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بسم الله الرحمن الرحيم

بسم الله الرحمن الرحيم. Hernia. Dr. Suleiman Jastaniah Associated Proff, College of Medicine Consultant G.S Al Noor Specialist Hospital. DEFINITION : PREDISPOSING FACTORS : COMPOSITION OF THE HERNIA : *SAC---------neck ,body ,fundus . *COVERINGS. *CONTENTS.

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بسم الله الرحمن الرحيم

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  1. بسم الله الرحمن الرحيم

  2. Hernia Dr. Suleiman Jastaniah Associated Proff, College of Medicine Consultant G.S Al Noor Specialist Hospital

  3. DEFINITION :PREDISPOSING FACTORS :COMPOSITION OF THE HERNIA : *SAC---------neck ,body ,fundus . *COVERINGS. *CONTENTS.

  4. CLASSIFICATION : 1.Reducible. 2.Irriducible. 3.Obstructed. 4.Strangulated .

  5. INGUINAL HERNIA*ANATOMY :*TYPES :DIRECT:Weakness in Hessalbach’s triangle . Indirect :-Common in young. -There are 3 types . 1.Bubonocele. 2.Funicular. 3.Complete.

  6. CLINICAL FEATURES : DEFF.DIAGNOSIS :1. Vaginal Hydrocele. 2.Encysted hydrocele of the cord. 3. Femoral hernia. 4. Undescended testis. 5.Lipoma of the cord . Management : Sliding Hernia.

  7. FEMORAL HERNIAANATOMY :-The 3rd common hernia.-F>MCLINICAL FEATURE :DIFF. DIAGNOSIS:1.Inguinal Hernia :above and medial to the pubic tubrcle.

  8. 2.Saphena Varix :sacular enlargement of long saphenous vein. - +ve fluid thrill. -venous hum. 3.Inguinal lymph node. 4.Lipoma. 5.Femoral Hernia. 6.Psoas Abscess. 7.Psoas Bursa.TREATMENT :SURGERY.

  9. PARAUMLICAL HERNIAIn adults-----------F>MOne inch around the umblicus.Common in multipara.Types : 1.Simple. 2.Obsructed. 3.Strangulated.TREATMENT :SURGERY.

  10. UMBLICAL HERNIA :Common in children.EXAMPHALOS : -MAJOR. -MINOR.

  11. EPIGASTRIC HERNIA : A defect in the midline between xiphoid process and umbilicus. It is mainly extraperitonial fat.CLINICAL FEATURE : *PAINLESS. *PAINFUL. *REFERD PAIN.TREATMENT :Surgery.

  12. INCISIONAL HERNIACAUSES : 1.Factors related to wound closure. *The suture material. *The method of closure. *The drainage through the wound. 2.Coughing ,Vomiting ,Abdominal distention. 3.Peritonitis. 4.General condition of the patient. 5.Associated illness.

  13. HERNIAS IN CHILDERN*INGUINAL.*FEMORAL.*UMBLICAL.-Inguinal Hernia 90% in males. -It is due to patent procuss vaginalis.ObstructedStrangulated.

  14. RARE HERNIAS1.Richter’s Hernia: portion of the circumference of the intestine is strangulated.2.Littrle’s Hernia: It contains Meckle’s diverticulum.3.Interstetial Hernia: The hernial sac passes between the layers of the abdominal wall.4.Spigelian Hernia :Interparietal hernia at the level of arcuate line.5.Maydl’s Hernia: 2 loops of intestine are incarcerated in the sac with strangulation of intaabdominal part.

  15. SCROTUM :*HYDROCELE : Abnormal collection of serous fluid in tunica vaginalis . Primary Secondary *Trauma *Epididmo-orcitis *Tumor *Lymphatic obstruction

  16. TYPES : >Congenital >Infantile >Vaginal >Encysted

  17. VARICOCELE : dilated and tortuous veins in pampiniform plexus.UNDESCENDED TESTIS : Testis which is in its anatomical path but has failed to reach the scrotum.

  18. ECTOPIC TESTIS :Which has descended to an abnormal site . *Superficial Inguinal pouch *Femoral Triangle . *Perineum . *Base of the penis .

  19. COMPLICATIONS : >Hernia >Torsion >Trauma >Tumor >infertilityTUMOUR : Painless testicular swelling Loss of testicular sensation.

  20. THANK YOU

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