Hernias Crural, umbilical, esofagica
-
Upload
hyrum-pozo-castellon -
Category
Documents
-
view
258 -
download
1
Transcript of Hernias Crural, umbilical, esofagica
![Page 1: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/1.jpg)
HERNIAS II
DR. ANIBAL CRUZ SENZANO
UNIV. HYRUM POZO CASTELLON
TECNIC A QUIRURGICA
![Page 2: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/2.jpg)
REGION INGUINO CRURAL
ANILLO CRURAL
MUJERES
DERECHO
EXAMENFISICO
MASAREDONDEADA
DURA
PARTE INTERNAC. CRURAL ANILLO
CRURAL
![Page 3: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/3.jpg)
DIAGNOSTICODIFERENCIAL
ADENITIS INGUINAL
GANGLIO DECLOQUET
DILATACION SACULARDE LA VENA SAFENA
![Page 4: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/4.jpg)
ANATOMIA DE LA REGION INGUINOCRURAL
CONDUCTO CRURAL
ANILLO CRURAL
INFUNDIBULO CRURAL
CUADRILATERO DE FRUCHAUD
![Page 5: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/5.jpg)
CONDUCTO CRURAL
BASEANILLO CRURAL
VERTICE
VENA SAFENA INTERNA
CONDUCTO CRURAL
![Page 6: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/6.jpg)
PAREDES :
ANTERIORFASCIA LATA
CRIBIFORME
POSTERO-EXTERNA
FASCIA LATA
PSOAS ILIACO
FASCIA LATA
FASCIA FEMORAL
FORAMEN OVAL
V. SAFENA INTERNA
CONDUCTO CRURAL O FEMORALSEPTUM CRURAL
![Page 7: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/7.jpg)
POSTERO INTERNA
MUSCULO PECTINEO
APONEUROSIS DEL MUSLO
FASCIA LATA
FASCIA FEMORAL
FORAMEN OVAL
V. SAFENA INTERNA
CONDUCTO CRURAL O FEMORALSEPTUM CRURAL
![Page 8: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/8.jpg)
ANILLO CRURAL
BORDE ANT.
BORDE POSTERO-EXTERNO
BORDE POSTERO-INTERNO
ANGULO INT.
ARCADA CRURAL
C. ILIOPECTINEA
LIGAMENTO DE COOPER
LIGAMENTO DE GIMBERNAT
N. CUTANEO FEMORAL
N. FEMORALANILLO CRURAL OFEMORAL
L. INGUINAL
CINTILLA ILEOPECTINEA
LIGAMENTO DE GIMBERNATLIGAMENTO DE COOPER
![Page 9: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/9.jpg)
ANILLO CRURAL
FUERA
ART. FEMORAL
DENTRO
VENA FEMORAL
LINFONODO DECLOQUET
ART. FEMORAL
V. FEMORAL
L. DE CLOQUET
![Page 10: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/10.jpg)
INFUNDIBULO CRURAL
FUERA
V. FEMORAL
ADENTRO
APO. MUSC.PECTINEO
DELANTE
FASCIA CRIBIFORME
VERTICE
V. SAFENA
FOSA OVAL
V. FEMORAL
CONDUCTO CRURAL
INFUNDIBULO CRURAL
![Page 11: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/11.jpg)
SEPTUM CRURALDELANTE
ARCADA CRURALABAJO
LIGAMENTO DE COOPER
ADENTRO
LIGAMENTO DEGIMBERNAT
FUERA
V. FEMORAL
N. CUTANEO FEMORAL
N. FEMORALANILLO CRURAL OFEMORAL
L. INGUINAL
CINTILLA ILEOPECTINEA
LIGAMENTO DE GIMBERNATLIGAMENTO DE COOPER
![Page 12: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/12.jpg)
SACO HERNIARIO
ORGANOSABDOMINALES
SEPTUM CRURAL
PERITONEO
ANILLO CRURAL
INFUNDIBULO CRURAL
HERNIA CRURAL INCOMPLETACONDUCTO CRURAL
![Page 13: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/13.jpg)
HERNIA CRURAL COMPLETA
FASCIA CRIBIFORME
PIEL
SACO HERNIARIO
PLANOS
PIEL
T. CELULAR SUBCUTANEO
SEPTUM CRURAL O FASCIA TRANSVERSAL
PERITONEO
