Upload
ami-kangela-baba
View
265
Download
6
Embed Size (px)
Citation preview
8/3/2019 Hernia Scrotalis Sinistra
1/33
%&%##$#%$ $$%#
!02-2-3 7$:,79434$5
#$!!&%
$%$
&%$%#$%
&'#$%$%
,28:3
8/3/2019 Hernia Scrotalis Sinistra
2/33
/0399,8
,2, %3
$0 ,,
&8, 9,:3
#!03//,3 $%
!007,,3 %/,-007,
,2,9 !,/02,3,3,,79,&9,7,
$::,38,#,8 ,,
8/3/2019 Hernia Scrotalis Sinistra
3/33
3,23088
8/3/2019 Hernia Scrotalis Sinistra
4/33
#,,9!03,9$0,7,3
$,9: 9,:3 $#$ 5,803 2030: ,/, -034,3 / ,3943
507 ,,3, -034,3 0. /,3 9/, 907,,8, 307 -034,3
/,5,9 ,3 92-: 034,3 92-: 8,,9 5,803 -,9: 0-,9
/,3 2030/,3 034,3 203,3 09, -07-,73 !,803203,3, ,/,3, 2:, /,3 2:39, ,3.,7
23: $#$ 5,803 2030:,3 502-08,7,3 5,/,
,3943 507 !02-08,7,3 /8079, /03,3 307 /,3 9/,
/,5,9 2030. 07 /7,8,,3 907:8 20307:8 8203,3, ,/,3, /02,2 !,803 2030: 307 8,,9
,73, :73 :33 073 5,87 /,7, ,3.,7
/03,3 43889038 :3, /02,2 2:, 2:39, ,3,23088 57489,9
8/3/2019 Hernia Scrotalis Sinistra
5/33
#,,9!03,9,::
#,,9/7,,9
#,,94507,8
#,,9 !03,9 0:,7,
%/,,/,0:,7,,3203/079,/03,30:,3
,38,2,
8/3/2019 Hernia Scrotalis Sinistra
6/33
# 07 4-,94-,9,3 /,3 2,,3,3 9/, ,/,
# !034-,9,3 23:2 4-,9 ,7:3 4-,93, :5,
# !84848,
!,803 8073 438:28 8,:7,3 2039, ,,5,3
203438:28 23:2,3 -0784/, /,3 9/, 203438:28
,44
8/3/2019 Hernia Scrotalis Sinistra
7/33
!02078,,38
0,/,,3 :2:2 9,25, 8,9
08,/,7,3
%%'
V % 22V,/ 2039 :,9.::570:,7
V ## 2039
V $::
V3974542097
V % .2
V
V % 472,
8/3/2019 Hernia Scrotalis Sinistra
8/33
$9,9:80307,8
V 05,,
4724.05,7,2-:9 9,2 9/, 74394
/897-:8 207,9,
V,9,8 2,9, 2,/,7488 -:: 2,9, 74394
43:39;, ,3028 807, 907 70108 5:58447 ,3,37
:9
907 07902 007
38508 %/, 907,9 2,88,507:-,,3 ,73, :9
!,5,8 !02-08,7,3 !02-08,7,3 %74/
8/3/2019 Hernia Scrotalis Sinistra
9/33
!#&!#&
38508$20978,8,77097,849495073,5,8,3
85/0730;
!,5,8 '4,17029:8,3472,30790,3
!07:8 $43475,/,802:,,5,35,7:-,9,85,7:05,7
8093$2/.,;.:,78/097,
:8:9,8 '08:07743003
08,3 !,7:472,
8/3/2019 Hernia Scrotalis Sinistra
10/33
V %&
38508 .9:8.47/89/,907,9
!,5,8 .9:8.47/8907,-,$2/.,;.:,78/097,
!07:8 ,9,8,3,3,39:330,89073,8/097,
,9,87,39:330,2/.,;:,7883897,
:8:9,8/,370:07:72:7,45
08,3 ,39:3472,
8/3/2019 Hernia Scrotalis Sinistra
11/33
V 38508 /,9,78,7.,5:920/:8,85/0730;
V :8:9,883:8:83472,
V !,5,8 0790,3,-/420305,9420,
8503420,
