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    Rachman Usman
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    1. Hernia is defined as the protrusion of an organ or tissue through an abnormal opening. There are several types of hernias classified by their location such as inguinal, femoral, umbilical, and epigastric hernias. 2. Factors that predispose individuals to hernias include congenital abnormalities, acquired conditions like surgery or obesity, and activities that increase abdominal pressure like coughing or heavy lifting. 3. Treatment depends on the type and severity of the hernia. Minor hernias may simply be watched while severe or incarcerated hernias require surgical repair through herniotomy, herniorrhaphy, or hernioplasty procedures.

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    HERNIA [Compatibility Mode]

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    1. Hernia is defined as the protrusion of an organ or tissue through an abnormal opening. There are several types of hernias classified by their location such as inguinal, femoral, umbilical, and epigastric hernias. 2. Factors that predispose individuals to hernias include congenital abnormalities, acquired conditions like surgery or obesity, and activities that increase abdominal pressure like coughing or heavy lifting. 3. Treatment depends on the type and severity of the hernia. Minor hernias may simply be watched while severe or incarcerated hernias require surgical repair through herniotomy, herniorrhaphy, or hernioplasty procedures.

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    24 views14 pages

    HERNIA (Compatibility Mode)

    Uploaded by

    Rachman Usman
    1. Hernia is defined as the protrusion of an organ or tissue through an abnormal opening. There are several types of hernias classified by their location such as inguinal, femoral, umbilical, and epigastric hernias. 2. Factors that predispose individuals to hernias include congenital abnormalities, acquired conditions like surgery or obesity, and activities that increase abdominal pressure like coughing or heavy lifting. 3. Treatment depends on the type and severity of the hernia. Minor hernias may simply be watched while severe or incarcerated hernias require surgical repair through herniotomy, herniorrhaphy, or hernioplasty procedures.

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    of 14

    HERNIA

    Def : - Penonjolan Viscus


    - Dari posisi normal
    - Lewat pintu (lemak)
    Hernia Externa :
    -Penonjolan Viscus
    -Dari rongga peritoneum
    -Lewat pintu di dinding perut yang lemak

    Macam-macam :
    -

    Hernia inguinalis
    Hernia Femoralis
    Hernia umbilicalis
    Hernia Epigastrica
    Hernia Obsturatoria
    Hernia Semilunoris
    Hernia Lumbalis
    Hernia Ischiodica
    Hernia Incisionalis

    Faktor Predisposisi :
    - Congenital :
    - Proc. Vaginalis peristen
    - Canalis nuck persisten
    - Obliterasi tak sempurna umbilicus

    - Acquisita
    - Luka operasi
    - Kelemahan otot :
    -

    Obesitas
    Kehamilan
    Malnutrisi
    Ketuaan
    Gangguan syaraf

    Faktor Presipitasi :
    - Batuk kronis
    - Constipasi
    - Retensi urine chronis
    - Partus
    - Muntah-muntah
    - Angkat berat
    - ascites

    Komponen Hernia :
    1. Kantong
    2. Isi
    3. Pintu
    Berdasar pada isi :
    1. Reponibilis
    2. Irreponibilis
    3. Incarcerata
    4. strangulata

    HIL = Indirekta = Obliqua


    Anulus ing. Internus
    Canalis inguinalis
    Anulus ing. Externus
    scrotum

    Lapisan-lapisan HIL :
    1.
    2.
    3.
    4.
    5.
    6.

    Kulit
    Fascia spermatica ext.
    Fascia & m. cremosterica
    Fascia sprematica int.
    Preperitoneal fat
    Peritoneum

    HIM = Directa
    Trigonum Hasselback
    Anulus Externus / apponeurosis M.O.A.E
    Subcutis

    Lapisan-lapisan HIM
    1.
    2.
    3.
    4.
    5.

    Kulit
    Fascia abd. Superticialis
    (aponeurosis M.O.A.E)
    Fascia transversa abdomen
    Peritoneum

    HIM biasa acquisita


    Kecuali : Hernia Oqilve
    Hernia Pantalon :
    HIL & HIM bersamaan pada 1 sisi

    HERNIA FEMORALIS
    Anulus femoralis
    Canalis femoralis
    Sub cutis

    Lapisan lapisan :
    1. Kulit subcutis
    2. Fascia cribitormis
    3. Fascia lata
    4. Preperitoneal fat
    5. Peritoneum
    Kantong
    -

    Peritoneum
    Kec. Sliding hernia

    Isi Hernia :
    -

    Omentum
    Usus
    Sebagian lingkaran usus : hernia richter
    Diverticulum meckel : hernia littre
    Dua loop usus : hernia maydl
    V.urinaria
    Ovarium : tuba

    Klinis
    HIL
    Umur
    Sex
    Thd. Lig. Ingiunalis :
    Test. Invaginasi

    Semua umur
    Laki-laki
    Diatas
    Ujung jari

    HIM

    HF

    Tua
    Tua
    Laki-laki
    Perempuan
    Diatas
    Dibawah
    Samping jari
    -

    Prinsip Therapi :
    - tidak di apa-apakan
    - Hernia reponibilis
    - K.U jelek
    - Sabuk Hernia
    - Operasi
    - Pre op :
    - Kontrol faktor-faktor presipitas
    - Op :- heriotomy
    - Herniooraphi
    - Hernioplasty
    - post op : melanjutkan seperti pre op

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