[의학]소아 inguinal hernia

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소아 서혜부 탈장에 대한 ppt

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Pathogenesis
Epidemiology
Diagnosis
Physical examination
Treatment
Operative technique
Post-OP Cx.

본문내용

Disease Report
- Pediatric inguinal hernia

0.8~4.4%(preterm : 16~25%)
약 ⅓ - before 6 month
Male : Female = 3~10 : 1
Rt.(60%) > Lt.(30%) > Bilat.(10%) 

History taking
Physical examination (가장 중요)

bulge in the groin, scrotum, labia
(특히 crying, straining)
palpable thickened cord structure, silk glove sign (+)
Translumination (-)

incarcerated hernia
irreducible mass on the groin or scrotum
Symptom of obstruction : vomiting, pain, abdominal distention, cessation of stool and flatus in male groin mass

발견 즉시 operation
incarcerated hernia
Manual reduction 시행 (80%가 정복됨) 하고 24∼48 시간 후 hernia operation
Emergency operation
①Hernia reduction fail
②Strangulation
③Irreversible intestinal ischemia →
resection & end-to-end anastomosis

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