![Page 14: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/14.jpg)
ELEMENTOS QUE ENCONTRAMOS EN SACO HERNIARIO
EPIPLON MAYOR ASA INTESTINAL DELGADA
OMENTO MAYOR
ESTRANGULACION
ASA INTESTINAL
ENCARCELADO
ESTRANGULADO
![Page 15: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/15.jpg)
VARIEDADES DE LA HERNIA CRURAL
HERNIAS CRURALES PRE-VASCULARES
HERNIAS CRURALES RETRO-VASCULARES
HERNIA CRURAL DE LAUGIER
HERNIA CRURAL DE HESSELBACH
L. GIMBERNAT
FUERA DE VASOS FEMORALES
HERNIA DE CLOQUET
M. PECTINEO
![Page 16: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/16.jpg)
HERNIA UMBILICAL
ANILLO UMBILICAL
CENTRO DE LA PARED ABDOMINAL
RECTOS ANTERIOR DEL ABDOMEN
DEBILIDAD MUSCULAR
PRESION INTRAABDOMINAL
![Page 17: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/17.jpg)
CONSTITUCION ANATOMICA DEL OMBLIGO
PLANO SUPERFICIAL
PIEL
T. CELULAR SUBCUTANEO
PLANO APONEUROTICO
PLANO APONEUROTICO
CUADRILATERO
2/3 NUCLEOS FIBROSOS
1/3 FASCIE UMBILICAL
![Page 18: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/18.jpg)
PLANOS RETROAPONEUROTICOS
T. PREPERITONEAL
PERITONEO
T. PREPERITONEAL
URACO VA HACIA LA VEJIGA
ART. UMBILICAL LINEA INNOMINADA
LIG. REDONDO HIGADO
FOVEA VASCULAR
![Page 19: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/19.jpg)
CAPA PREPERITONEAL
FASCIA UMBILICAL
INSERTA
DOS LADOS, PARTEINTERNA DE LA HOJA POST.DE LA V. DE LOS RECTOS
CARA PROFUNDALINEA BLANCA
![Page 20: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/20.jpg)
FASCIA UMBILICALBORDE SUPERIOR
CARA POSTERIORV. DE LOS RECTOS
L. MEDIA A 4 O 5 cm.DEL OMBLIGO
BORDE INFERIOR
LEVANTA EL PERITONEO
LA FASCIA UMBILICAL REFUERZA EL SEGMENTODEBIL DEL ANILLO UMBILICAL
![Page 21: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/21.jpg)
CARA ANT. FASCIACARA POST. PLANOAPONEUROTICO
CONDUCTO UMBILICAL
ADHERENCIA
BORDE SUPERIORBORDE INFERIOR
CARACTERISTICAS DEIDENTIFICACION
VARIEDAD HERNIAUMBILICAL
![Page 22: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/22.jpg)
HERNIA CONGENITA Y ONFALOCELE
CANTIDAD DE PIEL QUE FALTA
AMNIOS
MEMBRANA TRANSPARENTEPERITONEOPARIETALPOSTERIOR
GELATINA DEWARTON
PRIMERAS VISCERASHERNIADAS
INTESTINODELGADO
MESOSIGMOIDES
CIEGO
![Page 23: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/23.jpg)
ONFALOCE
INCOMPATIBLE CONLA VIDA
TRATAMIENTO QUIRURGICOGASTROSQUISIS
![Page 24: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/24.jpg)
PRIMER TIEMPO
HOJAS O MALLAS
LINEA MEDIA
SUTURA SIN TENSION
COMPLICACIONES
INSUFICIENCIA RESPIRATORIA AGUDA
COMPRESION VENACAVA INFERIOR
OBSTRUCCION
TROMBOFLEBITISILEOFEMORAL
![Page 25: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/25.jpg)
SEGUNDO TIEMPO
48 HRS. DESPUES
SEGUNDA HILERADE PUNTOS
TERCERA HILERADE PUNTOS
TECNICA DE GROSS
![Page 26: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/26.jpg)
TECNICA DE GROSS
RETIRAR LA MALLA
PIEL – T. CELULAR SUBCUTANEO
PLANO APONEUROTICO
INSICION HASTA LA FASCIAAPONEUROTICA
SOLO SUTURAR PIEL YT. CELULAR SUBCUTANEO
HERNIAINSICIONAL
NIÑO DE 10 Kg.
