Hernias ingl

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.