femoral hernia repair
DESCRIPTION
hernia femoralis repair techniqueTRANSCRIPT
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Femoral hernia repair
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• Femoral hernia is not as common as inguinal hernia. It is often associated with incarceration or strangulation, resulting in peritonitis and mortality.
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FEMORAL HERNIA
I. Epidemiology A. Accounts for 4% of Groin Hernias (96% are inguinal) B. More common in elderly women C. Gender predisposition: Female by 3 to 1 ratio D. Femoral seen less than Inguinal Hernia even in womenII. Pathophysiology A. Associated with increased intraabdominal pressure B. Hernia sac bulges into femoral canal . Femoral canal lies immediately medial to femoral vein
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HERNIA FEMORALIS :
• Insisi : inguinal sejajar lig ing.• Metode op: ,,Low operation ,,• Insisi sejajar (1 cm) dibwh lig ing.• Insisi diperdalam sampai fascia, kulit
dan lemak digeser (undermi- ne) kebawah sampai fossa ovalis.
• Kantong dicari dibuka, dibebas – kan dari jar. sekitarnya, tordir, potong jahit pada pangkal setinggi anulus femoralis.
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HERNIA FEMORALIS (lanjutan)
• Dilakukan jahitan plastik yakni menjahit lig. Inguinale dengan fascia pectinea. Hati hati bagian lateral terdapat vena femoralis. Jahitan memakai benang yang tidak diserap.
• Luka operasi ditutup lapis demi lapis. Kulit dapat ditutup dengan jahitan subcutucular.
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Teknik operasi
Hernia femoralis
Dari atas
Teknik operasi
Hernia femoralis
Dari bawah
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Penyulit pembedahan :• 1 . Saat pembedahan :– Perdarahan, arteri-vena epigastrika inferior
atau arteri vena spermatika.– Lesi nervus ileohypogastrika,ileoinguinalis.– Lesi vas defferens, buli buli, usus.2 . Segera setelah operasi :– Hematome, infeksi.3 . Lanjut ( late ) :– Hydrocele, atrofi testis dan residif.
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Perawatan pasca pembedahan
• Hari ke 0 : puasakan, sore hari bila sudah sadar benar boleh diberi minum air.
• Hari ke 1 : penderita boleh mobilisasi ( jalan ), minum dan makan,dan infus dilepas.
• Pemberian analgetik dapat diberikan peroral.• Hari kedua atau ketiga boleh dipulangkan.• Angkat jahitan pada hari ke 5 atau ke 7.• Masa istirahat : 2 atau 3 minggu saja.• 2 atau 3 bulan tidak boleh angkat berat.