1. What is the lateral inguinal hernia?
Answer:
Lateral inguinal hernia is the inguinal hernia that leaves the abdomen through the inguinal annulus profundus and an oblique moving down through the inguinal canal lateral to the inferior epigastric artery.
2. What factors are memnyebabkan occurrence ingunalis lateral hernia?
Answer:
The factors that cause the occurrence of lateral inguinal hernia:
a) persistent processus vaginalis
b) elevation of pressure within the abdominal cavity (such as chronic cough, prostatic hypertrophy, constipation, pregnancy)
c) The weakness of the abdominal wall muscles (because of age, and nerve damage ileoinguinalis norvus ileofemoralis after apendiktomi)
3. What clinical symptoms in patients with lateral inguinal hernia?
Answer:
a) Occur lump on groin when standing, coughing, sneezing or straining, and disappear when lying down
b) pain accompanied by nausea or vomiting in the state strangulation inkarserasi
4. How the lateral inguinal hernia diagnosis?
Answer:
Lateral inguinal hernia diagnosis includes other masses such as lymphadenopathy in the groin, varicocele, the testis does not descend, lipomas, and hematoma.
5. How do I manually repositioning techniques are effectively used in patients lateral inguinal hernia?
Answer:
By providing gentle pressure on the mass of the annulus toward the inguinal hernia is usually with the patient in a lower head position (Trendelenburg).
6. How does a physical examination at the lateral inguinal hernia?
Answer:
First performed at the groin inspection. Then, the index finger is placed on the lateral side of the scrotal skin, and included all funikulus spermatikus until the fingertips reach the inguinal annulus profundus. If the examiners fingers inside the inguinal canal inguinal hernia advanced down the canal on the lateral side of a finger.
7. Please list two ways a physical examination at the lateral inguinal hernia?
Answer:
a) Finger Test
b) Thumb Test
8. How to finger test performed on the lateral inguinal hernia?
Answer:
The index finger is inserted through the annulus at the inguinal canal externus, internus and annulus toward the patient told to push, if there is displacement who felt at the fingertips of patients suffered from diseases of the lateral inguinal hernia.
9. How thumb test performed on inguinal hernia leteralis?
Answer:
PD annulus thumb shut internus (halfway between spina iliaca anterior superior and tubercle pubicum, + 2 cm above it). If the lump does not come out when people push the hernia disease patients inuinalis lateralis.
10. What causes the lateral inguinal hernia in infants and children?
Answer:
Inguinal hernia in infants and children due to congenital abnormalities of the processus vaginalis does not close it.
11. How patofisiologis from ingunalis lateral hernia?
Answer:
Lateral inguinal hernia out of the peritoneal cavity through the annulus internus, then enter the inguinal canal, and exit through the inguinal annulus externus.
12. State the characteristics of the lateral inguinal hernia?
Answer:
The characteristics of lateral hernia ingunalis namely:
- elliptical shape
- The contents are not easily enter
- Often inkarserata
- Tumb test: hernia did not exit
- Finger test: palpable at the end
- Defective: annulus internus
13. Why does the skin incision hernia lateral ingunalis must be determined where exactly?
Answer:
Because in order to prevent injury to the nerves and ilionguinalis iliohipogastrikus, which are important in skin innervation of the skin below the abdomen, penis and scrotum.
14. What is the procedure performed surgery on the lateral inguinal hernia patients?
Answer:
Procedures used at the lateral inguinal hernia surgery include:
a) Herniotomi: removal of the hernia bag; contents returned to the abdomen; layers of muscle and fascia sutured; can be done through leparoskopi on outpatients.
b) Hernioplasti: involving the tailoring reinforcement, which extends to repair hernias.
c) Resection of the ischemic intestine to USU in conjunction with hernia repair on terstrangulasi hernia.
15. How hernioplastik operating principles?
Answer:
In hernioplastik memeperkecil action inguinal annulus internus and strengthen the back wall inguinal canal.
16. What is the difference operation Bassini method and the method of Mc Vay?
Answer:
ü Bassini Method: sewing conjoint tendon (muskulus meeting tranversus internus muskulus obliqus internus abdomen and abdominal) to the inguinal ligament Poupart.
Mc Vay ü Method: sewing tranversa fascia, the transverse abdominal and muskulus muskulus obliqus internus to Cooper ligament.
17. What is the purpose Bassini action on the lateral inguinal hernia?
Answer:
The aim is to tighten the action Bassini muskulus conjoined tendon and transversus abdominis internus obliqus to the inguinal ligament.
18. Name the two primary components that mark Shouldice action?
Answer:
a) Involve the techniques used in inguinal annulus profundus and accompanied by a correction Indirect inguinal hernia
b) Consider the use of the posterior inguinal wall and is a major goal in the treatment of indirect inguinal hernia.
19. What are the causes of complications in patients after undergoing inguinal herniorafi?
Answer:
Complications arise because the placement of stitches that carelessness on the external iliac artery or femoral.
20. What effect if ilioinguinalis and iliohypogastrikus nerve injury in patients with lateral inguinal hernia?
Answer:
If the injury resulted in feelings of numbness and paresthesias in the area of skin.
21. What effect if the spermatic artery was damaged in patients with lateral inguinal hernia?
Answer:
If the damage it can cause ischemic orchitis and testicular atrophy.
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