Hernia Referat ppt

8/17/2019 Hernia Referat ppt

1/22

HERNIA Inez Soraya

110.2010.130

FK YARSI

RSUD DR.SLAMET. GARUT


2/22

Defnii

• Hernia !er"#a$an #ro%r"i a%a" #enon&o'an ii"a%" ron((a !e'a'"i )e*e$ a%a" +a(ian 'e!a,)ari )in)in( ron((a +eran($"%an. #a)a ,erniaa+)o!en- ii #er"% !enon&o' !e'a'"i )e*e$ a%a"+a(ian 'e!a, )ari +a(ian !"$"'oa#one"ro%i$

)in)in( #er"%


3/22

E#i)e!io'o(i

• / )ari e!"a $a" ,ernia )i )in)in(

a+)o!en !"n"' )i)aera, e$i%ar 'i#a% #a,a

• Hernia in)ire%HIL45,ernia )ire% HIM46251

• 7er+an)in(an La$i'a$i 5 8ani%a 6 /51


4/22

E%io'o(i

1. Le!a,nya )in)in( ron((a #er"%

2. A$i+a% )ari #e!+e)a,an e+e'"!nya.

3. Kon(eni%a'

9. A:"iia' +"$an )ie+a+$an )ie+a+$an $arenaa)anya )e*e$ +a8aan %e%a#i )ie+a+$an o'e, *a$or 'ain

• Te$anan In%ra A+)o!ina'

• Kon%i%"i T"+",


5/22

;a(ian )an &eni ,ernia

1. Kan%"n( ,ernia

2. Le,er ,ernia

3. Ii ,ernia

9. 7in%" ,ernia


6/22


7/22

9. Men"r"% %er'i,a% )an %i)a$nya

• Hernia e=%ern ,ernia in("ina'i-,ernia ro%a'i4

• Hernia in%ern ,ernia )ia*ra(!a%ia- ,ernia *ora!en8in'o8i- ,ernia o+%"ra*oria4

. Men"r"% $ea)aannya

• Hernia in$arera%a

• Hernia %ran("'a%a

>. Men"r"% i*a%nya

• Hernia re#oni+'e

• Hernia irre#oni+'e


8/22

7a%ofio'o(i

1. Hernia in("ina'i

;"'an $e ? $e,a!i'an- %er&a)i )een" @e%i$"'or"! !e'a'"i$ana'i in("ina'i. 7en"r"nan %e%i ini- a$an !enari$#eri%one"! $e )aera, ro%"! e,in((a %er&a)i %on&o'an#eri%one"!#roe" @a(ina'i #eri%onea4. ;i'a +ayi 'a,ir-!a$a #roe" ini !en(a'a!i o+'i%erai- e,inn((a ii ron((a#er"% %i)a$ )a#a% !e'a'"i $ana'i i%". Na!"n )a'a! +e+era#a

,a' erin( %i)a$ !en"%"#- )an +iaanya %e%i $iri 'e+i,)"'"an %"r"n- e,in((a $ana'i in("ina'i $anan 'e+i, erin(%er+"$a. Da'a! $ea)aan nor!a'-$ana'i ini a$an !en"%"##a)a "ia 2 +"'an.

7a)a oran( %"a

$e'e!a,an o%o% e$i%ar


9/22

Hernia In("ina'i Dire%Me)ia'i4

$e'e!a,an o%o% )in)in( )i %ri(on"!Hee'+a,.


10/22

2. Hernia *e!ora'i


11/22

DIAGNSA

1. 7e!eri$aan Fii$

In#e$i•. Hernia in("ina' La%era'i 5 M"n"' +en&o'an )i re(io

in("ina'i yan( +er&a'an )ari 'a%era' $e !e)ia'-%on&o'an+er+en%"$ 'on&on(.

•. Hernia in("in'i Me)ia'i 5 %on&o'an +iaanya %er&a)i

+i'a%era'- +er+en%"$ +"'a%•. Hernia $ro%a'i 5 +en&o'an yan( %er'i,a% a!#ai $ro%"! yan( !er"#a$an%o&o'an 'an&"%an)ari ,ernia in("ina'i 'a%era'i.

•. Hernia *e!ora'i 5 +en&o'an )i+a8a, 'i(a!en%"! in("ina'


12/22

7a'#ai

• Hernia in("ina'i 5 $an%on( ,ernia yan( $oon( $a)an( )a#a%

)ira+a #a)a *"ni$"'" #er!a%i$" e+a(ai (ee$an )"a#er!"$aan "%era. Kan%on( ,ernia yan( +erii !"n($in %era+a""- o!en%"! e#er%i $are%4- a%a" o@ari"!. Da'a! ,a' ,ernia)a#a% )ire#oii #a)a 8a$%" &ari !ai, +era)a )a'a! ann"'"e$%ern"- #aien !"'ai !en(e)an $a'a" ,ernia !enyen%","&"n( &ari +erar%i ,ernia in("ina'i 'a%era'i )an $a'a" a!#in(

&ari yan( !enyen%", !enan)a$an ,ernia in("ina'i !e)ia'i.'i#a% #a,a )i+a8a, 'i(a!en%"! in("ina )an 'a%era' %"+er$"'"!#"+i$"!.

