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what is Inguinal hernia cause, symptoms, examination, investigation, treatment |Dr. Shipra Mishra |
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- เผยแพร่เมื่อ 28 ก.ค. 2022
- hernia in hindi, examination hernia, inguinal hernia signs and symptoms in hindi, direct and indirect inguinal hernia, Inguinal Hernia हर्निया क्या है इसके कारण और लक्षण
Abnormal protrusion of a viscus or a part of it through a weak point in the body (opening) is known as a hernia.
The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object.
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Inguinal hernia type-
Direct hernia- Through the posterior wall of the inguinal canal
Indirect hernia- Through the deep inguinal ring
Direct Hernia-
Occurs through Hesselbach’s triangle
Weakness of posterior wall of inguinal canal (transversalis fascia)
Common risk factor-
Chronic cough & BPH
Hasselbach’s triangle-
Below- Inguinal ligament
Lateral-Inferior epigastric vessel
Medial- Rectus abdominis muscle
Inguinal canal-
4cm length
Downward & medially
Deep inguinal ring( Int. ring)- 1.25 cm above the mid inguinal point
Superficial ring (Ext. ring)- just above & lateral to the Pubic crest
Boundaries of inguinal canal-
Anterior- Ext. Oblique aponeurosis
Posterior- Fascia transversalis
Superior- Internal oblique & transversus abdominis
Inferior- Inguinal ligament
Indirect Inguinal Hernia- most common type
Herniation of abdominal contents through deep ring into the inguinal canal.
Indirect inguinal hernias are due to congenital patency of the processus vaginalis and weakening of the transversalis fascia around the internal ring.
Performed sac pass through deep ring & may extended into scrotum through superficial ring.
Types of Indirect Hernia-
Bubonocele: Sac is confined to the inguinal region or inguinal canal only
Funicular(indirect): Sac upto the root of scrotum
Complete hernia (scrotal): Sac upto the bottom of scrotum
General Examination-
On Local Examination- First examine in the standing position and then in the supine position because standing and coughing can make a hernia more prominent.
On inspection-
Site - Above inguinal ligament- Inguinal hernia
Below inguinal ligament- Femoral Hernia
Size , ShapeTemperature, Tenderness
Reducibility, Expansile impulse with cough
Investigation-
1- CBC
2- Blood sugar level
3- HIV , HBsAg
4- Abdominal ultrasound
5- CT scan
6- MRI
Treatment-
Herniotomy
Herniorrhaphy
Hernioplasty
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Mam AAP lecture ko bahut short main bta dii hai aur treatment main kuch nhi btai hai....Mam aapse request hai lecture ek hi vedio main complete kar dijiye ....
Aap samjhatiii bahut achcha hai but medical main short lecture se padhaii complete nhi hoti hai ek Dr.ko details knowledge rakhni padtii hai ......
Please aap jab v vedio aporoved karey to complete knowledge ke sath hum logo ko share kijiye aapke is kaam se bahut se bachche ko benefits hogiii mam .....
Thanks a lot Mam
Thank you..Helpful for all medical students
Most helpfull vedio for every medical student
Very well explained in detail👍
very interesting Lecture Maam
Nice lecture
Well explained 👍
Very helpful video
Thanks mam for nice explanation
Very helpful videos thank you 😊 ❤
Mam thanku for share most knowlegeble information about herina
Nice
Very nice dear Dr,,,,,,
Thanks mam
Great mam tq so much ❤
thank you thank you thank you so much ma'am ☺️
Nice mam or vedeo banao AAP acha padati h u good lectures
Very nice, thank you🙏
Thanks ma'am🎉🎉🎉
Well explain
Thank you mam💗
Thank you maam❤
Mast👍👍
Mam , please femoral and umbilical hernia pr v video upload kare .
Soon
Good❤
Maam please fracture k lecture bnA djye
Thanks
Very informative lecture mam...will you please send the ppt on your telegram page
Ya as soon as
aapse contact kaise kre...
Surgery ke liye kaun se book le.
For beginners- manipal
Kon si surgery best he
Herniotomy
Supar
Mere right side mai ho raha hai koi iska ilaj hai bona operation se bacne ke liye koi desi dawa hai
U need to operate
Mam ky is ka poration karane ke bad Indian army mein join nahin ho sakte
operated successfully for inguinal hernia and show no sign of recurrence at the time of examination are accepted for general military service
Can inguinal hernia be related to fecal leaking whilst going for a long walk? I've noticed ever since I have inguinal groin hernia on my right side groin , after I go to the toilet for number 2, and then go for a long walk, my Anus Starts itching, i go to the toilet and wipe and notice feces. Almost as though it was trapped somewhere
Constipation ya diarrhoea h kya?
@@learnwithdrshipra no, I go to the toilet I empty my bowel, i clean with paper and water. I go for a walk, and whilst I walk I start itching in the anus. I go to the toilet I wipe, and I notice feces / poop. This happens every day. Can inguinal hernia affect the bowel?
No
Its sign of incontinence
@@learnwithdrshipra I'm only 31 years of age and this started happening after I had an operation for inguinal hernia on my left groin. 4 months later I developed an inguinal hernia on my right groin too and then the anus symptoms with incontinence started.
Without surgery bhi ingunial hernia ko thek Kiya ja sakta h kya if hernia is in primary stage
like exercise,groin area belt
Depend on condition
😞😞
Mam iwanna cont with you please?
Mam Kya masturbation b karan ho sakta inguinal hernia ka
No
Mam ihave this hernia
U r from?
@@learnwithdrshipra I'm from Delhi
Ratta mar
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