![Page 27: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/27.jpg)
![Page 28: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/28.jpg)
HERNIA UMBILICAL EN EL NIÑO
NIÑO DE 10 Kg.
TRATAMIENTO QUIRURGICO
INSICION TRANSVERSA DE CONCAVIDAD SUP.
T. CELULAR SUBCUTANEO
PLANO APONEUROTICO
ORIFICIOUMBILICAL
SE CIERRA ELDEFECTO HERNIARIO2º TIEMPO
SE FIJA EL OMBLIGOPOSICION NORMAL
![Page 29: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/29.jpg)
HERNIA UMBILICAL EN EL ADULTO
TRATAMIENTO QUIRURGICO
ESTRANGULACION
CLASIFICACION:
HERNIA DIRECTA ODE DEBILIDAD
NO HAY TRAYECTO HERNIARIO
HERNIA INDIRECTASIMPLE
CANAL DE RIECHET
HERNIA INDIRECTAPREPERITONEAL
CANAL DE RIECHET ABIERTO
POR ABAJO
![Page 30: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/30.jpg)
ANILLO
1º
2º
HERNIA DIRECTA
HERNIA INDIRECTA
SACO HERNIARIO
PIEL
T. CELULAR SUBCUTANEO
T. PREPERITONEAL
PERITONEO
CONTENIDO DEL SACO
EPIPLOCELE
ENTEROEPIPLOCELE
![Page 31: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/31.jpg)
PUNTO DE VISTA CLINICO
HERNIAS DE PEQUEÑOVOLUMEN
HERNIAS DE GRANVOLUMEN
PAREDES ABDOMINALESRESISTENTES
ESTRANGULACION
HERNIA DE DEBILIDAD
![Page 32: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/32.jpg)
TECNICA QUIRURGICA DE LAS HERNIAS UMBILICALES
PRIMER TIEMPO
IDENTIFICACION DE LAMASA HERNIARIA
INCISION TRANSVERSALELIPTICA
PIEL
T. CELULAR SUBCUTANEO
PLANO APONEUROTICO
![Page 33: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/33.jpg)
SEGUNDO TIEMPO
LIMITE SACO HERNIARIO
IDENTIFICAR CUELLODEL SACO HERNIARIO
CORTE EN EL SACO HERNIARIO
DEPENDE
SI EL SACO ESTA LIBRE
SI EL SACO ESTACON CONTENIDO
OMENTECTOMIAPARCIAL
![Page 34: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/34.jpg)
TERCER TIEMPO
IDENTIFICAR ORIFICIOHERNIARIO
CORTE APONEUROSISRECTO ANTERIOR MAYOR
TECNICA DEMAYO
TECNICA DEZENO
CHALECOSOBRE PANTALON
![Page 35: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/35.jpg)
![Page 36: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/36.jpg)
CUARTO TIEMPO
LIBERACION DELPERITONEO
CIERRE DELPERITONEO
LAVADOQUIRURGICODEL AREA
HEMOSTASIA
DRENAJES
APOSITOS DEPRESION
![Page 37: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/37.jpg)
VENTAJAS DE LA TECNICA DE MAYO
CIERRE TRANSVERSAL DE LAPARED ABDOMINAL
SOLIDEZ A LA PARED ABDOMINAL
LIPECTOMIAVIENTREFLACIDO YCAIDO
VIENTRETENSO Y RESISTENTE
DRENAJE
INFECCION HEMATOMA
![Page 38: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/38.jpg)
HERNIA DIAFRAGMATICA
ORIFICIOS
ESOFAGO
AORTA
VENACAVA
![Page 39: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/39.jpg)
