hernia rza fix
TRANSCRIPT
-
7/25/2019 Hernia Rza Fix
1/20
Muhammad RezaResident Pediatric surgerydivision
-
7/25/2019 Hernia Rza Fix
2/20
History
First introduced on 1500 BC
Hernia surgery performed on 1200 BC
a!en descri"ed anatomy of herniaa"out# hernia $as a rupture
Cooper on 1%0&
-
7/25/2019 Hernia Rza Fix
3/20
Epidemiology
'ncidence ( 0)% * &+
,ge ( Pea- age in premature infants
.e/ ( ma!e fema!e range (1 to10(1
.ide ( 0 + right side
10 + Bi!atera!Fami!y history ( 11#5 + patientshave fami!y history
-
7/25/2019 Hernia Rza Fix
4/20
Factor contributing to the
development of inguinalhernia
-
7/25/2019 Hernia Rza Fix
5/20
Con3gurations of hydroce!e and hernia inre!ation to patency of the processus
vagina!is
-
7/25/2019 Hernia Rza Fix
6/20
Clinical manifestation
Found during "ath time "y parentsand
during $e!!chi!d e/amination History of intermittent "u!ge in
groin# !a"ia# or scrotum)
Bu!ging apparent $hen pressureintraa"domina! increases
4!der chi!dren comp!ain groin oringuina! discomfort
-
7/25/2019 Hernia Rza Fix
7/20
Physical examination
'nspection
'nguina! mass or asymmetric in the
pu"ic region Pa!pation
Bu!ging# mo"i!e
4!der Chi!d6 7a!sava maneuver'nfant 6 ,!!o$ to strain or cry#
.i!- string sign# p!astic "aggie sign
-
7/25/2019 Hernia Rza Fix
8/20
-
7/25/2019 Hernia Rza Fix
9/20
Management
8onoperation
4peration
-
7/25/2019 Hernia Rza Fix
10/20
-
7/25/2019 Hernia Rza Fix
11/20
Time of surgery
'f hernia does not reso!vespontaneous!y # surgica! c!osurea!$ays indicated
Recommend repair as soon aspossi"!e
-
7/25/2019 Hernia Rza Fix
12/20
Routine contra!atera! e/p!oration isnot 9usti3ed
:eftsided initia! hernia repairs may"e associated $ith an increased ris-of contra!atera! disease)
-
7/25/2019 Hernia Rza Fix
13/20
-
7/25/2019 Hernia Rza Fix
14/20
-
7/25/2019 Hernia Rza Fix
15/20
-
7/25/2019 Hernia Rza Fix
16/20
-
7/25/2019 Hernia Rza Fix
17/20
-
7/25/2019 Hernia Rza Fix
18/20
-
7/25/2019 Hernia Rza Fix
19/20
COMPLICATIONS
Incarceration
Recurrence
Injury to Cord/Testis
-
7/25/2019 Hernia Rza Fix
20/20
Referencesrosfe!d# ;ay :) 4# Murphy ;P) ,shcraft