hernias ingl
DESCRIPTION
,TRANSCRIPT
Hernias.
Juan Alfonso Cárdenas Ramos Dr.Hector Manuel Virgen Ayala.Dr. Benjamin Robles Mariscal.
September 2011
Hernias.• disorder that cause more major surgery
• Latin: Rupture.
Hernias.
• Output of an organ through an opening in the wall that contains it.
Hernias.
• 75% groen.15-20% Umbilical.
• compositión:
• intestines.• Cover fabrics.• peritoneal sac.
Hernias.
• They are slow growing and are known to be noticed.
Diagnosis based on physical examination in an upright position.
Ultrasonogfrafia.TC.Herniogram.
Hernias.
• Classification.
• Reducible.• Jailed.• Strangled.• Richter.
Hernias.
• Classificatión:• Internal hernias:
• Abdominal wall or inguinal
-paraduodenal-Wislow-Transmesentericas-transureteral-Pericecal-Sigmoideas-Pelvicas-Retroanastomotica
-umbilical-epigastric-incisional-lumbar-spiegel-pelvic hernias,-paraostomales
Hernias.
• Protrusion of viscera through the peritoneum or mesentery.Defects in the mesentery and peritoneum may be:-holes anatomical-birth-surgery-trauma-inflammation
Clinically silent but may occur periumbilical pain and dyspepsia.Common presentation of acute obstruction ID loops.The CT plays a fundamental role in diagnosis.
internal.
Hernias.• Internal hernias:
A: Foramen of WinslowB: Right paraduodenal herniaC: Left paraduodenal herniaD: hernia transmesentéricaE: hernia pericecalF: hernia transomentalG: intersigmoidea hernia.
Hernias.
• Degrees of impact:PARADUODENAL (53%) PERICECAL (13%)
WINSLOW (8%) TRANSMESENTERICA(8%)
PELVICA(6%) INTERSIGMOIDE(6%)
TRANSOMENTAL(4%)
Hernias.• Abdominal wall or inguinal
• They are the most common sites of hernias, weak natural areas.
• 3-4% of males and increases with aging.
Hernias.
• The navel is a weak cavity more common in women.
Fact´s:Obesity.Repeated pregnancies.
Common in neonates.
Umbilical.
Hernias.
• Umbilical.• Treatment: May Technique.
Hernias.
• Output of peritoneal fat through the opening of the fibers of the rectus sheath in the midline.
Epigastric.
Hernias.
• Outlets can be small nerves and vessels.
• More common in men between 20 and 50 years.
Epigastric.
Hernias.
• After surgery.
• Fact:• obese patients• Infections.
Incisional.
Hernias.
• Small: deal only with non-absorbable points.
• Large: sandwich technique
Insicional.