!07:8 %25,35,/,:,/7,38193/:30889/,
/,:,3
%#%$ 9,8 ,,
7, ,3,9 ,3,9
/02,
!,2,707902
:,
8/3/2019 Hernia Scrotalis Sinistra
12/33
$9,9:84,8
3:3:8$.749,8
38508907,9502-08,7,35,/,,394350780-08,705,,39,3,39/,,/,3,
0207,,350789,9
!,5,80790,343889038:3,
5072:,,37,9,-,9,890,824-0
:8:9,8 &
#0.9,%4:.07%/,/,:,3
8/3/2019 Hernia Scrotalis Sinistra
13/33
#08:20
%3 9,:3 /,9,3 /03,3 0:,3 502-08,7,3 /,3
307 5,/, ,39:3 507 /,3 9/, /,5,9 2030. 80,
23: $#$ 07 /7,8,,3 907:8 20307:8 07 8,,9
,73, :73 :33 073 5,87 /,7,
,3.,7 /03,3 43889038 :3, :, 2:39,
! $9,9:8 4,8
38508907,9502-08,7,35,/,,394350780-08,705,,39,3,39/,,/,3,0207,,3
!,5,80790,343889038:3,5072:,,3
7,9,-,9,890,824-0
!! %7,38:23,8%/,/,:,3
8/3/2019 Hernia Scrotalis Sinistra
14/33
073,$.749,8$3897,
/74.0%:247%0898
8/3/2019 Hernia Scrotalis Sinistra
15/33
#03.,3,%3/,,3
!70507,8
V !02,7,03,5:,,7,
V
V 494947,8
507,8
V 0734942
V 07347,5
V 07345,89
!489507,8
V 0/7089
V -/,33,08
V !07,,9,3:,-0,84507,8/-,
8/3/2019 Hernia Scrotalis Sinistra
16/33
425,8
073,3.,7807,9,
073,$97,3:,9,
059,32030-,-,3;,8:,78,8907,3:803,802, ,3703/,330748,
8/3/2019 Hernia Scrotalis Sinistra
17/33
!743488
":4,/;9,2 ,/-43,2
":4,/1:3.943,2 ,/-43,2
8/3/2019 Hernia Scrotalis Sinistra
18/33
%3,:,3!:89,,
8/3/2019 Hernia Scrotalis Sinistra
19/33
0138
073,207:5,,3
503434,388:,9:
743,20,:/010
,9,:-,,302,
/,7/3/3743,
-078,3:9,3
073,3:3,8 ,/,, 8:,9: 0,/,,3 /2,3,
80-,,3 :8:8 2,8: 20,: 80-:, :-,3 5,/,
/3/3 507:9 0 /,,2 ,3,8 3:3,8
8/3/2019 Hernia Scrotalis Sinistra
20/33
5/0244
V ,, 507025:,3
V073, 3/70 073, /70
V0 /03,3 -079,2-,3, :2:7
V 38/038 073, 3:3,8 5,/, -, /,3 ,3,
,39,7, /,3
V02:33,3 907,/ 073, 5,/, 88 ,3,3 88 7 /,3 -,907,
8/3/2019 Hernia Scrotalis Sinistra
21/33
944
,8,3, 9/, /902:,3 80-,- ,3 5,89
2085:3 ,/,3 /:-:3,3 /03,3 ,3,9 -07,9
073, 907,/ , -,,3 /,7 47,3 507:9
-,8,3, :8:8 203434 20,: 8:,9: 99 ,3
02, ,9,: 74-0,3 5,/, /3/3 4949 ,3 958
,3 203,,3 47,3 507:9 5,/, 9025,93,
073, 3:3,8 /,5,9 907,/ ,703, ,342,
43039, ,9,: ,703, 80-,- ,3 //,5,9
8/3/2019 Hernia Scrotalis Sinistra
22/33
,,3-,,3073,
!39:073,#,3/,:,3943073,
,3943073,507943:25,709,
007073,-,,390780259/,7073, 8073,:8:842039:2/
8/3/2019 Hernia Scrotalis Sinistra
23/33
3,942
8/3/2019 Hernia Scrotalis Sinistra
24/33
8/3/2019 Hernia Scrotalis Sinistra
25/33
