This type of hernia is called inguinal because fat or part of the intestine slides through a weak area at the inguinal ring, the opening to the inguinal canal. Hernia inguinalis dibagi menjadi hernia ingunalis lateralis dan hernia ingunalis medialis. Symptoms are present in about 66% of affected people. Introduction to direct and indirect inguinal hernia youtube. If the processus vaginalis is not obliterated, fat or bowel may get into it. Hernia ini melewati dinding abdomen di area kelemahan otot. The most familiar type are those that occur in the abdomen, in which part of the intestines protrude through the abdominal wall. Gubernakulum ligamentosa terbentuk dan turun pada salah satu sisi abdomen dan melekat pada permukaan dalam lipatan labiumskrotum melalui dinding anterior abdomen pada cincin inguinalis interna dan kanalis inguinalis.
Media in category inguinal hernia the following 37 files are in this category, out of 37 total. Femoral hernia femoralis terjadi melalui cincin femoral dan lebih umum. Description there are many different types of hernias. This may include pain or discomfort especially with coughing, exercise, or bowel movements. Hernia inguinalis dibagi menjadi hernia ingunalis lateralis dan hernia ingunalis medialis dimana hernia ingunalis lateralis ditemukan lebih banyak dua pertiga dari hernia ingunalis. To establish a literaturebased surgical approach to asymptomatic inguinal hernia ih. Pathophysiology a hernia can be classified as reducible or irreducible. Guidelines world guidelines for groin hernia management the herniasurge group members of the herniasurge group steering committee. Inguinalfemoral hernia american college of surgeons 633 n. Sedangkan hernia inguinalis adalah suatu penonjolan organ abdomen yang dapat berupa.
Now customize the name of a clipboard to store your clips. Patients most commonly present with swelling andor pain in the relevant groin, iliac fossa, loin. Hernia inguinalis dibagi dua jenis hernia inguinalis medialis hernia inguinalis directa hernia inguinalis horisontal dan hernia ingunalis lateralis hernia indirecta hernia obliqua. Surgical treatment the type of operation depends on the hernia size and location, your health, age, anesthesia risk, and the surgeons expertise. Bila isi kantong tidak dapat direposisi kembali ke dalam rongga perut, hernia disebut hernia ireponibel.
A vermiform appendix in an inguinal hernia, inflamed or not, is known as amyands hernia. Hernia treatment, causes, inguinal hernia repair surgery. Inguinal hernia is a type of abdominal wall hernia 1. Male form of persistent mullerian duct syndrome type i. The hernia repair is performed in agreement with a classification of the hernia, e. We retrospectively studied 963 caucasian patients with inguinal hernia who were admitted to our surgical department over a 12year period. Hernia inguinalis indirek atau hernia inguinalis lateralis, isi hernia keluar dari rongga peritoneum melalui anulus inguinalis internus. Subsequently a standardization of these factors is being used for classification, which is important for the surgeon in deciding which type of hernia repair may be best for each individual patient. Hernia inguinalis dengan komplikasi inkarserata ataupun stangulata.
Moynihan, the arris and gale lectures on the anatomy and pathology of the rarer forms of hernia. Assesment and management of inguinal hernia and infants. Bonjer european association for endoscopic surgery r. Indirect inguinal hernia an indirect inguinal hernia occurs when any intraabdominal structure protrudes through the deep inguinal ring entering the inguinal canal. Regio inguinal dan femoral hernia inguinalis indirek disebut juga hernia inguinalis. A sports hernia is not a true hernia, but rather a tearing of tissue fibers. Hernia femoralis kejadiannya kurang dari 10% dari semua hernia tetapi 40% dari itu muncul sebagai kasus emergensi dengan inkarserasi atau strangulasi. Patients most commonly present with swelling andor pain in.
The european hernia society ehs is proud to present the ehs guidelines for the treatment of inguinal hernia in adult patients. Sally has a bachelors degree in biomedical sciences b. A hernia is the exit of an organ, such as the bowel, through the wall of the cavity in which it normally resides. Dec 14, 2015 hernia treatment, causes, inguinal hernia repair surgery. Abd wall hernias university of tennessee college of medicine. Inguinal hernia may be classified according to presence or absence of a peritoneal sac, size of the internal ring and integrity of the posterior wall of the canal into 5 groups. Dari anulus inguinalis internus, hernia masuk ke kanalis inguinalis, dan jika berlanjut friday, april 27, 2018 dapat keluar ke anulus inguinalis 9. This classification may be helpful to evaluate outcome of hernia repair with regard to patient related factors and the increased demands for the surgeon and the staff. The guidelines contain recommendations for the treatment of inguinal hernia from diagnosis till aftercare. Diabetes, obesity, age above 65, constipation, asa iii or more and cigarette smoking. Berdasarkan lokasinya, hernia diberi nama sesuai lokasi anatominya, seperti hernia inguinalis, hernia diafragma, hernia umbilikalis, hernia femoralis, dan lainlain. All structured data from the file and property namespaces is available under the creative commons cc0 license. Untuk memahami lebih jauhtentang hernia diperlukan pengetahuan tentang kanalis inguinalis. Hernia reponibel bila isi hernia dapat keluar masuk.
