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HERNIA 
Latin: rupture 
ABNORMAL PROTRUSION OF AN ORGAN 
OR TISSUE THROUGH A DEFECT IN ITS 
SURROUNDING WALLS 
EMERALDA 2014
NOMENKLATUR HERNIA 
HERNIA 
+ 
ANATOMY LOCATION 
+ 
PHASE 
EMERALDA 2014
HERNIA 
• Dibagi menurut: 
– Etiologi : Kongenital & Didapat 
– Penampakkannya : Internal & Eksternal 
• Dibagi menjadi: 
– Anatomi : Lokasi anatomis 
– Sifat : Reponibel & Ireponibel 
– Klinis : Inkarserata & Strangulata 
EMERALDA 2014
HERNIA 
INKARSERATA STRANGULATA 
EMERALDA 2014
HERNIA 
• CINCIN 
• ISI 
• KANTUNG 
EMERALDA 2014
can occur at various place in body, but most 
commonly involve the abdominal wall 
HERNIA 
EMERALDA 2014
ABDOMINAL WALL HERNIA 
• Abdominal wall hernias occur only at sites 
where the aponeurosis and fascia are not 
covered by striated muscle. 
• These sites most commonly include the 
inguinal, femoral, and umbilical areas, the 
linea alba, the lower portion of the semilunar 
line, and sites of prior incisions 
EMERALDA 2014
Hernia Diafragmatika 
EMERALDA 2014
Hernia Obturatoria / Spiegel 
EMERALDA 2014
Hernia Winslowi 
EMERALDA 2014
EMERALDA 2014
EMERALDA 2014
Hernia Lumbalis 
EMERALDA 2014
Terminologi 
• Sliding Hernia 
– Hernia yang kantungnya berisi organ isi dari hernia 
itu sendiri 
• Hernia Pantaloon: 
– Hernia Inguinal dan Hernia Media terjadi 
bersamaan pada satu sisi 
– Biasanya berbentuk seperti celana 
EMERALDA 2014
HERNIA INGUINAL 
HERNIA 
INGUINAL 
MEDIAL 
(DIRECT) 
LATERAL 
(INDIRECT) 
SKROTALIS/ 
LABIALIS 
FEMORAL 
EMERALDA 2014
TRIGONUM HASSELBACH 
EMERALDA 2014
INGUINAL CANAL 
Nyhus's classic parasagittal diagram of the right midinguinal region illustrating the 
muscular aponeurotic layers separated into anterior and posterior walls 
EMERALDA 2014
Faktor Resiko 
• Defek kongenital 
• Obesitas 
• Kehamilan 
• Merokok? 
• Peningkatan Tekanan Intra Abdomen 
– PPOK 
– Asites 
– Konstipasi -------------------------- 
– Gangguan berkemih ------------- MENGEDAN 
– Mengangkat beban berat ------ 
EMERALDA 2014
Pemeriksaan 
• Benjolan: Bentuk, ukuran, tanda inflamasi 
• Valsava Maneuver (pasien berdiri, tutup hidung 
dan mulut, minta pasien untuk mengedan) 
– Benjolan : bentuk, ukuran 
• Regio Inguinal 
– Inspeksi 
– Auskultasi 
– Palpasi 
• Thumb Test 
• Finger Test 
• Ziemann Test 
EMERALDA 2014
Pemeriksaan 
• Regio Genitalia Eksterna 
– Pria 
• Inspeksi skrotum membesar/tidak saat valsava 
maneuver 
• Palpasi batas paling atas skrotum, epididimis 
teraba/tidak 
• Diafamoscopy 
– Wanita 
• Inspeksi labia mayor membesar/tidak saat valsava 
maneuver 
EMERALDA 2014
Tatalaksana 
• Operatif 
– Elektif 
– Cito 
• Jenis dan Metode Operasi 
– Herniotomy 
– Hernioplasty 
– Hernioraphy 
EMERALDA 2014
ABDOMEN LAYER 
• Skin 
• Subcutaneous Fat 
• Scarpa’s facia 
• External Abdominal Oblique 
• Internal Abdominal Oblique 
• Transversus Abdominis 
• Transversalis Fascia 
• Preperitoneal Fat 
• Peritoneum 
