A hernia is a protrusion of an organ through an abnormal opening in the muscle or tissue wall of the cavity it resides in. They most commonly occur in the abdominal cavity. There are different types of hernias including inguinal, femoral, incisional, umbilical, and strangulated. Treatment depends on whether the hernia is reducible or irreducible and may involve manual reduction, use of a support device, or herniorrhaphy surgery to repair the defect. Nursing care focuses on monitoring for complications like strangulation, pre-op preparation, post-op wound care and activity restrictions, and discharge teaching about activity limitations and symptom reporting.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online from Scribd
A hernia is a protrusion of an organ through an abnormal opening in the muscle or tissue wall of the cavity it resides in. They most commonly occur in the abdominal cavity. There are different types of hernias including inguinal, femoral, incisional, umbilical, and strangulated. Treatment depends on whether the hernia is reducible or irreducible and may involve manual reduction, use of a support device, or herniorrhaphy surgery to repair the defect. Nursing care focuses on monitoring for complications like strangulation, pre-op preparation, post-op wound care and activity restrictions, and discharge teaching about activity limitations and symptom reporting.
A hernia is a protrusion of an organ through an abnormal opening in the muscle or tissue wall of the cavity it resides in. They most commonly occur in the abdominal cavity. There are different types of hernias including inguinal, femoral, incisional, umbilical, and strangulated. Treatment depends on whether the hernia is reducible or irreducible and may involve manual reduction, use of a support device, or herniorrhaphy surgery to repair the defect. Nursing care focuses on monitoring for complications like strangulation, pre-op preparation, post-op wound care and activity restrictions, and discharge teaching about activity limitations and symptom reporting.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online from Scribd
A hernia is a protrusion of an organ through an abnormal opening in the muscle or tissue wall of the cavity it resides in. They most commonly occur in the abdominal cavity. There are different types of hernias including inguinal, femoral, incisional, umbilical, and strangulated. Treatment depends on whether the hernia is reducible or irreducible and may involve manual reduction, use of a support device, or herniorrhaphy surgery to repair the defect. Nursing care focuses on monitoring for complications like strangulation, pre-op preparation, post-op wound care and activity restrictions, and discharge teaching about activity limitations and symptom reporting.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online from Scribd
Download as ppt, pdf, or txt
You are on page 1of 13
BY
DR. REBECCA EPHRAIM
Hernia Is the protrusion of a viscus from its normal cavity through an abnormal opening or weakened area Occurs anywhere but most often in the abdominal cavity Types of hernia’s Reducible Irreducible Can be manually placed back Cannot be placed back into into the abdominal cavity the adominal cavity Types of hernial Inguinal Occurs when there is weakness in the abdominal wall where the spermatic cord in men and round ligament in women emerge Types of hernias Femoral Protrusion through the femoral ring: more common in females Types of Hernia’s incisional Occurs at the site of a previous surgical incision as a result of inadequate healing postoperatively Types of Hernia’s Umbilical Most commonly found in children Types of Hernia’s Strangulated Irreducible, with obstruction to intestinal flow and blood supply Medical management of hernia Manual reduction, use of a truss (firm support) Bowel surgery if strangulated Herniorrhaphy: surgical repair of the hernia by suturing the defect Assessment of patient with hernia vomiting, protrusion of involved area (more obvious after coughing), and discomfort at site or protrusion Crampy abdominal pain and abdominal distention (if strangulated with a bowel obstruction) Nursing interventions for patient with hernia Observe client for complications such as strangulation Prepare client for herniorrhapy, provide routine preop care Nursing care post op care hernia Assess for possible distended bladder, particularly with inguinal hernia repair Discourage coughing, but deep breathing and turning should be done Assist to splint incision when coughing or sneezing Apply ice bags to scrotal area (if inguinal repair) to decrease edema Scrotal (athletic) support may be ordered in some cases Hernia discharge teaching Need to avoid strenuous physical activities (heavy lifting, pulling, pushing) for at least 6 weeks Need to report any difficulty with urination