ANATOMIA DE LA HERNIA DIAFRAGMATICA
![Page 40: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/40.jpg)
CLASES DE HERNIAS DIAFRAGMATICAS
HERNIASCONGENITAS
HERNIAS DE BOCHDALEKO POSTEROLATERAL
HERNIAS DE MORGAGNIO RETROESTERNAL
FALTA DEL DESARROLLO
LADO IZQUIERDOINSERCIONES DELDIAFRAGMA
![Page 41: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/41.jpg)
![Page 42: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/42.jpg)
HERNIASADQUIRIDAS
ADULTO
DISTENCION DEFORAMENES
HERNIA DEHIATO ESOFAGICO
HERNIASTRAUMATICAS
TRAUMA NOPENETRANTE
TRAUMAPENETRANTE
PUNTOSDEBILITANTES
![Page 43: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/43.jpg)
HERNIAS DE HIATO ESOFAGICO
HERNIAS PARAESOFAGICAS
HERNIAS PORDESLIZAMIENTO
UNION GASTROESOFAGICAEN SU LUGAR
UNION GASTROESOFAGICADESAPARECE
![Page 44: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/44.jpg)
CAUSAS PARA LA HERNIA DE HIATO
AMPLITUD EXCESIVA DEL HIATO ESOFAGICO
LAXITUD EXAGERADA DELLIGAMENTO FRENO-ESOFAGICO
CANTIDAD EXCESIVA DETEJIDO CELULO ADIPOSO
HERNIA HIATAL PREFERENTEMENTE LADOIZQUIERDO
DESARROLLO TARDIOHEMIDIAFRAGMA IZQ.
![Page 45: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/45.jpg)
METODOS DIAGNOSTICOS
RADIOGRAFIAPLACA SIMPLEDE TORAX
MEDIOS DECONTRASTE
BARIO ENEMA DECOLON
MANIFESTACIONCLINICA
REFLUJOGASTROESOFAGICO ESOFAGITIS
PEPTICA
![Page 46: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/46.jpg)
![Page 47: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/47.jpg)
TECNICA QUIRURGICA
PUNTO DE VISTAENDOSCOPICO
HERNIA PORDESLIZAMIENTO
GRADO I GRADO II GRADO III
MANEJOMEDICO
TRATAMIENTOQUIRURGICO
DISFAGIA ODINOFAGIA
![Page 48: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/48.jpg)
EVALUCION DELHIATO ESOFAGICO
IDENTIFICARPILARES
DIVULSION
ADHERENCIAS
SE DESCIENDE ELSEGMENTO ESOFAGICO
![Page 49: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/49.jpg)
PRIMER TIEMPO
HERNIORRAFIAHIATAL
MATERIAL NOABSORBIBLE
ESTENOSISIATROGENICA
![Page 50: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/50.jpg)
SEGUNDO TIEMPO
CREACION DEANGULO GASTROESOFAGICO
ANGULO DEHILL
UNION DEL FONDOGASTRICO
PARED LATERALIZQUIERDA DELESOFAGO
![Page 51: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/51.jpg)
TECNICA DE HILL O GASTROPEXIA POSTERIOR
TECNICA DE NISSEN
TECNICA DEL HEMINISSEN
![Page 52: Hernias Crural, umbilical, esofagica](https://reader033.fdocuments.net/reader033/viewer/2022061108/544d85beb1af9f2d068b48bb/html5/thumbnails/52.jpg)
“AMAR LA LECTURA ES CAMBIAR HORAS DE HASTÍO POR HORAS DE INEFABLE Y DELICIOSA COMPAÑÍA.”
JOHN F. KENNEDY
FIN