laproscopy, hernia, endoscopy, tharascoscopy surgery specialist in pune
DESCRIPTION
Dr. Sanjay Kolte, a general surgeon based in India who specializes in laparoscopic Surgery, Hernia Surgery, Gastrointestinal surgery, Emergency and General surgery.TRANSCRIPT
Hernia – protrusion of a viscous or part of viscous through an abnormal opening in the walls of its containing activity.
What is hernia?
WHY HERNIA OCCUR?
PREDISPOSING FACTORS ???
Straining
Coughing
Obesity
Smoking
Abdominal distension
Causes
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Anatomical weakness Acquired weakness
Structures passing through
the abdominal wall
Muscle fail to develop
Scar tissue
Trauma High intra-abdominal
pressure Coughing Straining Abdominal distension
Causes of abdominal Herniae
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Various types of Herniae?(common)
Other rare herniae
Inguinal Umblical Incisional
Femoral Epigastric
Spigelian Obturator
Lumbar Gluteal
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Relation to the surrounding structures
1.Anterior wall Medially-external obliqueaponeurosis Lateral- internal oblique muscle
2.Posterior wall Medially – strong conjoint tendon Lateral- fascia transversalis
3.Floor Medial- Lacunar ligament Lateral- inguinal ligament
4.Roof Arching of fibers of into oblique and transverse muscles.
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Indirect inguinal hernia Direct inguinal hernia
Any age but common in young Elderly
Via deep inguinal ring and long the inguinal canal
Via transversalis fascia (hasselbach’s triangle)
Patent or reopen processes vaginalis
Weak abdominal wall/muscle
Unilateral in 2/3 case (right side more common)
Bilateral in > ½ case
Enter scrotum (complete) Does not enter scrotum (incomplete)
Reduced by patient/doctor (manually)
Reduced on lying down (automatically)
Narrow neck- more liable to strangulate
Broad neck
Zieman technique- impulse on index finger
Impulse on middle finger
Deep ring occlusion test- control Bulge out
Little finger invagination test- impulse on finger tip
Impulse on pulp
Differences betweendirect and indirect inguinal hernia
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Dr. Sanjay Kolte
MBBS - OCTOBER 1995-BHARATI VIDYAPEETH'S MEDICAL COLLEGE, PUNE, INDIA
FCPS (General Surgery) - SEPTEMBER 2000, MUMBAI, INDIA
(FELLOW OF COLLEGE OF PHYSICIANS AND SURGEONS)
DNB (General Surgery) - MAY 2001-KING EDWARD MEMORIAL HOSPITAL, PUNE, INDIA (DIPLOMATE OF
NATIONAL BOARD, NEW DELHI)
MNAMS - MEMBER OF NATIONAL ACADEMY OF MEDICAL SCIENCES, NEW DELHI
Contact Details:Laparoscopic Surgery Clinic, Parihar Chowk,
Aundh, Pune, M maharashtra 411007Mobile : 91 +98 2200 94 90
Email : [email protected]
http://www.drsanjaykolte.in/