View
7
Download
0
Category
Preview:
DESCRIPTION
What is Hernia? A hernia usually happens when an organ squeeze through an opening in the muscle or tissue that holds it set up. For instance, the intestines may get through a debilitated zone in the abdominal wall. Several types of hernias happen in the abdomen between your chest and hips, yet they can likewise show up in the upper thigh and crotch or groin area. Most hernias aren't promptly life-threatening, yet they don't leave all alone. Here and there they can require Hernia Surgery to forestall dangerous complexities. Explore more on Hernia and causes.
Citation preview
HTTPS://WWW.SOUTHLAKEGENERALSURGERY.COM/HERNIA-SURGERY/
• Ahernia is defined as an abnormal protrusion of an organ or
tissue through a defect in its surrounding walls.
• Groinhernia
• Inguinal
• Direct
• Indirect
• femoraL
• The inguinal canal is an oblique space measuring 4
cm in length that lies above the medial half of the
inguinal ligament.
• Inguinal canal has 4 walls : anterior, posterior, roof, and
floor
• Males : spermatic cord and ilioinguinal nerve
• Females : round ligament and the ilioinguinal nerve
• Uncomplicated hernias requireeither :
• No treatment
• Support with a truss
• Operative treatment
• complicated hernias :
• always require surgery, oftenurgently.
• For any hernia the surgical option comprises 2 components :
• Herniotomy
• Herniorrhaphyor hernioplasty
• It is either :
•Openrepair
Bassini repair
Shouldice repair
Tension freemesh repair
• Laparascopic repair
• Bilateral inguinal hernia
• When the diagnosis of inguinal hernia is uncertain
•When the patient want to return to normal physical life
Laparoscopic repair is done by 2 approaches :
1. Transabdominal preperitoneal “TAPP”
2. Totally extraperitoneally “TEP”
• The patient medical condition makes general
anesthesia more risky
• Patient who have planned pelvic or extraperitoneal
operations (eg, radical prostatectomy)
• Patient who have had a recurrence froma prior
laparoscopic repair
• Patient presented with strangulated hernia
• Less acute postoperative
pain
• Shorter convalescence
• Earlier return to work
DISADVANTAGES
• increased risk of femoral
nerve injury and
• Increased risk of spermatic
cord damage
• risk of developing
intraperitoneal adhesions
with theTAPP
• greater cost and duration of
the operation
• The TAPPapproach, first described by Arregui and
colleagues in 1992
• It requires laparoscopic access into the peritoneal
cavity and placement of mesh in the preperitoneal
space after reducing the hernia sac.
• The first TEPinguinal hernia repair was described by
McKernan and Laws in1993.
• This approach involves preperitoneal dissection and
mesh placement without entering into the abdominal
cavity.
• Urinary retention
• Nerve injury
• Testicular ischemia and atrophy
• Injury to vas deferens
• recurrence
For More Details visit:
www.southlakegeneralsurgery.com
Get Free Opinion, Quotes, Medical
Insurance and Assistance at Every
Step of Your Treatment.
For Fast Track Reply Call:
(817) 748-0200
Recommended