• Hernia *e!ora'i 5 +en&o'an '"na$ )i +en&o'an)i+a8a, 'i(a!en%"! in("ina'


13/22

• 7e!eri$aan Fin(er Te%5

1.Men(("na$an &ari $e 2 a%a" &ari $e .2.Di!a"$$an 'e8a% $ror%"! !e'a'"i an"'"e$%ern" $e $ana' in("ina'.

3. 7en)eri%a )i"r", +a%"$5

C ;i'a i!#"' )i"&"n( &ari +erar%i HerniaIn("ina'i La%era'i.

C ;i'a i!#"' )ia!#in( &ari Hernia In("inna'iMe)ia'i


14/22

Dia(noa ;an)in(


15/22

7ena%a'a$anaanOpen Anterior Repair %e$ni$ ;aini- May )an S,o"')ie4

1. Te$ni$ +aini

•. Ko!#onen "%a!a )ari %e$ni$ +aini a)a'a,

•. Me!+e'a, a#one"roi o%o% o+'i:"" a+)o!ini e$%ern" )i$ana'iin("na'i ,in((a $e inin e$%erna'

•. Me!ia,$an o%o% $re!a%er )en(an ara ree$i "n%"$ !enari,ernia in)ire% e$a'i(" !en(in#e$i )aar )ari $ana'i in("ina'"n%"$ !enari ,ernia )ire%.

•. Me!ia,$an +a(ian )aar a%a" )in)in( #o%erior $ana'i in("ina'i

*aia %ran@era'i4•. Me'a$"$an 'i(ai $an%"n( ,ernia e#ro$i!a' !"n($in

•. Re$on%"$i )i )in)in( #o%erior )en(an !en&a,i% *aia %ran*era'i-o%o% %ran@era'i a+)o!ini )an o%o% a+)o!ini in%ern" $e'i(a!en%"! in("ina'i 'a%era'.


16/22

Open Posterior Repair

7o%erior re#air i'io#"+i %ra% re#air )an %e$ni$ Ny,"4 )i'a$"$an)en(an !e!+e'a, 'a#ian )in)in( a+)o!en "#erior ,in((a $einin '"ar $e #ro#eri%onea' #ae. Die$i $e!")ian )i#er)a'a!$ee!"a +a(ian $ana'i in("ina'i.

Tension Free Repair with Mesh

Ke'o!#o$ 3 o#erai ,ernia %e$ni$ Li,%en%ein )an R"%$o8 4!en(("na$an #en)e$a%an a8a' yan( a!a )e(an %e$ni$ o#enan%erior. A$an %e%a#i %i)a$ !en&a,i% 'a#ian *aia "n%"$!e!#er+ai$i )e*e$ - %e%a#i !ene!#a%$an e+"a, #ro%ei- !e,

yan( %i)a$ )iera#. Me, ini )a#a% !e!#er+ai$i )e*e$ ,ernia%an#a !eni!+"'$an %e(an(an )an )i%e!#a%$an )ie$i%ar *aia


17/22

#en Me, Re#air


18/22

Ko!#'i$ai

Ko!#'i$ai e%e'a, o#erai ,erniorra#,y

+iaanya rin(an )an )a#a% e!+",en)iri- ,e!a%o! )an in*e$i '"$a a)a'a,!aa'a, yan( #a'in( erin( %er&a)i


19/22

Ana%o!i

Re(io in("ina' ,ar" )i#a,a!i- #en(e%a,"an

%en%an( re(io ini #en%in( "n%"$ %era#i o#era%i*)ari ,ernia. Se+a(ai %a!+a,an- #en(e%a,"an%en%an( #oii re'a%i@e )ari ara*- #e!+"'",)ara, )an %r"$%"r @a )e*eren- a#one"roi

)an *aia.


20/22

Kana'i In("ina'i


21/22

Tri(on"! Hee'+a,

Tri(on"! Hee'+a, !er"#a$an )aera, )en(an +a%a5CIn*erior5 Li(a!en%"! In("ina'e.CLa%era'5 aa e#i(a%ri$ain*erior.CMe)ia'5Te#i !.re%" a+)o!ini.

Daarnya )i+en%"$ o'e, *aia %ran@era'i yan( )i#er$"a%era% a#one"roi !.%ran@er" a+)o!ini


22/22

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Hernia Referat ppt