1. بسم الله الرحمن الرحيم

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

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

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

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

9. CLINICAL FEATURES :
DEFF.DIAGNOSIS : Vaginal Hydrocele Encysted hydrocele of the cord Femoral hernia Undescended testis Lipoma of the cord .
Management :
Sliding Hernia.

12. FEMORAL HERNIA ANATOMY : -The 3rd common hernia
FEMORAL HERNIA ANATOMY : -The 3rd common hernia. -F>M CLINICAL FEATURE : DIFF. DIAGNOSIS: Inguinal Hernia :above and medial to the pubic tubrcle.

17. 2. Saphena Varix :sacular enlargement of long saphenous vein
2.Saphena Varix :sacular enlargement of long saphenous vein ve fluid thrill venous hum Inguinal lymph node Lipoma Femoral Hernia Psoas Abscess Psoas Bursa. TREATMENT :SURGERY.

18. PARAUMLICAL HERNIA In adults F>M One inch around the umblicus. Common in multipara. Types : Simple Obsructed Strangulated. TREATMENT :SURGERY.

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

21. 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.

22. INCISIONAL HERNIA CAUSES : 1. Factors related to wound closure
INCISIONAL HERNIA CAUSES : 1.Factors related to wound closure *The suture material *The method of closure *The drainage through the wound Coughing ,Vomiting ,Abdominal distention Peritonitis General condition of the patient Associated illness.

23. HERNIAS IN CHILDERN. INGUINAL. FEMORAL. UMBLICAL
HERNIAS IN CHILDERN *INGUINAL. *FEMORAL. *UMBLICAL Inguinal Hernia 90% in males It is due to patent procuss vaginalis. Obstructed Strangulated.

24. RARE HERNIAS 1.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.

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

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

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

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

33. COMPLICATIONS : >Hernia >Torsion >Trauma >Tumor >infertility TUMOUR : Painless testicular swelling Loss of testicular sensation.

34. THANK YOU