The antimesenteric border of the intestine must protrude into the hernia sac the most common location is at the site of a femoral hernia. Hernia x hernia terjadi karena kegagalan penutupan prosesus vaginalis. Clipping is a handy way to collect important slides you want to go back to later. The processus vaginalis must be patent for this type of hernia to occur. Hampir 75 % dari hernia abdomen merupakan hernia ingunalis. An indirect inguinal hernia is a congenital lesion. However, these many factors are variable and inadequate for managing and understaning the complex pathophysiology of inguinal hernias. European hernia society guidelines on the treatment of. Amyands herniaa vermiform appendix presenting in an. Makalah hernia 16 p a g e hernia inguinalis dapat terjadi karena. The surgical treatment of hernia requires an extensive knowledge and technical ability. Hernia femoralis lebih sering terjadi pada usia dewasatua dan insedensi pada wanita lebih tinggi.
Media in category inguinal hernia surgery the following 44 files are in this category, out of 44 total. Makalah ini berisi tentang teknik operasi dan tata laksana pemeriksaan pasien dengan diagnosis hernia. We report the case of a 30yearold man with unilateral cryptorchidism on the right side and a leftsided obstructed inguinal hernia containing a uterus and fallopian tube that is, hernia uteri inguinalis. Here we present a case series of four men with amyands hernia.
Hernia yang timbul di atas lipatan abdominokrural adalah hernia inguinalis dan yang timbul di bawah lipatan tersebut adalah hernia femoralis. Hernia inguinalis definition of hernia inguinalis by. Pubmed, the cochrane library database, embase, national guidelines including the na. Directed inguinal hernia is caused by protrusion through hesselbach triangle. The etiology of classic inguinal hernia, sportsmans hernia or traumatic hernia may be different. An inguinal hernia occurs in the grointhe area between the abdomen and thigh. Files are available under licenses specified on their description page. Hernia inguinalis dapat terjadi karena kongenital atau karena sebab yang didapat. An inguinal hernia appears as a bulge on one or both sides of the groin. X lebih sering pada laki laki 90% dibanding perempuan.
A bulging area may occur that becomes larger when bearing down. Critical to the repair of richters hernia is an adequate evaluation of the intestine for viability. The present book is designed to focus on specific topics and problems which a general surgeon dealing with groin hernia is very likely to face during his practice. Hernia ini disebut dierk karena langsung menuju anulus inguinalis eksterna sehingga meskipun anulus inguinalis interna ditekan bila pasien berdiri atau mengejan tetap akan timbul benjolan. Jul 22, 2014 makalah hernia 10 p a g e bab iii bab iii hernia 3.
Hernia inguinalis lateralis pada anak maupun dewasa reponibilis atau irreponibilis hernia. Hernia uteri inguinalis definition of hernia uteri. Referat hernia inguinalis free download as word doc. Pendahuluan hernia inguinalis merupakan kasus bedah digestif terbanyak setelah appendisitis. They are the commonest type of abdominal wall herniation up to 80% 3 and are most often acquired. Hernia definition hernia is a general term used to describe a bulge or protrusion of an organ through the structure or muscle that usually contains it. Often it gets worse throughout the day and improves when lying down. Meckel diverticulum as the sole component of the hernia sac.
A vermiform appendix in an inguinal hernia sac, with or without appendicitis, is called amyands hernia. Jul 28, 2009 the european hernia society ehs is proud to present the ehs guidelines for the treatment of inguinal hernia in adult patients. Claudius amyand 16601740, a french surgeon working at st georges and westminster hospitals in london, performed the first successful appendectomy in 1735, on an 11yearold boy who presented with an inflamed, perforated appendix in his inguinal hernia sac. Hernia inguinal direct masih dalam dasar triangle hesselbachs didapat akibat kerusakan mekanis selama bertahuntahun hernia inguinal indirect melewati cincin internalkanalis inguinalis kongenital processus vaginalis patent didapat risiko tinggi untuk strangulasi daripada hernia direct indirect inguinal hernia diagnosis. Dalam keadaan relaksasi otot dinding perut, bagian yang membatasi anulus internus turut kendur.
Yang tersering hernia inguinalis lateralis angka kejadiannya lebih banyak pada lakilaki dan yang paling sering adalah yang sebelah kanan. Scribd is the worlds largest social reading and publishing site. My proposal for a new classification tables 1 and 2 is discussed. Tunika vaginalis hernia lengkap jepitan cincin hernia gg. An inguinal hernia is a protrusion of abdominalcavity contents through the inguinal canal. Hernia inguinalis pertama kali di temukan dalam tulisan pada lebih dari 3. To establish a literaturebased surgical ap proach to asymptomatic inguinal hernia ih. Hernia inguinalis medialis hernia inguinalis direk ini hampir selalu di sebabkan oleh faktor peninggian tekanan intraabdomen kronik dan kelemahan otot dinding di trigonum hasselbech. They have been developed by a working group consisting of expert surgeons with representatives of 14 country members of the ehs. Ventral hernias a hernia that appears in the abdomen at the site of a previous surgery is known as a ventral or incisional hernia. Pathophysiology a hernia can be classified as reducible or.
1601 1580 1523 1676 108 124 1098 792 202 913 269 1544 767 1325 1550 845 1680 1594 952 919 124 857 943 781 22 970 53 864 368 1332 502 1451 181 712 1123 578 844 691