EMERALDA 2014
THANK YOU 
EMERALDA 2014
Zieman Test 
EMERALDA 2014 back
Finger Test 
EMERALDA 2014 back

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Inguinal Hernia

  • 1. HERNIA Latin: rupture ABNORMAL PROTRUSION OF AN ORGAN OR TISSUE THROUGH A DEFECT IN ITS SURROUNDING WALLS EMERALDA 2014
  • 2. NOMENKLATUR HERNIA HERNIA + ANATOMY LOCATION + PHASE EMERALDA 2014
  • 3. HERNIA • Dibagi menurut: – Etiologi : Kongenital & Didapat – Penampakkannya : Internal & Eksternal • Dibagi menjadi: – Anatomi : Lokasi anatomis – Sifat : Reponibel & Ireponibel – Klinis : Inkarserata & Strangulata EMERALDA 2014
  • 5. HERNIA • CINCIN • ISI • KANTUNG EMERALDA 2014
  • 6. can occur at various place in body, but most commonly involve the abdominal wall HERNIA EMERALDA 2014
  • 7. ABDOMINAL WALL HERNIA • Abdominal wall hernias occur only at sites where the aponeurosis and fascia are not covered by striated muscle. • These sites most commonly include the inguinal, femoral, and umbilical areas, the linea alba, the lower portion of the semilunar line, and sites of prior incisions EMERALDA 2014
  • 9. Hernia Obturatoria / Spiegel EMERALDA 2014
  • 14. Terminologi • Sliding Hernia – Hernia yang kantungnya berisi organ isi dari hernia itu sendiri • Hernia Pantaloon: – Hernia Inguinal dan Hernia Media terjadi bersamaan pada satu sisi – Biasanya berbentuk seperti celana EMERALDA 2014
  • 15. HERNIA INGUINAL HERNIA INGUINAL MEDIAL (DIRECT) LATERAL (INDIRECT) SKROTALIS/ LABIALIS FEMORAL EMERALDA 2014
  • 17. INGUINAL CANAL Nyhus's classic parasagittal diagram of the right midinguinal region illustrating the muscular aponeurotic layers separated into anterior and posterior walls EMERALDA 2014
  • 18. Faktor Resiko • Defek kongenital • Obesitas • Kehamilan • Merokok? • Peningkatan Tekanan Intra Abdomen – PPOK – Asites – Konstipasi -------------------------- – Gangguan berkemih ------------- MENGEDAN – Mengangkat beban berat ------ EMERALDA 2014
  • 19. Pemeriksaan • Benjolan: Bentuk, ukuran, tanda inflamasi • Valsava Maneuver (pasien berdiri, tutup hidung dan mulut, minta pasien untuk mengedan) – Benjolan : bentuk, ukuran • Regio Inguinal – Inspeksi – Auskultasi – Palpasi • Thumb Test • Finger Test • Ziemann Test EMERALDA 2014
  • 20. Pemeriksaan • Regio Genitalia Eksterna – Pria • Inspeksi skrotum membesar/tidak saat valsava maneuver • Palpasi batas paling atas skrotum, epididimis teraba/tidak • Diafamoscopy – Wanita • Inspeksi labia mayor membesar/tidak saat valsava maneuver EMERALDA 2014
  • 21. Tatalaksana • Operatif – Elektif – Cito • Jenis dan Metode Operasi – Herniotomy – Hernioplasty – Hernioraphy EMERALDA 2014
  • 22. ABDOMEN LAYER • Skin • Subcutaneous Fat • Scarpa’s facia • External Abdominal Oblique • Internal Abdominal Oblique • Transversus Abdominis • Transversalis Fascia • Preperitoneal Fat • Peritoneum EMERALDA 2014
  • 24. Zieman Test EMERALDA 2014 back
  • 25. Finger Test EMERALDA 2014 back