Hernias Abdominales Flashcards

1
Q

Definición

A

Apertura o debilidad anormal de una capa de la pared abdominal
Pérdida de la continuidad de aponeurosis

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2
Q

Cuando es una hernia encarcelada?

A

atrapamiento principalmente de contenido intraabdominal que no
reduce

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3
Q

Cuando es una hernia estrangulada?

A

cuando los intestinos atrapados ya tienen datos de isquemia

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4
Q

Componentes de pared abdominal

A
Piel
Camper (sup)
Scarpa (prof)
Fascia profunda
Musculos con aponeurosis
Fascia transversalis
Peritoneo
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5
Q

Hernias de pared anterior:

A

Spiegel
Epigastrica
Umbilical
Incisional

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6
Q

Hernia spiegel

A

protrusión de saco peritoneal, órgano, grasa preperitoneal por un defecto congénito

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7
Q

Hernia epigástrica:

A

Arriba del ombligo

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8
Q

Hernia incisional:

A

resultado de un defecto en la cicatrización de la pared abdominal
después de un cierre quirúrgico.

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9
Q

Cuadro clínico:

A

Aumento de volumen y dolor

Se reduce hay resolución del evento

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10
Q

Datos de hernia complicada:

A

Datos de obstrucción
Isquemia
Perforacion y sepsis

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11
Q

Tx:

A

Cirugia electiva: plastia de pared con o sin malla

Laparos

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12
Q

En que hernias no se usan mallas ?

A

Menores a 5mm

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13
Q

Complicaciones qx:

A

Sangrado
Infeccion
Dehisencia
Recidiva

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