Hernia Treatment

Hernia Treatment

HERNIA TREATMENT

Hernia Treatment

A hernia is the protrusion of an organ or the fascia of an organ through the wall of the cavity that normally contains it.

Types

- Inguinal Hernia: This is a weakness where the spermatic cord in men and the round ligament in women passes through the abdominal wall in the groin area, more common men

- Femoral Hernia: This Protrusion of the intestines through the femoral ring, common in women.

- Umbilical Hernia: This occurs most often in children when umbilical opening fails to close adequately but can occur in adults in an area where the rectus muscle is weak.

- Incision Hernia: This occurs due to weakness in the abdominal wall as result of previous incision.

"Hernia Treatment"

- Reducible Hernia: These are hernias that can be replaced into the abdominal cavity by manual Manipulation..

- Incarcerated Hernia: These are the types of hernia that cannot be manually replaced back into the abdominal cavity.

- Strangulated Hernia: In these types, blood supply and intestinal flow in the herniated area are obstructed, this can easily lead to intestinal obstruction.

 

"Hernia Treatment"

Causes

- Weakness of the abdominal wall

- Increase intra abdominal wall pressure

- Surgery

- Over weight (Obesity)

- Chronic ulcers

- Pregnancy

- Heavy lifting

- Tumor Especially in the abdominal cavity

Clinical Manifestations

- Pain

- Swelling in the affected area

- Vomiting

- Intestinal Obstruction

- Strangulation

 

"Hernia Treatment"

 

Diagnosis Evaluation

  1. History
  2. Clinical manifestation
  3. Radiological examination
  4. Abdominal X-ray reveals high levels the bowl
  5. Elevated white blood cell if incarcerated.
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Management

in reducible hernia, a truss which is an appliance with a pad and belt is held over a hernia to prevent abdominal contends from entering the hernia sac. a truss provides external compression over the defect and should be removed at night and re-applied in the morning before the patient arises.

Surgery: This is recommended to correct hernia before strangulation occurs. Some surgical procedures are;

Herniorrhaphy: this is removal of hernia sac. The contents are replaced into the abdomen and layers of the

Herniorrhapy: This is the removal of hernia sac. The contents are replaced into the abdomen and layers of the muscles and facial sutured.

Hernioplasty: This involves re-enforcement of suturing for extensive hernia repair.

Strangulated hernia requires resection of ischemia bowel in addition to repair of hernia.

 

"Hernia Treatment"

 

Nursing Management

  • Place patient in c comfortable position to reduce pressure on hernia.
  • Encourage bed rest, intermittent ice parks, and scrotal elevation to reduce scrotal edema or swelling after repair.
  • Advice patient that difficultly in urinating is common after surgery, promote elimination to avoid discomfort and catheterize if necessary.
  • Check dressing for drainage and incision for redness and swelling.
  • Insert NG tube, if ordered, to relieve intra abdominal pressure.
  • Give stool softeners as directed.
  • Encourage ambulation as soon as permitted.
  • Monitor for signs and symptoms of infection such as fever, chills, malaise and diaphoresis.
  • Administer antibiotics if appropriate.
  • Advice patient to take medication as prescribed to relieve discomfort and inform patient to avoid heavy lifting.

 

"Hernia Treatment"

 

Nursing Diagnosis

  1. Pain related to bulging hernia, evidence by patients complain.
  2. Acute pain related to surgical incision evidence by patients verbalization.
  3. Risk of infection related to strangulated or incarcerated hernia.
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Complications

  • Incarceration
  • Strangulation
  • Intestinal obstruction.

"Hernia Treatment"

 

 

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