HERNIA INCARSERATA DAN

STRANGULASI
 Hernia Abdomen
Definisi
Penonjolan atau keluarnya organ atau jaringan dari posisi anatomi
normalnyadi luar kulit.

Etiologi
-Kelemahan dinding abdominal
Cacat atau ada lubang pada dinding perut
- Meningkatnya tekanan intra-abdomen
(abdominal tumors, ascites, chronic coughing, chronic constipation, and
long-term difficulty urinating)

Jenis - Jenis
1. Hernia Inguinalis
2. Hernia Umbilikalis
3. Hernia Femoralis
Yang, Xue-Fei, and Jia-Lin Liu. “Acute Incarcerated External Abdominal Hernia.” Annals of
Translational Medicine 2.11 (2014): 110. PMC. Web. 17 Oct. 2018.
 Incacerated vs Strangulated)

oloradochiropractors.part.to/hernia-surgerydenver.htm
Hernia Inkarserata
Common emergency surgery

• Diagnosis
Manifestasi klinis
-Nyeri di lokasi inkarserata
-Whole abdominal pain
-Kembung
-Mual dan Muntah
-Obstruksi Usus (menurunnya
gerakan usus)
Pemeriksaan Penunjang
USG, CT scan
Yang, Xue-Fei, and Jia-Lin Liu. “Acute Incarcerated External Abdominal Hernia.” Annals of
Translational Medicine 2.11 (2014): 110. PMC. Web. 17 Oct. 2018.
 Sign and symptom
Hernia Incarcerata
• Painful enlargement of a
previous hernia or defect
• Cannot be manipulated
(either spontaneously or
manually) through the
fascial defect
• Nausea, vomiting, and
symptoms of bowel
obstruction (possible)
http://www.herniamanagementindia.com
Hernia strangulata
• Patients have symptoms of an
incarcerated hernia
• Systemic toxicity secondary to
ischemic bowel is possible
• Strangulation is probable if
pain and tenderness of an
incarcerated hernia persist
after reduction
• Suspect an alternative
diagnosis in patients who have
a substantial amount of pain
without evidence of
incarceration or strangulation
 Pemeriksaan Penunjang
• USG
• CT scan
 Tatalaksana
• Manual Reduction
• Surgery

Yang, Xue-Fei, and Jia-Lin Liu. “Acute Incarcerated External Abdominal Hernia.” Annals of
Translational Medicine 2.11 (2014): 110. PMC. Web. 17 Oct. 2018.