342, 43039,
%0898 !74808:8 ;,3,85079430,907-:,
#43, 5079430:2
203,,2 4-907,8
!74808:8 ;,3,8
5079430,9079:9:5!74808:8 ;,3,8
5079430,907-:,
472,073,
3:3,8
8/3/2019 Hernia Scrotalis Sinistra
26/33
,81,8 073, 3:3,
V 03:7:9 81,93,
073, 70543-0 /,3 073, 70543-0
V 03:7:9 54883, 073, 3,7807,9, /,3 073, 897,3:,9,
V 03:7:9 503434,33,
073, 089073, /,3 073, 39073,
8/3/2019 Hernia Scrotalis Sinistra
27/33
0,,38
#3,3
W !03434,3 ,3 ,392-:
W %/, 307 3, /7,8, ,/, 307
W %2-: , 2030/,3 -,9: ,9,: 203,3,9-0-,3 -07,9
W ,8,3, 9434,3 /,5,9 ,3 , -07897,,9
07,9
W 7,8, 7,8, 307 ,3 0-,9
W 034,3 ,3 /,5,9 /705488 -, 503059,3 -0:2
907,: 5,7,W 034,3 7705488 -, 503059,3 8:/, 5,7,
W 034,3 9/, ,3 2085:3 -07897,,9
8/3/2019 Hernia Scrotalis Sinistra
28/33
,3488P 38508
P
$,,9 5,803 2030/,3 /,5,9 /,9 073, 3:3,8
,907,8 2:3.: 80-,, 503434,3 / 704 3:3,8 ,3
-07,,3 /,7 ,907, ,9,8 0 20/, -,,
P !,5,8 ,3943 073, ,3 4843 ,/,3 /,5,9 /7,-, 5,/,
1:3::8 85072,9:8 80-,, 080,3 /,7 /:, ,58
,3943 ,3 202-07,3 8038,8 080,3 /:, 5072:,,3
8:907, 9,3/, 8,7:3 9,3,3 8:907, 909,5 :2:23, 9,3/,
3 8:,7 /9039:,3
, ::3 ,7 203039: 073, -07,79 073, 3:3,8
,907,8 /,3 -, -,,3 88 ,7 ,3 203039:3,
-07,79 073, 3:3,8 20/,8
!02078,,3 503:3,3 97,38:23,8
8/3/2019 Hernia Scrotalis Sinistra
29/33
%07,5
43807;,91
V#05488 /,:,3 80.,7, -2,3:, %,3,3
7 2020,3 8 073, 202-039: .4743
80/,3,3 9,3,3 ,3,3 203/47433, 0
,7, .3.3 073, /03,3 90,3,3 ,2-,9
9,5 20309,5 8,25, 907,/ 705488
V,39,,3 503,3, -079::,3 203,,3073, ,3 90, /705488
8/3/2019 Hernia Scrotalis Sinistra
30/33
%07,5
507,91
V0734942 /,:,3 502-0-,8,3 ,3943 073,
8,25, 0 0073, ,3943 /-:, /,3 8 073,
/-0-,8,3 ,,: ,/, 5070,9,3 02:/,3
/705488 ,3943 073, /,9,9 8093 2:33
,: /54943
V07345,89 /,:,3 93/,,3 2025070. ,3::8
3:3,8 39073:8 /,3 202507:,9 /3/3 -0,,3
,3,8 3:3,8
8/3/2019 Hernia Scrotalis Sinistra
31/33
!03.0,,3
03.0, 907,/3, 1,9471,947 7084 805079
-,9: 743 43895,8 743 -070-
5007,,3 203,3,9 -0-,3 ,3 907,: -07,9/
8/3/2019 Hernia Scrotalis Sinistra
32/33
#0107038
$,-8943 :: ,,7 -0/,88039,8 41 8:77 ,,3
.09,,3 ,,79, 50307-9 -:: 0/4907,3
$,28:/,,9# 2 /0 43 :: ,,7 2: -0/,0/8
70;8,,79, 50307-9 -:: 0/4907,3 $.,79 09 ,398,7 5738557385 2: -0/,/ ,,79,
50307-9 -:: 0/4907,3
20/.,89470 42
5:-20/ 42
8/3/2019 Hernia Scrotalis Sinistra
33/33
%#$