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    Herniotomy Terbaru

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    anisa
    Herniotomy is a surgery to repair a hernia where the neck of the hernia sac is tied off and then the hernia sac is cut off. The most common type of hernia is an inguinal hernia. Physiotherapy management for hernia surgery aims to increase abdominal muscle strength and use proper positioning. Post-operative physiotherapy focuses on breathing exercises, coughing, leg exercises, and gradually increasing mobility and activity levels over the first few days. Complications can include injury to veins or nerves during surgery or infection, pain, or hernia recurrence after surgery.

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    Herniotomy Terbaru

    Uploaded by

    anisa
    110 views21 pages
    Herniotomy is a surgery to repair a hernia where the neck of the hernia sac is tied off and then the hernia sac is cut off. The most common type of hernia is an inguinal hernia. Physiotherapy management for hernia surgery aims to increase abdominal muscle strength and use proper positioning. Post-operative physiotherapy focuses on breathing exercises, coughing, leg exercises, and gradually increasing mobility and activity levels over the first few days. Complications can include injury to veins or nerves during surgery or infection, pain, or hernia recurrence after surgery.

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    herniotomy

    Original Title

    HERNIOTOMY TERBARU

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    Herniotomy is a surgery to repair a hernia where the neck of the hernia sac is tied off and then the hernia sac is cut off. The most common type of hernia is an inguinal hernia. Physiotherapy management for hernia surgery aims to increase abdominal muscle strength and use proper positioning. Post-operative physiotherapy focuses on breathing exercises, coughing, leg exercises, and gradually increasing mobility and activity levels over the first few days. Complications can include injury to veins or nerves during surgery or infection, pain, or hernia recurrence after surgery.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    110 views21 pages

    Herniotomy Terbaru

    Uploaded by

    anisa
    Herniotomy is a surgery to repair a hernia where the neck of the hernia sac is tied off and then the hernia sac is cut off. The most common type of hernia is an inguinal hernia. Physiotherapy management for hernia surgery aims to increase abdominal muscle strength and use proper positioning. Post-operative physiotherapy focuses on breathing exercises, coughing, leg exercises, and gradually increasing mobility and activity levels over the first few days. Complications can include injury to veins or nerves during surgery or infection, pain, or hernia recurrence after surgery.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 21

    HERNIOTOMY

    Oleh: FENDY NUGROHO


    Herniotomy

     Herniotomy : Leher kantung yang terpaku,


    diikat dan kemudian kantung hernia dipotong.
    TYPES OF HERNIA

    Inguinal hernia
    Femoral hernia
    Incisional hernia
    Umbilical hernia
    Paraumbilical hernia
    Hiatus hernia
    Spigelian hernia
    Strangulated hernia
    Obturator hernia
    Epigastric hernia
     80% Inguinal Hernia
     Bayi dan anak-anak  congenital hernia.
     Dewasa muda dengan otot inguinal yang
    sangat baik.
     Insisi: ½ inci di atas dan sejajar dengan
    medial cincin inguinal hampir di saluran
    inguinal.
    Cause: raised intra abdominal
    pressure
    Mengangkat beban berat
    Latihan berat
    Whooping cough (Batuk rejan) di masa
    kecil
    Obstruksi uretra mengejan pada saat
    berkemih
    Vomiting
    Constipation
    Assessment

    History – vomiting, intestinal obstruction, lump,


    abdominal distension.
    Past surgical history
    O/O: local :
     Redness + around hernia
     Swelling
     Skin changes
     Lump
     Effect of coughing
    O/P:
    O/E:
     Temperature  Pain

     Tenderness  ROM

     Swelling  MMT

     ADL

    On percussion:
     Resonant : intestine
     Dull : omentum,
    extraperitoneal fatty
    tissue
    Physiotherapy management

    AIM
     Increase strength of abdominal muscles
     Proper positioning
     Soft tissue healing- 3-4 weeks, muscles – 7-12
    days
    Pre operative
    Chest physiotherapy
    Exercise tolerance test
    Improve muscle strength
    POST-OPERATIVE MANAGEMENT

    Day 0
    • Assessment
    • Operation notes
    • Level of consciousness
    (tingkat kesadaran)
    • Level of pain
    • Analgesia
    • Wound site
    • Attachments

    • Position of patient

    • Auscultation

    • Homan’s sign

    Treatment
    Lebih menekankan pada fungsi pernapasan dan
    peredaran darah. Pasien harus mengulangi latihan
    setiap jam.
    Day 1
    • Mobility exercise: rolling to side lying, pushing

    up to sitting position.

    • Deep breathing exercises every hourly.

    • Supported coughing.

    • Calf stretch and ankle pumps every quarter

    hourly.
    • Gerakan ekstremitas atas unilateral untuk
    meningkatkan ekspansi dada setiap jam.
    • Pijat perut ke arah usus besar membantu

    mengurangi nyeri perut karena 'gas'.


    Day 2
    Encourage walking for short distance with
    assistance.

    Continuation of day 1 exercises.


    Add pelvic and abdominal exercises.
    Day 3 onwards

    Longer periods of sitting out and walking.

    Continuation of previous exercises.


    Pelvic floor exercises if there is no catheter in
    situ. 5 repetition of five sec hold.

    Posture and back care advises.


    Femoral hernia…

    Lower limb mobility is more important.


    Wear inguinal belt
    Squatting, weight lifting after 3 months
    Complications…

    DURING OPERATION
     Injury to vein or nerve
     Urinary bladder

     Inferior epigastric vessels

     Contents of sac

    EARLY POST OPERATIVE


     Retentionof urine
     Inflammation of spermatic cord, scrotum

     Wound infection
    LATE POST OPERATIVE

    Reccurance
    Neurologic pain due to involvement of
    ilioinguinal nerve in suture
    Painful scar
    Atrophy of testis due to testicular nerve due to
    compression of spermatic cord
    Epidermal cyst
    Thank you

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