Scribd
Upload
337 views61 pages

Hernia Types and Treatments

Hernia is defined as the protrusion of an organ or tissue through a normal or abnormal opening in the wall of the cavity that normally contains it. There are two main types: external and internal hernias. External hernias include inguinal, umbilical, and femoral hernias. Increased abdominal pressure, obesity, multiparity, and trauma can all contribute to hernia development. A hernia sac forms that may contain peritoneum, intestine, or other organs. Clinical signs include a bulge or pain that may become incarcerated, obstructed, or strangulated if the blood supply is cut off. Different surgical repair techniques exist depending on the hernia type.

Uploaded by

Ahmed Hassan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
337 views61 pages

Hernia Types and Treatments

Hernia is defined as the protrusion of an organ or tissue through a normal or abnormal opening in the wall of the cavity that normally contains it. There are two main types: external and internal hernias. External hernias include inguinal, umbilical, and femoral hernias. Increased abdominal pressure, obesity, multiparity, and trauma can all contribute to hernia development. A hernia sac forms that may contain peritoneum, intestine, or other organs. Clinical signs include a bulge or pain that may become incarcerated, obstructed, or strangulated if the blood supply is cut off. Different surgical repair techniques exist depending on the hernia type.

Uploaded by

Ahmed Hassan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
You are on page 1/ 61

Hernia

Professor Reda Abdel Tawab


1

Definition protrusion of a
viscous or part of a
viscous through a normal
or an abnormal opening
in the walls of its
containing cavity
Types A- External Abd Hernia
Inguinal 75%
Umbilical 15%
Femoral 8.5%
Rare forms 1.55
B- Internal hernias
CDH, HH,
.
Incisional
Hernia

Aetiology
Increased intra
abdominal pressure
Obesity
Multiparity
Trauma
Cong preformed sac

Composition of Hernia
Sac
Coverings: sliding
(hernia-en-glissade)
Contents
Richters
Littres
Maydles

Clinical Picture of Hernia


Symptoms

On Examination

Pathological Classification
Reducible
Irreducible
Obstructed,
incarcerated
Strangulated
Inflamed

Strangulated Hernia
Blood supply of the
contents is seriously
impaired
Venous obstruction,
impairment of art
supply, gangrene,
perforation
Clinical picture
symptoms, signs

TTII
1
0

1
1

Inguinal hernia

1
2

1
3

1
4

1
5

1
6

1
7

1
8

1
9

2
0

2
1

2
2

2
3

2
4

Inguinal Hernia Repair


Bassini
Shouldice
Lichtenstein

2
5

Direct Inguinal Hernia

Dual Pantaloon Hernia

2
6

2
7

2
8

2
9

Strangulated inguinal hernia

3
0

3
1

3
2

3
3

Colostomy

3
4

Truss

3
5

Femoral Hernia
Strangulation is the initial
presentation in 40%

DD
3
6

Femoral Canal

Inguinal lig

V
Gimber
nat Ileopectineal Cooper lig
Lacunar
lig

3
7

Strangulated Femoral Hernia

3
8

Low operation LOCKWOOD

3
9

High operation McEvedy or


Lotheissen

4
0

4
1

4
2

Umbilical Hernia

4
3

4
4

4
5

4
6

4
7

4
8

Spegilian Hernia

4
9

Lumbar Hernia

5
0

CDH

5
1

5
2

5
3

5
4

5
5

5
6

5
7

5
8

Exomphalos Gastroschisis

5
9

6
0

Thank you
6
1

You might also like