUR HERNIAHERNIA+ANATOMY LOCATION+PHASEEMERALDA 2014HERNIADibagi menurut:Etiologi: Kongenital & DidapatPenampakkannya: Internal & EksternalDibagi menjadi:Anatomi: Lokasi anatomisSifat: Reponibel & IreponibelKlinis: Inkarserata & Strangulata

EMERALDA 2014HERNIAINKARSERATASTRANGULATAEMERALDA 2014HERNIA

CINCINISIKANTUNGEMERALDA 2014Herniacan occur at various place in body, but most commonly involve the abdominal wallEMERALDA 2014ABDOMINAL WALL HERNIAAbdominal wall hernias occur only at sites where the aponeurosis and fascia are not covered by striated muscle.These sites most commonly include the inguinal, femoral, and umbilical areas, the linea alba, the lower portion of the semilunar line, and sites of prior incisionsEMERALDA 2014Hernia Diafragmatika

EMERALDA 20148Hernia Obturatoria / Spiegel

EMERALDA 20149Hernia Winslowi

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EMERALDA 201412Hernia Lumbalis

EMERALDA 201413TerminologiSliding HerniaHernia yang kantungnya berisi organ isi dari hernia itu sendiriHernia Pantaloon:Hernia Inguinal dan Hernia Media terjadi bersamaan pada satu sisiBiasanya berbentuk seperti celana

EMERALDA 2014HERNIA INGUINALEMERALDA 2014TRIGONUM HASSELBACH

EMERALDA 2014INGUINAL CANALNyhus's classic parasagittal diagram of the right midinguinal region illustrating the muscular aponeurotic layers separated into anterior and posterior walls

EMERALDA 2014Faktor ResikoDefek kongenitalObesitasKehamilanMerokok?Peningkatan Tekanan Intra AbdomenPPOKAsitesKonstipasi --------------------------Gangguan berkemih -------------MENGEDANMengangkat beban berat ------

EMERALDA 2014PemeriksaanBenjolan: Bentuk, ukuran, tanda inflamasiValsava Maneuver (pasien berdiri, tutup hidung dan mulut, minta pasien untuk mengedan)Benjolan : bentuk, ukuranRegio InguinalInspeksiAuskultasiPalpasiThumb TestFinger TestZiemann TestEMERALDA 2014PemeriksaanRegio Genitalia EksternaPriaInspeksi skrotum membesar/tidak saat valsava maneuverPalpasi batas paling atas skrotum, epididimis teraba/tidakDiafamoscopyWanitaInspeksi labia mayor membesar/tidak saat valsava maneuverEMERALDA 2014TatalaksanaOperatifElektifCitoJenis dan Metode OperasiHerniotomyHernioplastyHernioraphyEMERALDA 2014ABDOMEN LAYERSkinSubcutaneous FatScarpas faciaExternal Abdominal ObliqueInternal Abdominal ObliqueTransversus AbdominisTransversalis FasciaPreperitoneal FatPeritoneumEMERALDA 2014THANK YOUEMERALDA 2014